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Contract Number Active Ingredient Therapeutic Code Therapeutic Description
40 RISPERIDONE 28160804 ATYPICAL ANTIPSYCHOTICS
41 ZIPRASIDONE 28160804 ATYPICAL ANTIPSYCHOTICS
42 OLANZAPINE 28160804 ATYPICAL ANTIPSYCHOTICS
40 QUETIAPINE 28160804 ATYPICAL ANTIPSYCHOTICS
41 OLANZAPINE 28160804 ATYPICAL ANTIPSYCHOTICS
41 QUETIAPINE XR 28160804 ATYPICAL ANTIPSYCHOTICS
40 OLANZAPINE 28160804 ATYPICAL ANTIPSYCHOTICS
42 QUETIAPINE 28160804 ATYPICAL ANTIPSYCHOTICS
40 ZIPRASIDONE 28160804 ATYPICAL ANTIPSYCHOTICS
41 QUETIAPINE 28160804 ATYPICAL ANTIPSYCHOTICS
42 RISPERIDONE 28160804 ATYPICAL ANTIPSYCHOTICS
40 QUETIAPINE XR 28160804 ATYPICAL ANTIPSYCHOTICS
41 RISPERIDONE 28160804 ATYPICAL ANTIPSYCHOTICS
42 CLOZAPINE 28160804 ATYPICAL ANTIPSYCHOTICS
40 CLOZAPINE 28160804 ATYPICAL ANTIPSYCHOTICS
41 CLOZAPINE 28160804 ATYPICAL ANTIPSYCHOTICS
42 ZIPRASIDONE 28160804 ATYPICAL ANTIPSYCHOTICS
41 HALOPERIDOL 28160808 BUTYROPHENES
40 HALOPERIDOL 28160808 BUTYROPHENES
42 HALOPERIDOL 28160808 BUTYROPHENES