Virtual RAS Information Card Download Repatha Copay Card reduces costs for Repatha for eligible commercially insured patients. View Repatha Copay Card eligibility information and Copay Program terms & conditions This form is currently under maintenance. patient assistance program that helps qualifying patients access Amgen medicines at no cost. Prescription Assistance Program - Medication Assistance | Simplefill The Repatha copay program is part of the larger RepathaReady program which supplies "support services to help you start and stay on Repatha." The most important feature of the program is a Copay card which gives patients access to the drug for only $5 a month, but the program also includes reminder emails and a free needle-disposal container. We're Proud of It. Please see Full Prescribing Information, including Boxed WARNINGS, and Medication Guide for RIABNI. This is a pilot support program offered to any patients with a Repatha prescription. If you do not see a patient assistance program listed that meets your specific need, please contact us for more information at: 1-800-999-6673. Learn Amgen Safety Net Foundation (ASNF) is an independent nonprofit patient assistance program established in 2001, sponsored by Amgen. Getting Started with Repatha Universal Authorization Form This simple form collects the patient privacy authorization, allowing the Repatha Access Specialist to provide personalized follow-up and support for patients using a specialty pharmacy or the RepathaReady hub. If you're a patient or family member and you're ready to apply, you have two options: Apply online here Apply by calling (800) 675-8416, Monday-Friday, 9 am to 5 pm (EST) Eye Care. Eligibility requirements vary for each program. The manufacturers who have programs do so for various reasons. LEARN MORE, Repatha Do not use Repatha if you are allergic to evolocumab or to any of the ingredients in Repatha. We'll handle the full enrollment process for you, helping you get easy and affordable access to the medications you need. The Repatha Copay Card provides support up to the Maximum Monthly Benefit, the Maximum Annual Program Benefit and/or Patient Total Program Benefit. Not valid where prohibited by law. Please see Full Prescribing Information, including Boxed WARNINGS, for Vectibix. Since 2005, we've helped more than 500,000 people get free access to the medicines they. DURYSTA (bimatoprost implant) 10 mcg. injection site reaction. cold symptoms such as stuffy nose, sneezing, sore throat. Repatha 140 mg/ml is currently $649.00 on PharmacyChecker.com. The list price for Repatha is $519.82* , per month. *Resources include referrals to independent nonprofit patient assistance programs. Eligibility for resources provided by independent nonprofit patient assistance programs is based on the nonprofits criteria. Espaol Toggle navigation Please see Full Prescribing Information, including Boxed WARNINGS, for KANJINTI. GoodRx coupons, copay cards and patient assistance programs may help lower the cost. . If a patient's commercial insurance plan imposes different or additional requirements on patients who receive Repatha Copay Card benefits, Amgen has the right to reduce or eliminate those . Your actual cost will vary and will depend on your insurance coverage. Repatha is a popular medication used to lower bad cholesterol in adults with cardiovascular disease. plus a basis. 99% on average, of every dollar goes directly to patients. Access the HCP PatientCare Portal for the RepathaREADY Patient Support Program. <20 mg/dL and over 10,000 (39%) achieved LDL-C levels of <40 mg/dL. Whether you're struggling to lower bad cholesterol, or have Please see Full Prescribing Information, including Boxed WARNINGS, and Medication Guide for Aranesp. statin lowered high bad cholesterol (LDL-C). This program is not open to patients receiving prescription reimbursement under any federal, state, or government-funded healthcare program. HELPLINE (800) 503-6897 . 1 This analysis found that over the course of 77,470 patient-years of follow-up there was a . and it's important to remember that repatha is only approved for a narrow slice of people: those with a genetic condition that causes extremely high ldl levels, and those who have already had a. Quantity. to 70 mg/dL or below. Call 1-844-REPATHA (1-844-737-2842), available 7 days a week, 8 AM-11 PM ET. Many, but not all, pharmaceutical companies have PAPs. Don't use Repatha (evolocumab) if the solution is cloudy, discolored, or you can see particles it. Amgen Safety Net Foundation (ASNF) is an independent nonprofit patient assistance program established in 2001, sponsored by Amgen. Repatha is an injectable prescription medicine used: This information is intended only for U.S. healthcare professionals. If not covered by prescription insurance, complete the Novartis Patient Assistance Foundation (NPAF) application at www.PAP.Novartis.com, or . I am a healthcare professional. ESTRACE (estradiol vaginal cream, USP, 0.01%) Other. The Novo Nordisk Patient Assistance Program (PAP) is based on our commitment to people living with diabetes. Physician information including the office fax number. The cost for Repatha subcutaneous solution (140 mg/mL) is around $283 for a . We're here to help!