CMS Formulary

Displaying 32471-32480 of 1611142 results.
ID: 32471
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283236
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32472
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 848333
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84
ID: 32473
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 848343
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84
ID: 32474
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665906
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 32475
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665900
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 32476
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1801322
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 7
Qty Limit Days: 28
ID: 32477
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2262446
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 32478
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123034
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32479
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2274390
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 32480
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2282320
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 16
Qty Limit Days: 30