CMS Formulary

Displaying 32411-32420 of 1611142 results.
ID: 32411
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 313362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32412
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 313364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32413
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 313361
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32414
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197558
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32415
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197557
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32416
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 903843
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32417
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1661799
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 32418
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946589
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 32
Qty Limit Days: 30
ID: 32419
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1421461
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32420
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044928
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30