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Total 10 results.
ID Formulary ID Contract Year RXCUI Tier Level Qty Limit Amt Qty Limit Days Created At RXCUI  
 
1000210002021155130022282021-09-07 21:25:321551300
2000210002021155130622282021-09-07 21:25:321551306
3000210002021205887722302021-09-07 21:25:322058877
400021000202117451082002021-09-07 21:25:321745108
5000210002021239577922282021-09-07 21:25:322395779
6000210002021205888722302021-09-07 21:25:322058887
700021000202123701742120302021-09-07 21:25:322370174
8000210002021217061323302021-09-07 21:25:322170613
9000210002021239578522282021-09-07 21:25:322395785
1000021000202123701702180302021-09-07 21:25:322370170