CMS Formulary

Displaying 32461-32470 of 1611142 results.
ID: 32461
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2382990
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 24
Qty Limit Days: 28
ID: 32462
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2178407
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 32
Qty Limit Days: 28
ID: 32463
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2178409
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 20
Qty Limit Days: 28
ID: 32464
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2382991
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 16
Qty Limit Days: 28
ID: 32465
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2382993
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 32466
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272630
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32467
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272622
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32468
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272636
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32469
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272624
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32470
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2282414
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30