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Contract Number
Active Ingredient
Therapeutic Code
Therapeutic Description
40
PHENYLEPHRINE|PRAMOXINE
8406
ANTI-INFLAMMATORY AGENTS, TOPICAL
41
PHENYLEPHRINE
8406
ANTI-INFLAMMATORY AGENTS, TOPICAL
40
BETAMETHASONE
8406
ANTI-INFLAMMATORY AGENTS, TOPICAL
40
PHENYLEPHRINE
8406
ANTI-INFLAMMATORY AGENTS, TOPICAL
41
LIDOCAINE|TRIBENOSIDE
8406
ANTI-INFLAMMATORY AGENTS, TOPICAL
40
METHYLPREDNISOLONE
8406
ANTI-INFLAMMATORY AGENTS, TOPICAL
40
HYDROCORTISONE
8406
ANTI-INFLAMMATORY AGENTS, TOPICAL
41
HYDROCORTISONE
8406
ANTI-INFLAMMATORY AGENTS, TOPICAL
41
CLOBETASOL
8406
ANTI-INFLAMMATORY AGENTS, TOPICAL
40
MOMETASONE
8406
ANTI-INFLAMMATORY AGENTS, TOPICAL
41
BETAMETHASONE
8406
ANTI-INFLAMMATORY AGENTS, TOPICAL
41
MOMETASONE
8406
ANTI-INFLAMMATORY AGENTS, TOPICAL
40
FLUTICASONE
8406
ANTI-INFLAMMATORY AGENTS, TOPICAL
40
LIDOCAINE|TRIBENOSIDE
8406
ANTI-INFLAMMATORY AGENTS, TOPICAL
40
BETAMETHASONE|MICONAZOLE
8410
ANTI-INFECTIVES & ANTI-INFLAMMATORIES
40
ECONAZOLE|HYDROCORTISONE
8410
ANTI-INFECTIVES & ANTI-INFLAMMATORIES
41
BETAMETHASONE|MICONAZOLE
8410
ANTI-INFECTIVES & ANTI-INFLAMMATORIES
40
BECLOMETHASONE|CLOTRIMAZOLE
8410
ANTI-INFECTIVES & ANTI-INFLAMMATORIES
41
ECONAZOLE|HYDROCORTISONE
8410
ANTI-INFECTIVES & ANTI-INFLAMMATORIES
41
DIFLUCORTOLONE|ISOCONAZOLE|NEOMYCIN
8410
ANTI-INFECTIVES & ANTI-INFLAMMATORIES