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With the Patient Assistance Program from HealthWell Foundation, contact the program to see how they can financially help you out.

| Dosage | Quantity | Retail price | GoodRx price |
|---|
| 3ml of 0.31mg/ 3ml | 25 vials | N/A | $258.34 |
| 3ml of 0.63mg/ 3ml | 25 vials | N/A | $258.34 |
| 3ml of 1.25mg/ 3ml | 25 vials | $445.25 | $258.34 |

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