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  • #1184514
  • Glaxo Specialty (Medical Benefit) #49401010101
Benlysta® Belimumab 120 mg Injection 5 mL
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  • #1170588
  • Amgen Inc #55513067001
AVSOLA™ Biosimilar of Remicade® Infliximab-axxq 100 mg Injection
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  • #1184516
  • Glaxo Specialty (Medical Benefit) #49401010201
Benlysta® Belimumab 400 mg Injection 20 mL
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  • #764305
  • Roche #00004026129
Cellcept® Mycophenolate Mofetil 200 mg / mL Suspension 175 mL
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  • #771354
  • Novartis #00078024115
Sandimmune® Cyclosporine 100 mg Capsule 30 Capsules
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  • #1104090
  • Dr. Reddy's Laboratories #55111065301
Sirolimus 1 mg Tablet 100 Tablets
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  • #1176906
  • Ascend Laboratories #67877049301
Azathioprine 50 mg Tablet 100 Tablets
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  • #1109369
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  • Glenmark Pharmaceuticals #68462053670
Imiquimod 5% Cream 0.25 Gram 24 Packets
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  • #1074961
  • American Health Packaging #68084090721
Mycophenolate Mofetil 180 mg Tablet 30 Tablets
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  • #740107
  • Teva #00172731320
Cyclosporine, Modified 100 mg / mL Solution 50 mL
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