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Advanced Search| ID | Formulary ID | Contract Year | RXCUI | Tier Level | Qty Limit Amt | Qty Limit Days | Created At | RXCUI | |
|---|---|---|---|---|---|---|---|---|---|
| 1077786 | 00021422 | 2021 | 1599852 | 2 | 9000 | 30 | 2021-09-07 23:46:29 | 1599852 | |
| 1477772 | 00021549 | 2021 | 250820 | 2 | 9000 | 30 | 2021-09-08 00:39:10 | 250820 | |
| 1465942 | 00021546 | 2021 | 250820 | 2 | 9000 | 30 | 2021-09-08 00:37:35 | 250820 | |
| 1464620 | 00021546 | 2021 | 2047868 | 5 | 9000 | 30 | 2021-09-08 00:37:25 | 2047868 | |
| 1476450 | 00021549 | 2021 | 2047868 | 5 | 9000 | 30 | 2021-09-08 00:39:00 | 2047868 | |
| 1031486 | 00021404 | 2021 | 283523 | 1 | 6480 | 90 | 2021-09-07 23:40:22 | 283523 | |
| 1034774 | 00021405 | 2021 | 283523 | 3 | 6480 | 90 | 2021-09-07 23:40:51 | 283523 | |
| 936060 | 00021364 | 2021 | 283523 | 2 | 6480 | 90 | 2021-09-07 23:27:46 | 283523 | |
| 932597 | 00021363 | 2021 | 283523 | 2 | 6480 | 90 | 2021-09-07 23:27:21 | 283523 | |
| 929201 | 00021362 | 2021 | 283523 | 2 | 6480 | 90 | 2021-09-07 23:26:54 | 283523 |