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Advanced Search| ID | Formulary ID | Contract Year | RXCUI | Tier Level | Qty Limit Amt | Qty Limit Days | Created At | RXCUI | |
|---|---|---|---|---|---|---|---|---|---|
| 1611111 | 00021601 | 2021 | 2478450 | 5 | 0 | 0 | 2021-09-08 00:56:48 | 2478450 | |
| 1608007 | 00021601 | 2021 | 2478437 | 5 | 240 | 24 | 2021-09-08 00:56:25 | 2478437 | |
| 1609426 | 00021601 | 2021 | 2477272 | 5 | 0 | 0 | 2021-09-08 00:56:35 | 2477272 | |
| 1611077 | 00021601 | 2021 | 2473107 | 2 | 0 | 0 | 2021-09-08 00:56:47 | 2473107 | |
| 1610404 | 00021601 | 2021 | 2473042 | 5 | 60 | 30 | 2021-09-08 00:56:42 | 2473042 | |
| 1611110 | 00021601 | 2021 | 2472789 | 5 | 0 | 0 | 2021-09-08 00:56:48 | 2472789 | |
| 1609796 | 00021601 | 2021 | 2471314 | 2 | 0 | 0 | 2021-09-08 00:56:38 | 2471314 | |
| 1609795 | 00021601 | 2021 | 2468058 | 2 | 0 | 0 | 2021-09-08 00:56:38 | 2468058 | |
| 1610498 | 00021601 | 2021 | 2399904 | 3 | 0 | 0 | 2021-09-08 00:56:43 | 2399904 | |
| 1610494 | 00021601 | 2021 | 2399901 | 3 | 0 | 0 | 2021-09-08 00:56:43 | 2399901 |