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Highest amounts paid to firms lobbying on Medicare in 2003

Client Lobbying firm Total
1.Pharmaceutical Research And Manufacturers Of America (Phrma) Alexander Strategy Group $720,000
2.Alliance For Quality Nursing Home Care Barbour Griffith & Rogers, Inc. $700,000
3.Biotechnology Industry Organization Hogan & Hartson, L.L.P. $680,000
4.Hoffmann-La Roche, Inc. Patton Boggs, Llp $660,000
5.Pennsylvania, Commonwealth Of Peyser Associates, Inc. $650,000
6.Umass Memorial Health Care, Inc. Cassidy & Associates, Inc. $560,000
7.Puerto Rico Federal Affairs Administration Winston & Strawn, Llp $480,000
8.Council On Radionuclides And Radiopharmaceuticals Alpine Group, Inc. $460,000
9.Sanofi-Synthelabo Inc. Patton Boggs Llp $450,000
10.Pharmaceutical Research And Manufacturers Of America (Phrma) Hc Associates, Inc. $440,000


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