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    Actilyse Alteplasa
    ACTILYSE Alteplasa 50 mg Solución
    1 X $90,000.00 = $90,000.00
    Pemetrexed 500 mg
    ITARA Pemetrexed 500 mg/20 ml Solución
    1 X $2,100.00 = $2,100.00
    Ensure Advance Chocolate
    ENSURE Advance Chocolate single 237 ml
    1 X $54.00 = $54.00
    Ensure Advance HMB Vainilla 400 mg
    ENSURE Advance 400 g HMB Vainilla
    1 X $299.00 = $299.00
    Subtotal $92,453.00
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