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Advanced SearchID | Formulary ID | Contract Year | RXCUI | Tier Level | Qty Limit Amt | Qty Limit Days | Created At | RXCUI | |
---|---|---|---|---|---|---|---|---|---|
156 | 00021000 | 2021 | 1797844 | 1 | 15 | 10 | 2021-09-07 21:25:32 | 1797844 | |
162 | 00021000 | 2021 | 905172 | 1 | 0 | 0 | 2021-09-07 21:25:32 | 905172 | |
159 | 00021000 | 2021 | 351265 | 1 | 90 | 30 | 2021-09-07 21:25:32 | 351265 | |
157 | 00021000 | 2021 | 885857 | 1 | 0 | 0 | 2021-09-07 21:25:32 | 885857 | |
161 | 00021000 | 2021 | 351267 | 1 | 90 | 30 | 2021-09-07 21:25:32 | 351267 | |
155 | 00021000 | 2021 | 1797833 | 1 | 30 | 28 | 2021-09-07 21:25:32 | 1797833 | |
160 | 00021000 | 2021 | 351266 | 1 | 90 | 30 | 2021-09-07 21:25:32 | 351266 | |
158 | 00021000 | 2021 | 860901 | 1 | 200 | 30 | 2021-09-07 21:25:32 | 860901 | |
154 | 00021000 | 2021 | 198148 | 1 | 0 | 0 | 2021-09-07 21:25:32 | 198148 | |
123 | 00021000 | 2021 | 904170 | 1 | 0 | 0 | 2021-09-07 21:25:32 | 904170 |