CMS Formulary

Displaying 32441-32450 of 1611142 results.
ID: 32441
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 208083
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32442
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054275
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 28
ID: 32443
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2275613
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32444
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272118
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32445
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272122
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32446
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272126
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32447
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2394947
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 32448
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2199304
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32449
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2199308
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32450
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2199312
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0