CMS Formulary

Displaying 32381-32390 of 1611142 results.
ID: 32381
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049121
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 32382
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1855072
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 32383
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1986331
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32384
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1918230
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32385
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054269
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32386
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 432400
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 32387
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1940654
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 32388
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1944382
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32389
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1944376
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 32390
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1921081
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30