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    Ensure Advance Chocolate
    ENSURE Advance Chocolate single 237 ml
    1 X $54.00 = $54.00
    Opdivo Nivolumab 40 mg/4 mL
    OPDIVO Nivolumab 40 mg/4 ml Solución
    1 X $15,000.00 = $15,000.00
    Wetlia Aflibercept 40mg/mL
    WETLIA Aflibercept 40 mg/mL Intraocular
    1 X $21,500.00 = $21,500.00
    Subtotal $36,554.00
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