Drugs available on Contract - [HUMALOG DISP. PEN 100U/ML INJ (LIL) LISP (C)], []
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41
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B2217
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HUMALOG DISP. PEN 100U/ML INJ (LIL) LISP (C)
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INSULIN LISPRO
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HUMALOG DISP. PEN
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5X3ML
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C
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122.79
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24.5573
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100U/ML
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VIAL
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5
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BOX
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LIL
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ELI LILLY S.A.(PUERTO RICO BRA)
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STO
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BRYDEN STOKES LTD
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B
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Anti-Diabetic
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2024-04-01
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2026-03-31
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0
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N
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682008
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INSULINS
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SC
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6
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INSULINS
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