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Contract Number Active Ingredient Therapeutic Code Therapeutic Description
40 ALGINATE|CARBOXYMETHYLCELLULOSE 8436 MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS
41 HYPROMELLOSE|PROPYLENE GLYCOL 8436 MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS
40 PIMECROLIMUS 8436 MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS
41 KETANSERIN 8436 MUCOUS-SKIN PREPARATIONS,MISCE LLANEOUS
41 BECLOMETHASONE 8600 SMOOTH MUSCLE RELAXANTS
40 OXYBUTYNIN 8612 GENITOURINARY SMOOTH MUSCLE RELAXANTS
41 OXYBUTYNIN 8612 GENITOURINARY SMOOTH MUSCLE RELAXANTS
41 THEOPHYLLINE 8616 THEOPHYLLINES
40 THEOPHYLLINE 8616 THEOPHYLLINES
40 FOLIC ACID 8808 VITAMIN B COMPLEX
41 VITAMIN B COMPLEX 8808 VITAMIN B COMPLEX
40 VITAMIN B COMPLEX 8808 VITAMIN B COMPLEX
41 PYRIDOXINE 8808 VITAMIN B COMPLEX
41 FOLIC ACID 8808 VITAMIN B COMPLEX
40 PYRIDOXINE 8808 VITAMIN B COMPLEX
40 HYDROXYCOBALAMINE 8808 VITAMIN B COMPLEX
41 HYDROXYCOBALAMINE 8808 VITAMIN B COMPLEX
41 ASCORBIC ACID 8812 VITAMIN C
41 VITAMIN C 8812 VITAMIN C
40 VITAMIN C 8812 VITAMIN C