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Contract Number
Active Ingredient
Therapeutic Code
Therapeutic Description
40
ALCOHOL
9200
UNCLASSIFIED THERAPEUTIC AGENTS
41
FINASTERIDE
9208
5 ALPHA REDUCTASE INHIBITORS
41
DUTASTERIDE|TAMSULOSIN MR
9208
5 ALPHA REDUCTASE INHIBITORS
41
DUTASTERIDE
9208
5 ALPHA REDUCTASE INHIBITORS
40
FINASTERIDE
9208
5 ALPHA REDUCTASE INHIBITORS
40
DUTASTERIDE|TAMSULOSIN
9208
5 ALPHA REDUCTASE INHIBITORS
40
DUTASTERIDE
9208
5 ALPHA REDUCTASE INHIBITORS
41
CALCIUM FOLINATE
9212
ANTIDOTES
41
ACETYLCYSTEINE
9212
ANTIDOTES
40
LEUCOVORIN
9212
ANTIDOTES
40
ACETYLCYSTEINE
9212
ANTIDOTES
41
LEUCOVORIN
9212
ANTIDOTES
41
THALIDOMIDE
9220
BIOLOGIC RESPONSE MODIFIER
41
OCRELIZUMAB
9220
BIOLOGIC RESPONSE MODIFIER
40
THALIDOMIDE
9220
BIOLOGIC RESPONSE MODIFIER
41
ALENDRONATE
9224
BONE RESORPTION INHIBITORS
40
ALENDRONATE
9224
BONE RESORPTION INHIBITORS
41
ZOLENDRONIC ACID
9224
BONE RESORPTION INHIBITORS
41
RISEDRONATE
9224
BONE RESORPTION INHIBITORS
40
ZOLENDRONIC ACID
9224
BONE RESORPTION INHIBITORS