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Advanced Search| ID | Formulary ID | Contract Year | RXCUI | Tier Level | Qty Limit Amt | Qty Limit Days | Created At | RXCUI | |
|---|---|---|---|---|---|---|---|---|---|
| 39492 | 00021014 | 2021 | 904475 | 6 | 0 | 0 | 2021-09-07 21:28:59 | 904475 | |
| 39192 | 00021014 | 2021 | 310792 | 6 | 0 | 0 | 2021-09-07 21:28:56 | 310792 | |
| 39508 | 00021014 | 2021 | 310539 | 6 | 0 | 0 | 2021-09-07 21:28:59 | 310539 | |
| 39512 | 00021014 | 2021 | 197737 | 6 | 0 | 0 | 2021-09-07 21:28:59 | 197737 | |
| 39507 | 00021014 | 2021 | 310536 | 6 | 0 | 0 | 2021-09-07 21:28:59 | 310536 | |
| 39491 | 00021014 | 2021 | 904467 | 6 | 0 | 0 | 2021-09-07 21:28:59 | 904467 | |
| 39406 | 00021014 | 2021 | 904458 | 6 | 0 | 0 | 2021-09-07 21:28:58 | 904458 | |
| 39506 | 00021014 | 2021 | 314000 | 6 | 0 | 0 | 2021-09-07 21:28:59 | 314000 | |
| 39513 | 00021014 | 2021 | 310534 | 6 | 0 | 0 | 2021-09-07 21:28:59 | 310534 | |
| 39193 | 00021014 | 2021 | 310793 | 6 | 0 | 0 | 2021-09-07 21:28:56 | 310793 |