|Generic Name(S)||Strength||Dosage Form||ICD Code|
|Acitretin||10 mg, 17.5 mg, 22.5 mg, 25 mg,||Capsules|
|Anthralin||0.1%, 0.25%, 0.5%, 1%||Ointment||Y56.9|
|Anthralin||0.25%, 0.5%, 0.1%, 1%||Cream||Y56.9|
|Selenium Sulfide||2.5%||Lotion, Shampoo||Y56.9|
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