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Advanced Search| ID | Formulary ID | Contract Year | RXCUI | Tier Level | Qty Limit Amt | Qty Limit Days | Created At | RXCUI | |
|---|---|---|---|---|---|---|---|---|---|
| 122904 | 00021051 | 2021 | 836636 | 3 | 1 | 999 | 2021-09-07 21:39:53 | 836636 | |
| 119346 | 00021049 | 2021 | 1658102 | 3 | 2 | 999 | 2021-09-07 21:39:27 | 1658102 | |
| 119345 | 00021049 | 2021 | 1658106 | 3 | 1 | 999 | 2021-09-07 21:39:27 | 1658106 | |
| 122911 | 00021051 | 2021 | 1658106 | 3 | 1 | 999 | 2021-09-07 21:39:53 | 1658106 | |
| 119338 | 00021049 | 2021 | 836636 | 3 | 1 | 999 | 2021-09-07 21:39:27 | 836636 | |
| 122912 | 00021051 | 2021 | 1658102 | 3 | 2 | 999 | 2021-09-07 21:39:53 | 1658102 | |
| 119339 | 00021049 | 2021 | 836634 | 3 | 2 | 999 | 2021-09-07 21:39:27 | 836634 | |
| 121611 | 00021049 | 2021 | 798482 | 3 | 1 | 999 | 2021-09-07 21:39:44 | 798482 | |
| 121612 | 00021049 | 2021 | 798479 | 3 | 2 | 999 | 2021-09-07 21:39:44 | 798479 | |
| 122905 | 00021051 | 2021 | 836634 | 3 | 2 | 999 | 2021-09-07 21:39:53 | 836634 |