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Melanoma cells then have the capacity to undergo clonal expansion to invade and destroy local tissues, to metastasize to regional lymph nodes, and to spread to the lungs, bone, liver, brain, or skin [15, 5254]

B-PLEX 100, VITAMIN B-COMPLEX 100 INJ, MDV, 100MG, 30ML SHIP IN ICE NDC 6745714630 NON-RETURNABLE SKU 028298677000 NDC 6745-7146-30 Manufacturer Number 6745714630 30mL Multiple Dose Vial Storage Requirements Requires Refrigeration NON-RETURNABLE Strength 100 mg 2 mg / mL Type Intramuscular or Intravenous Each mL Contains: 100 mg Thiamine HCl 2 mg Riboflavin-5-PO4 Na 2 mg Pyridoxine HCl 2 mg Dexapanthenol 100 mg Niacinamide 2% Benzyl Alcohol preservative Latex Free Storage Temperature: 2 to 8C (36 to 46F) Thimerosal Free ** NON-RETURNABLE **

Switching is common, particularly when compliance issues emerge