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Total 10 results.
ID Formulary ID Contract Year RXCUI Tier Level Qty Limit Amt Qty Limit Days Created At RXCUI  
 
1560002100020211797844115102021-09-07 21:25:321797844
1620002100020219051721002021-09-07 21:25:32905172
159000210002021351265190302021-09-07 21:25:32351265
1570002100020218858571002021-09-07 21:25:32885857
161000210002021351267190302021-09-07 21:25:32351267
1550002100020211797833130282021-09-07 21:25:321797833
160000210002021351266190302021-09-07 21:25:32351266
1580002100020218609011200302021-09-07 21:25:32860901
1540002100020211981481002021-09-07 21:25:32198148
1230002100020219041701002021-09-07 21:25:32904170