*. Participation in our program is free; we do not collect any fees from people seeking our assistance. 09-28-2018 09:52 AM. Check your eligibility and find out instantly if you qualify for financial assistance for out-of-pocket medication costs, insurance premiums, and even transportation expenses.. You can enroll in the RepathaReady program by going to www . * We help you enroll in patient assistance programs, by working directly with your healthcare provider. Assistance with accessing insurance coverage and copay/financial support, Nurse-led telephone or virtual self-injection training. Get Started. Please complete, sign, and submit this application form in order to begin the evaluation process for enrollment $483.35 - $1,188.86. We're here to help! month, with a 63% reduction in just 3 months. There is no registration charge or monthly fee for . View Prices & Coupons. ENTRESTO Central Patient Support Program Enrollment Form FAX TO 1-844-263-5644 Please complete this form to receive Benefit Verification, Prior Authorization, and Appeal support through the Coverage . 1996-2022 Amgen Inc. All Rights Reserved. GELNIQUE (oxybutynin chloride) 10% topical gel. Please check back tomorrow or call 1-844-REPATHA (1-844-737-2842), Monday - Friday 8am - 9pm ET for enrollment assistance. Click on one of the boxes below to take a closer look at the available services. The Patient Assistance Program provides medication at no cost to those who qualify. You may learn more about Lilly Cares by accessing the Lilly Cares website at www.lillycares.com or by calling 1-800-545-6962. When we started, we only had information on patient assistance programs - now we have information on 40,000 programs covering 15 different types of assistance. Terms, conditions, and program maximums apply. Revised: 9/2021 v8 With atrial fibrillation, part of the heart does not beat the way it should. Data Reinforces Long-Term Efficacy and Consistent Safety Profile of Repatha Observed in FOURIER-OLE . The goal is to help you achieve your target LDL level. Patient Support RepathaReady offers helpful resources to support you on your path to lower LDL-C bad cholesterol and to reduce your risk of another heart attack or stroke. 2,800+ Children Assisted through PAF. discussion guides below to help you share your heart health fatigue (low energy)*. More. Otezla (apremilast) Repatha (evolocumab) PATIENT INFORMATION Please PRINT all information on this form legibly MM . inflammation or swelling in your intestines or stomach, which may cause belly pain or cramping. Let our nurses provide personal support related to your financial coverage and referrals to resources that may help your emotional wellness. With our assistance, you may be able to get your Repatha for a flat fee of $49 per month. Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines and copay programs to low income or uninsured and under-insured people who meet specific guidelines. Nurse Navigators are there to support, not replace, your treatment plan and do not provide medical advice, nursing, or case management services. Central Nervous System. Amgen has no control over these programs and provides referrals as a courtesy only. Patients should always consult their healthcare provider regarding medical decisions or treatment concerns. from $483.35 for 2 milliliters. treatment with the help of your doctor. Visit the options below or call 517.364.7999. *Resources include referrals to independent nonprofit patient assistance programs. Access Portal Yes No Select your services Repatha Prices, Coupons and Patient Assistance Programs. Eligibility is based off of the following requirements: - You must meet an undisclosed insurance guideline. Click on the relevant Amgen product below to obtain information regarding coverage, reimbursement support services, patient resources and financial assistance programs. Call 1-844-889-9222 Monday through Friday, 8AM to 8PM ET. 150 mg/mL Praluent subcutaneous solution. Access Repatha HCP information and resources. Clinical Trial Diversity and Representation, Clinical Trial Transparency, Data Sharing and Disclosure Practices, Adverse Event and Product Complaint Reporting, Environmental, Social & Governance Report 2021, Environment, Social and