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×	Cosart 50 mg (Losartan Potassium) - 60 Tablet/s	$19.00	Cosart 50 mg (Losartan Potassium) - 60 Tablet/s quantity	$19.00
×	Dicorate ER 125 mg (Divalproex Sodium) - 120 Tablet/s	$30.00	Dicorate ER 125 mg (Divalproex Sodium) - 120 Tablet/s quantity	$30.00
×	Doxinate OD (Pyridoxine / Doxylamine) - 60 Tablet/s	$33.75	Doxinate OD (Pyridoxine / Doxylamine) - 60 Tablet/s quantity	$33.75

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Subtotal $82.75

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Subtotal	$82.75
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Total	$112.75

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Total $112.75