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Two or more   may moremay be combined to form a new   by new by joining them with the "+" symbol. This is particularly useful where both concepts are primitive. The resultant   is the   of resultantis theof each of the   in the  thein the. The resultant   below resultant below represents a drug dose form that is both a spray and a suspension.

Scg expression
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   421720008|
spray
Spray dose form|
 
 +
 7946007
 7946007|
drug
Drug suspension|
Although not stipulated by the syntax, the two   joined twojoined in this way must (in nearly every case) come from the same top level  level. A rare exception to this rule is those expressions which refer to products that are both drugs and devices, and are therefore descendants of both 373873005 |pharmaceutical / biologic product| and 260787004 |physical object|.

The syntax does not mandate which   in the   should whichin theshould have associated terms and which should not, so it is valid (although not advisable) to mix and match. For example, the following syntax is valid:

Scg expression
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   421720008 +
 7946007
 7946007|
drug
Drug suspension|
The syntax allows spaces, tabs and carriage returns in most places. The following example has an identical meaning to the one above:drug
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421720008
+ 7946007
|
   421720008
   + 7946007 
   |Drug suspension|
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