Governance Strategy, Community Investment and Amgen Foundation, Environmental, Social & Governance Report 2021, U.S. For all other inquiries, please contact the Amgen Canada Medical Information team by phone at 1-866-502-6436 or email at medinfocanada@amgen.com. Ongoing status updates will be provided to your doctors office. You are encouraged to report negative side effects of prescription drugs to the FDA. HONcode standard for trustworthy health information: Medically appropriate condition/diagnosis. Program Website : Program Applications and Forms: Patient Access Network Foundation (PAN) Application: Contact program The Amgen Patient Assistance Program for Otezla provides no-cost medication to patients who meet specific program eligibility requirements. When we started, we only had information on patient assistance programs now we have information on 40,000 programs covering 15 different types of assistance. Ask your Alexa-enabled device about Repatha today. ASNF was designed to assist patients who have a financial need, and are uninsured or the insurance plan excludes the Amgen medicine. FETZIMA (levomilnacipran) extended-release capsules, for oral use. For assistance with our program, please call our toll-free number Monday - Friday from 8:30 a.m. - 6:00 p.m. Eastern time: BI Cares Patient Assistance Program (includes a number of medicines) 1-800-556-8317. All patients in the extension program were treated with open label . The guide below will help you find the insurance coverage most like yours. Call 1-888-Repatha (1-888-737-2842), Monday to Friday, 8:00 am to 8:00 pm EST. Safety Net Foundation, a patient assistance program provided by Amgen, Inc., offers the medications listed to the right at no cost for up to 30 days to those who are eligible for the program. Whatever type of insurance you haveeven if you have nonewe can help you understand how your Amgen medicine may be covered, and refer you to programs that may be able to help you afford it.*. The Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF) is an independent, nonprofit organization. prescription hope is a service-based company that offers access to free brand-name medication through patient assistance programs.prescription hope charges a service fee of $50 a month for each medication accessed through patient assistance programs to manage medication orders and refills.there are no other costs, fees, deductibles, or copays Connect with the Amgen Canada Medical Information team for help by phone at 1-866-502-6436 or email at medinfocanada@amgen.com. Pricing based on most commonly-filled versions: 2 sureclicks (1ml) of Repatha 140mg/ml. Program maximums apply. Contact program : Medications: Repatha injection; subcutaneous (evolocumab) . Amgen Nurse Navigators are only available to patients that are prescribed certain products. 2,800+ Children Assisted through PAF. Form more information phone: 844-737-2842 or Visit website Patient Assistance & Copay Programs for Repatha Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines and copay programs to low income or uninsured and under-insured people who meet specific guidelines. Repatha is an injectable prescription medicine used:. Immediately upon your enrolment, the RepathaREADY Program begins to provide personalized services and support throughout your treatment. journey with your doctor. . Amgen Safety Net Foundation does not charge patients a fee for its assistance. NeedyMeds needs your help. Promo Code: SG-01291-REP-2019-Jan If you are being charged a monthly fee for support from the Amgen Safety Net Foundation, the organization billing you is not the . Amgen Safety Net Foundation is a nonprofit patient assistance program that helps qualifying patients access Amgen medicines at no cost. Patient Assistance Program. Repatha prices. Connect with the Amgen Canada Medical Information team for help by phone at 1-866-502-6436 or email at medinfocanada@amgen.com. All product names, logos, brands, trademarks and registered trademarks are property of their respective owners. There is no registration charge or monthly fee . diarrhea . For more information about REPATHA, go to www.REPATHA.com or call 1-844-REPATHA (1-844-737-2842). See how Repatha works differently from a statin. over $2.7 billion in grants paid. From access and reimbursement to webinars and useful links, our Billing Professionals Resource Center has the tools to help you stay informed, Amgen Nurse Navigators provide a single point of contact who can help you find the resources that are most important to you. Let our nurses provide personal support related to your financial coverage and referrals to resources that may help your emotional wellness. Indications. The single-dose Pushtronex system (on-body infusor with