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Contract Number
Active Ingredient
Therapeutic Code
Therapeutic Description
41
TIMOLOL|TRAVOPROST
524092
ANTIGLAUCOMA AGENTS MISCELLANEOUS
42
TIMOLOL|TRAVOPROST
524092
ANTIGLAUCOMA AGENTS MISCELLANEOUS
40
TIMOLOL|TRAVOPROST
524092
ANTIGLAUCOMA AGENTS MISCELLANEOUS
41
LATANOPROST|TIMOLOL
524092
ANTIGLAUCOMA AGENTS MISCELLANEOUS
42
LATANOPROST|TIMOLOL
524092
ANTIGLAUCOMA AGENTS MISCELLANEOUS
40
DORZOLAMIDE|TIMOLOL
524092
ANTIGLAUCOMA AGENTS MISCELLANEOUS
41
BRINZOLAMIDE|TIMOLOL
524092
ANTIGLAUCOMA AGENTS MISCELLANEOUS
42
BRINZOLAMIDE|TIMOLOL
524092
ANTIGLAUCOMA AGENTS MISCELLANEOUS
40
BRIMONIDINE|TIMOLOL
524092
ANTIGLAUCOMA AGENTS MISCELLANEOUS
41
DORZOLAMIDE|TIMOLOL
524092
ANTIGLAUCOMA AGENTS MISCELLANEOUS
42
DORZOLAMIDE|TIMOLOL
524092
ANTIGLAUCOMA AGENTS MISCELLANEOUS
41
PROPYLENE GLYCOL
5292
EENT DRUGS MISCELLANEOPUS
42
HYPROMELLOSE
5292
EENT DRUGS MISCELLANEOPUS
40
CARBOXYMETHYLCELLULOSE
5292
EENT DRUGS MISCELLANEOPUS
42
PROPYLENE GLYCOL
5292
EENT DRUGS MISCELLANEOPUS
40
DEXTRAN|GLYCERINE|HYPROMELLOSE
5292
EENT DRUGS MISCELLANEOPUS
41
POLYETHYLENE GLYCOL 400|PROPYLENE GLYCOL
5292
EENT DRUGS MISCELLANEOPUS
42
POLYETHYLENE GLYCOL|PROPYLENE GLYCOL
5292
EENT DRUGS MISCELLANEOPUS
41
POLYACRYLIC ACID
5292
EENT DRUGS MISCELLANEOPUS
40
SODIUM HYALURONATE
5292
EENT DRUGS MISCELLANEOPUS