CMS Formulary

Displaying 32431-32440 of 1611142 results.
ID: 32431
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283509
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 32432
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283513
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 32433
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283538
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32434
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283536
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32435
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283540
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32436
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 311944
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32437
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1999314
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32438
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1999316
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32439
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2058520
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 32440
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2058525
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28