prefilled cartridge) is not made with natural rubber latex. We can refer you to independent nonprofit organizations that may provide you with community resources, one-on-one counseling services, and local support groups. Repatha, RepathaREADY and SureClick are registered trademarks of Amgen Inc., used with permission. Ive Had a Heart Attack. Eligibility for resources provided by independent nonprofit patient assistance programs is based on the nonprofits' criteria. you will be contacted by a Patient Assistance . Price. Do you have a Repatha prescription? Patients who are approved for the PAP may qualify to receive free medicine from Novo Nordisk. TRULICITY (dulaglutide): Patient Assistance Program. These are not all the possible side effects of Repatha. Forms Terms and Conditions (Terminos y Condiciones) Reimbursement Request Form - Copayment (Formulario de Solicitud de Reembolso - Copago) Reimbursement Request Form - Premium (Formulario de Solicitud de Reembolso - Premium) Household Size and Income Worksheet (Planilla de Clculo del Tamao e Ingresos del Hogar) Diagnosis Verification (Verificacin de Diagnstico)more. 2022 Amgen Inc., All rights reserved. 100 out of 100 Charity Navigator Encompass Rating. TO, These are not all the possible side effects of, You are encouraged to report negative side effects of prescription drugs to the FDA. This is a copay assistance program: Provided by: Patient Access Network . Specialist Consultation Referral Form Grant Utilization HealthWell estimates that patients use an average of $1,230 during their 12-month grant period for this disease area. Important: When there is a range of pricing, consumers should normally expect to pay the lower price. Patient Support Program Learn more about the RepathaREADY Support Program Do you have questions? Please know that the sponsors of this site are not responsible for content on the site you are about to enter. Fax or mail the completed application and documentationto: Zenpep and Viokace Patient Assistance Program PO BOX 66520, St. Louis, MO 63166 Phone: 1 855-210-6228 Fax: 1 877-867-1831 2 (2 x 1 milliliters) $241.68 - $594.43. With your help, NeedyMeds can continue our important work helping families & individuals avoid the choice between affording healthcare or food & housing. In 1997, we were doing well to get 100 visitors a day to the website now we get 10,000 to 15,000 hits daily. Click the link below for more information, including full terms and conditions for the Repatha Copay Card. 1-844-REPATHA Get Helpful Resources with RepathaReady Whether you're already taking Repathaor considering asking your doctor about a prescription, RepathaReadyoffers helpful resources, including the Copay Cardfor eligible commercially insured patients, to support you on your path to lowering high bad cholesterol. Per unit. Patients who are approved for the PAP may qualify to receive free diabetes medicine from Novo Nordisk. View all programs Questions? The most common side effects of Repatha include: runny nose, sore throat, symptoms of the common cold, flu or flu-like symptoms, back pain, high blood sugar levels (diabetes), and redness, pain, or bruising at the injection site. Dive Brief: The RepathaReady patient-assistance program offers patients financial asssistance for the expected blockbuster Amgen cholesterol drug, but requires full disclosure of a lot of personal health information, which is then freely available to Amgen and unspecified third parties. 2016-2022 Amgen Canada Inc. All rights reserved. Please ask your Repatha Ready representative to help you understand whether your particular insurance coverage is likely to result in your reaching the Maximum Monthly Benefit, Maximum Annual Program Benefit or your Patient Total Program Benefit amount by calling 1-844-REPATHA (1-844-737-2842) and follow the prompts. In 1997, we were doing well to get 100 visitors a day to the website - now we get 10,000 to 15,000 hits daily. over 37,000 calls handled each month. Download patient applications and learn about the steps in applying for Amgen medicines at no cost. Contents may not be reproduced in any form except for personal use and may not be used on any other website without permission. The Patient Assistance Program provides medication at no cost to those who qualify. 