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  • #1184516
  • Glaxo Specialty (Medical Benefit) #49401010201
Benlysta® Belimumab 400 mg Injection 20 mL
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  • #1159719
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  • Guerbet LLC #234963
Dotarem® Gadoterate Meglumine, Preservative Free 0.5 mmol / mL Injection 20 mL
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  • #835929
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  • Fresenius Kabi USA LLC #63323026929
Diprivan® Propofol 1%, 10 mg / mL Injection 20 mL
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  • #1144899
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  • Fresenius USA #63323026929
Diprivan® Propofol 1%, 10 mg / mL Injection 20 mL
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  • #977948
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  • Pfizer #00409166020
Precedex® Dexmedetomidine HCl, Preservative Free / 0.9% Sodium Chloride 4 mcg / mL Injection 20 mL
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  • #989644
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  • Fresenius USA #63323032225
Imipenem / Cilastatin Sodium, Preservative Free 500 mg / 500 mg Intravenous Injection 20 mL
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  • #1270304
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  • Amneal Pharmaceuticals LLC #80830118807
Propofol 1%, 10 mg / mL Injection 20 mL
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  • #1159717
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  • Guerbet LLC #233855
Dotarem® Gadoterate Meglumine, Preservative Free Injection 20 mL
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  • #585577
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  • Bracco Diagnostics #00270516415
Multihance® Gadobenate Dimeglumine, Preservative Free 529 mg / mL Injection 20 mL
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  • #1153002
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  • GE Healthcare #00407294305
Clariscan™ Gadoterate Meglumine, Preservative Free 0.5 mmol / mL Injection 20 mL
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