CMS Formulary

Displaying 32511-32520 of 1611142 results.
ID: 32511
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364494
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 32512
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1648772
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32513
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2046597
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 228
Qty Limit Days: 14
ID: 32514
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1989117
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 30
ID: 32515
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2178792
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 30
ID: 32516
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 644304
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32517
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 861659
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32518
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 861661
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32519
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 861663
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32520
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 545278
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0