1-855-297-5904. TO90% OF PEOPLE IN Common Repatha side effects may include: redness, pain, or bruising where an injection was given; back pain; flu symptoms; or. Nurse support is available in other languages, including Spanish. My brother uses it. ASNF was designed to assist patients who have a financial need, and are uninsured or the insurance plan excludes the Amgen medicine. NeedyMeds, a registered 501(c)(3) national nonprofit (#46-3091990), makes every effort to ensure the accuracy of the information on the website. NeedyMeds has free information on medication and healthcare costs savings programs including prescription assistance programs and medical and dental clinics. Let us help you get the most from your Repatha recently had a heart attack, download one of the personalized With the Repatha Copay Card , eligible commercially insured patients may pay $5 per month. Thank you for your interest in the Amgen Patient Assistance Program for Otezla (apremilast). Repatha (evolocumab) is a member of the PCSK9 inhibitors drug class and is commonly used for Cardiovascular Risk Reduction, High Cholesterol, High Cholesterol - Familial Heterozygous, and others. To apply for assistance you first need to locate the program below by disease state. *. 727,000+ patients served to date. Call your doctor at once if you have: high blood sugar - increased thirst, increased urination, dry mouth, fruity breath odor. Verified online pharmacies in our program offer Repatha and Praluent for pickup only due to the very special refrigeration storage requirements for these medications. Get financial assistance in minutes. The threat of further vessel/cardiac damage justified this expensive medication. in adults with cardiovascular disease to reduce the risk of heart attack, stroke, and certain types of heart surgery. It goes to work fast, bringing bad cholesterol down in just 1 The process is quick and easy. Registration for this program is closed at the moment. 1-844-REPATHA (1-844-737-2842) repatha.com. If you have any questions about RepathaREADY or any of the RepathaREADY services listed above, the RepathaREADY Patient Support Program is ready to help. You can take Repatha every two weeks or once a month. Learn more CoverMyMeds: offers electronic prior authorization submission CoverMyMeds electronically connects providers, pharmacists, and health plans Tell your healthcare provider if you have any side effect that bothers you or that does not go away. v10-Apr-2022 PO Box 19148, Lenexa, KS 66285 Phone: 1-800-932-3060 Fax: 1-833-959-1409 amgensafetynetfoundation.com . Lowest GoodRx Price Repatha (brand) $ 522.37. The medication helps reduce the risk of heart attack and stroke by lowering bad cholesterol levels, and it's sometimes used in conjunction with other cholesterol medications. To. Patient Assistance Program PO Box 0367, Chesterfield, MO 63006 Help filling out Prescription Assistance Program Applications, Assistance with Medical Transportation Costs, Connect with Retreats, Camps & Recreational Programs, Patient Assistance Program Update Service (PAPUS), Diagnosis Assistance Program Update Service (DAPUS), Patient Assistance Program Administration, Repatha Free Needle-Disposal Container Program: Contact program. Repatha can cause serious side effects including, serious allergic reactions. ASNF supports qualifying residents of . 06/22, IN 3. Sparrow Financial Assistance Program. joint pain *. For the first time in our 25-year history, we are facing an operating deficit. DELZICOL (mesalamine) delayed-release capsules, for oral use. Most patients do not pay the list price. ASNF provides access to every patient who qualifies. CHECKLIST FOR SUBMITTING AN APPLICATION IF YOU ARE THE PRESCRIBER, COMPLETE PAGE 2 o SECTION 1: Prescriber Information o SECTION 2: Patient Information o SECTION 3: Product information - Please choose medication from list on Page 5. The needle covers on the single-dose prefilled syringes and the inside of the needle caps on the single-dose prefilled SureClick autoinjectors contain dry natural rubber. Patient Assistance Program. Reimbursement Support Services and Financial Assistance Programs. Amgen has no control over these programs and provides referrals as a courtesy only. - You must meet an undisclosed income . . Patient Assistance Program Application INSTRUCTIONS FOR ENROLLMENT Ask your Healthcare Professional (HCP) to complete, and sign and date page 3 Submit completed pages 2 and 3 only with documentation to: Mail: Johnson & Johnson Patient Assistance Foundation, Inc. Repatha Tricor Triglide Trilipix Vascepa Vytorin Welchol Zetia Zocor Zypitamag Fund Definition Assistance with the prescription drugs and biologics used in the treatment and management of Hypercholesterolemia. ASNF supports qualifying residents of the U.S. and its territories. Program Website : Program Applications and Forms: Repatha Free Needle-Disposal Container Program: Contact program : Medications Have questions about your Amgen medication? Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. Help from Sparrow Financial Assistance Specialists in identifying eligibility for Medicare, Medicaid, public insurance programs, or other coverage options. 