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    Product Price Quantity Subtotal
× L-Montus 5/10mg Adult L-Montus 5/10mg Adult 10.00
10.00
× Placeholder Hydrochlorothiazide 25mg Ecl/ Blis 1.00
1.00
× Profusion Conceal Palette Absolute Profusion Conceal Palette Absolute 84.50
84.50
× Free-Flex Ultra Caps 60"s Free-Flex Ultra Caps 60"s 392.00
392.00
× Clopidogrel [Plavix] 75mg/pk Clopidogrel [Plavix] 75mg/pk 820.00 1 820.00

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Subtotal 1307.50
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Total 1357.50