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Advanced Search| ID | Formulary ID | Contract Year | RXCUI | Tier Level | Qty Limit Amt | Qty Limit Days | Created At | RXCUI | |
|---|---|---|---|---|---|---|---|---|---|
| 141597 | 00021058 | 2021 | 92752 | 4 | 0 | 0 | 2021-09-07 21:42:28 | 92752 | |
| 237787 | 00021107 | 2021 | 92752 | 5 | 30 | 30 | 2021-09-07 21:55:07 | 92752 | |
| 240899 | 00021108 | 2021 | 92752 | 5 | 30 | 30 | 2021-09-07 21:55:32 | 92752 | |
| 244224 | 00021109 | 2021 | 92752 | 5 | 30 | 30 | 2021-09-07 21:56:02 | 92752 | |
| 247851 | 00021110 | 2021 | 92752 | 5 | 30 | 30 | 2021-09-07 21:56:29 | 92752 | |
| 251467 | 00021111 | 2021 | 92752 | 5 | 30 | 30 | 2021-09-07 21:56:57 | 92752 | |
| 255238 | 00021112 | 2021 | 92752 | 5 | 30 | 30 | 2021-09-07 21:57:27 | 92752 | |
| 259017 | 00021113 | 2021 | 92752 | 5 | 30 | 30 | 2021-09-07 21:57:59 | 92752 | |
| 262799 | 00021114 | 2021 | 92752 | 5 | 30 | 30 | 2021-09-07 21:58:28 | 92752 | |
| 266566 | 00021116 | 2021 | 92752 | 5 | 30 | 30 | 2021-09-07 21:58:56 | 92752 |