CMS Formulary

Displaying 32401-32410 of 1611142 results.
ID: 32401
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1941476
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32402
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1941473
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32403
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197698
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32404
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 856783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32405
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1607796
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32406
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1607792
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32407
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1992873
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 25
ID: 32408
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2119706
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 25
ID: 32409
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 349287
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32410
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1927682
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 14