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Advanced Search| ID | Formulary ID | Contract Year | RXCUI | Tier Level | Qty Limit Amt | Qty Limit Days | Created At | RXCUI | |
|---|---|---|---|---|---|---|---|---|---|
| 1611094 | 00021601 | 2021 | 966153 | 1 | 0 | 0 | 2021-09-08 00:56:48 | 966153 | |
| 1611090 | 00021601 | 2021 | 2272630 | 4 | 0 | 0 | 2021-09-08 00:56:48 | 2272630 | |
| 1611142 | 00021601 | 2021 | 1248442 | 5 | 15 | 30 | 2021-09-08 00:56:48 | 1248442 | |
| 1611099 | 00021601 | 2021 | 966182 | 1 | 0 | 0 | 2021-09-08 00:56:48 | 966182 | |
| 1611096 | 00021601 | 2021 | 966166 | 1 | 0 | 0 | 2021-09-08 00:56:48 | 966166 | |
| 1611093 | 00021601 | 2021 | 2272624 | 4 | 0 | 0 | 2021-09-08 00:56:48 | 2272624 | |
| 1611092 | 00021601 | 2021 | 2272636 | 4 | 0 | 0 | 2021-09-08 00:56:48 | 2272636 | |
| 1611098 | 00021601 | 2021 | 966177 | 1 | 0 | 0 | 2021-09-08 00:56:48 | 966177 | |
| 1611095 | 00021601 | 2021 | 966160 | 1 | 0 | 0 | 2021-09-08 00:56:48 | 966160 | |
| 1611097 | 00021601 | 2021 | 966173 | 1 | 0 | 0 | 2021-09-08 00:56:48 | 966173 |