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For a patient at 200% FPL, it can be $5 to $8
US$ 25.52
US$ 24.29
US$ 24.82
US$ 22.78
US$ 22.17
US$ 21.61
US$ 29.02
US$ 25.78
US$ 23.79
US$ 21.64
US$ 29.91
