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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 | |
| 1607740 | 00021600 | 2021 | 2478450 | 2 | 4 | 1 | 2021-09-08 00:56:23 | 2478450 | |
| 1604107 | 00021599 | 2021 | 2478450 | 5 | 120 | 30 | 2021-09-08 00:55:55 | 2478450 | |
| 1600359 | 00021598 | 2021 | 2478450 | 1 | 120 | 30 | 2021-09-08 00:55:21 | 2478450 | |
| 1596824 | 00021597 | 2021 | 2478450 | 5 | 0 | 0 | 2021-09-08 00:54:54 | 2478450 | |
| 1593982 | 00021596 | 2021 | 2478450 | 5 | 120 | 30 | 2021-09-08 00:54:33 | 2478450 | |
| 1590737 | 00021595 | 2021 | 2478450 | 5 | 120 | 30 | 2021-09-08 00:54:09 | 2478450 | |
| 1587462 | 00021594 | 2021 | 2478450 | 5 | 120 | 30 | 2021-09-08 00:53:42 | 2478450 | |
| 1584193 | 00021593 | 2021 | 2478450 | 5 | 120 | 30 | 2021-09-08 00:53:13 | 2478450 | |
| 1580802 | 00021592 | 2021 | 2478450 | 1 | 0 | 0 | 2021-09-08 00:52:48 | 2478450 |