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Advanced SearchID | Formulary ID | Contract Year | RXCUI | Tier Level | Qty Limit Amt | Qty Limit Days | Created At | RXCUI | |
---|---|---|---|---|---|---|---|---|---|
1 | 00021000 | 2021 | 1551300 | 2 | 2 | 28 | 2021-09-07 21:25:32 | 1551300 | |
2 | 00021000 | 2021 | 1551306 | 2 | 2 | 28 | 2021-09-07 21:25:32 | 1551306 | |
3 | 00021000 | 2021 | 2058877 | 2 | 2 | 30 | 2021-09-07 21:25:32 | 2058877 | |
4 | 00021000 | 2021 | 1745108 | 2 | 0 | 0 | 2021-09-07 21:25:32 | 1745108 | |
5 | 00021000 | 2021 | 2395779 | 2 | 2 | 28 | 2021-09-07 21:25:32 | 2395779 | |
6 | 00021000 | 2021 | 2058887 | 2 | 2 | 30 | 2021-09-07 21:25:32 | 2058887 | |
7 | 00021000 | 2021 | 2370174 | 2 | 120 | 30 | 2021-09-07 21:25:32 | 2370174 | |
8 | 00021000 | 2021 | 2170613 | 2 | 3 | 30 | 2021-09-07 21:25:32 | 2170613 | |
9 | 00021000 | 2021 | 2395785 | 2 | 2 | 28 | 2021-09-07 21:25:32 | 2395785 | |
10 | 00021000 | 2021 | 2370170 | 2 | 180 | 30 | 2021-09-07 21:25:32 | 2370170 |