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- [38] Cost-Effectiveness of Ribociclib plus Letrozole Versus Palbociclib plus Letrozole and Letrozole Monotherapy in the First-Line Treatment of Postmenopausal Women with HR+/HER2-Advanced or Metastatic Breast Cancer: A US Payer Perspective JOURNAL OF MANAGED CARE & SPECIALTY PHARMACY, 2018, 24 (06): : 514 - +