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Contract Number
Active Ingredient
Therapeutic Code
Therapeutic Description
40
GLYCERINE & THYMOL
5228
MOUTH WASHES AND GARGLES
41
GLYCERINE & THYMOL
5228
MOUTH WASHES AND GARGLES
41
BENZYDAMINE
5228
MOUTH WASHES AND GARGLES
42
THYMOL MOUTHWASH
5228
MOUTH WASHES AND GARGLES
40
THYMOL MOUTHWASH
5228
MOUTH WASHES AND GARGLES
42
GLYCERINE & THYMOL
5228
MOUTH WASHES AND GARGLES
40
BENZYDAMINE
5228
MOUTH WASHES AND GARGLES
42
BENZYDAMINE
5228
MOUTH WASHES AND GARGLES
40
OXYMETAZOLINE
5232
EENT VASOCONSTRICTORS
42
XYLOMETAZOLINE
5232
EENT VASOCONSTRICTORS
40
XYLOMETAZOLINE
5232
EENT VASOCONSTRICTORS
41
NAPHAZOLINE|PHENYLEPHRINE
5232
EENT VASOCONSTRICTORS
40
ANTAZOLINE|TETRAHYDROZOLINE
5232
EENT VASOCONSTRICTORS
41
ANTAZOLINE|TETRAHYDROZOLINE
5232
EENT VASOCONSTRICTORS
41
OXYMETAZOLINE
5232
EENT VASOCONSTRICTORS
42
ANTAZOLINE|NAPHAZOLINE
5232
EENT VASOCONSTRICTORS
41
XYLOMETAZOLINE
5232
EENT VASOCONSTRICTORS
42
ANTAZOLINE|TETRAHYDROZOLINE
5232
EENT VASOCONSTRICTORS
40
FLUORESCEIN
5236
EENT UNCLASSIFIED
40
BALANCED SALT
5236
EENT UNCLASSIFIED