877-INVOKANA(877-468-6526) Monday - Friday, 8:00 AM - 8:00 PM ET INVOKANA (canagliflozin) is a prescription medicine used: along with diet and exercise to lower blood sugar (glucose) in adults with type 2 diabetes BI Cares Patient Assistance Program - Gilotrif . For more information visit: amgensafetynetfoundation.com. Local contact information by country +1 800-772-6436 Privacy Office However, we can't guarantee the accuracy or completeness of the information. Ask your healthcare provider or pharmacist for more information. This site is intended for U.S. residents only. The Amgen FIRST STEP Program can help eligible commercially insured patients meet their deductible, co-insurance, or co-payment.. The Novo Nordisk Patient Assistance Program (PAP) is based on our commitment to our patients. What are the possible side effects of Repatha? What is Repatha Patient Support Program? Patient Assistance Program Phone Number - 855-210-6228 for instructions. muscle pain. Then follow the related contact information. v24-Apr-2022 PO Box 18769, Louisville, KY 40261-7821 Phone: 1-888-762-6436 Fax: 1-866-549-7239 amgensafetynetfoundation.com Uninsured and Medicare patients MyPRALUENT Patient Assistance Program (PAP) If you do not have health or prescription insurance and meet income restrictions OR If you have Medicare Part D insurance that covers PRALUENT and meet income restrictions You may qualify to receive PRALUENT at no cost through the PAP Program. HCP Sign In. 888-XARELTO(888-927-3586) Monday - Friday, 8:00 AM - 8:00 PM ET reduce the risk of stroke and blood clots in adults who have a medical condition called atrial fibrillation that is not caused by a heart valve problem. Patients who are approved for the PAP may qualify to receive free medicine from Novo Nordisk. Sign Up for RepathaReady or Call 1-844-REPATHA (1-844-737-2842), 9 AM-11 PM ET. 6775 Financial Drive Suite 100 Mississauga, Ontario L5N 0A4 Telephone: 905-285-3000or 1-800-665-4273 Fax: 905-285-3100 Customer Care: 1-800-563-9798 Customer Care Fax: 1-800-495-3187 Email: customercare-ca@amgen.com Med Info: 1-866-502-6436 Med Info Fax: 1-866-472-6436 Do you have questions? +1 844-737-2842 (Repatha) +1 844-626-7526 (Corlanor) Inflammation +1 888-436-2735 Nephrology +1 800-272-9376 Neurology +1 833-246-6844 Oncology +1 888-427-7478 Uninsured Patient Assistance Amgen Safety Net Foundation +1 888-762-6436 Product Inquiries amgenmedinfo.com. The Lilly Cares Foundation is a nonprofit organization offering Lilly medicines to qualifying patients. For clinical questions, all non U.S. inquiries, to report adverse events, or product complaints, please call 1-800-77-AMGEN (1-800-772-6436). along with diet alone or together with other cholesterol-lowering medicines in adults with high blood cholesterol levels called primary hyperlipidemia (including a type of high cholesterol called heterozygous familial hypercholesterolemia [HeFH]) to reduce low-density lipoprotein (LDL) or bad cholesterol. Adverse Reactions in the Cardiovascular Outcomes Trial: The most common adverse reactions (>5% of patients treated with Repatha and more frequently than placebo) were: diabetes mellitus (8.8% Repatha, 8.2% placebo), nasopharyngitis (7.8% Repatha, 7.4% placebo), and upper respiratory tract infection (5.1% Repatha, 4.8% placebo). Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. Amgen Safety Net Foundation is not affiliated with third parties who charge a fee for assistance with enrollment or medication refills. Amgen Nurse Navigators provide a single point of contact who can help you find the resources that are most important to you. Please see Full Prescribing Information, including Boxed WARNINGS, and Medication Guide for BLINCYTO. The disease and treatment for which you're applying. Always check with the individual program if you have questions. fourier and its extension studies are part of amgen's proficio (program to reduce ldl-c and cardiovascular outcomes following inhibition of pcsk9 in different populations) program of clinical. There's also a program from Repatha's manufacturer called the Amgen Safety Net Foundation, which supports people without prescription drug coverage or who cannot afford their medication. Take advantage of helpful resources to support you on your path to lower bad cholesterol and to reduce your risk of heart attack or stroke. Call your healthcare provider for medical advice about side effects. Repatha and Praluent are already available through Canadian pharmacies. Before you start using Repatha, tell your healthcare provider about all your medical conditions, including if you are allergic to rubber or latex, are pregnant or plan to become pregnant, or are breastfeeding or plan to breastfeed.
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