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Advanced Search| ID | Formulary ID | Contract Year | RXCUI | Tier Level | Qty Limit Amt | Qty Limit Days | Created At | RXCUI | |
|---|---|---|---|---|---|---|---|---|---|
| 24 | 00021000 | 2021 | 582976 | 2 | 0 | 0 | 2021-09-07 21:25:32 | 582976 | |
| 37 | 00021000 | 2021 | 1799230 | 2 | 0 | 0 | 2021-09-07 21:25:32 | 1799230 | |
| 23 | 00021000 | 2021 | 582971 | 2 | 0 | 0 | 2021-09-07 21:25:32 | 582971 | |
| 4 | 00021000 | 2021 | 1745108 | 2 | 0 | 0 | 2021-09-07 21:25:32 | 1745108 | |
| 36 | 00021000 | 2021 | 1145932 | 2 | 0 | 0 | 2021-09-07 21:25:32 | 1145932 | |
| 15 | 00021000 | 2021 | 2205474 | 2 | 0 | 0 | 2021-09-07 21:25:32 | 2205474 | |
| 21 | 00021000 | 2021 | 1745114 | 2 | 0 | 0 | 2021-09-07 21:25:32 | 1745114 | |
| 22 | 00021000 | 2021 | 729234 | 2 | 0 | 0 | 2021-09-07 21:25:32 | 729234 | |
| 19 | 00021000 | 2021 | 207834 | 2 | 0 | 0 | 2021-09-07 21:25:32 | 207834 | |
| 11 | 00021000 | 2021 | 2047247 | 2 | 0 | 0 | 2021-09-07 21:25:32 | 2047247 |