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Advanced Search| ID | Formulary ID | Contract Year | RXCUI | Tier Level | Qty Limit Amt | Qty Limit Days | Created At | RXCUI | |
|---|---|---|---|---|---|---|---|---|---|
| 2009 | 00021000 | 2021 | 96304 | 1 | 0 | 0 | 2021-09-07 21:25:38 | 96304 | |
| 550 | 00021000 | 2021 | 103401 | 1 | 0 | 0 | 2021-09-07 21:25:34 | 103401 | |
| 1907 | 00021000 | 2021 | 103456 | 1 | 0 | 0 | 2021-09-07 21:25:38 | 103456 | |
| 2462 | 00021000 | 2021 | 104884 | 1 | 0 | 0 | 2021-09-07 21:25:40 | 104884 | |
| 2096 | 00021000 | 2021 | 104894 | 1 | 0 | 0 | 2021-09-07 21:25:39 | 104894 | |
| 2847 | 00021000 | 2021 | 105171 | 1 | 0 | 0 | 2021-09-07 21:25:41 | 105171 | |
| 1665 | 00021000 | 2021 | 105292 | 1 | 0 | 0 | 2021-09-07 21:25:37 | 105292 | |
| 3239 | 00021000 | 2021 | 105553 | 2 | 0 | 0 | 2021-09-07 21:25:43 | 105553 | |
| 1927 | 00021000 | 2021 | 105583 | 1 | 0 | 0 | 2021-09-07 21:25:38 | 105583 | |
| 207 | 00021000 | 2021 | 105585 | 1 | 0 | 0 | 2021-09-07 21:25:32 | 105585 |