CMS Formulary

Displaying 32491-32500 of 1611142 results.
ID: 32491
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 905059
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 32492
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 905064
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84
ID: 32493
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 905057
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 168
ID: 32494
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1251334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32495
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1487076
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 224
Qty Limit Days: 28
ID: 32496
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1368459
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32497
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 751970
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32498
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 836358
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 312
Qty Limit Days: 30
ID: 32499
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1191250
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32500
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 207373
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0