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×	Prograf (Tacrolimus) - 30 Capsule/s	$26.20	Prograf (Tacrolimus) - 30 Capsule/s quantity	$26.20
×	Maxiflo Rotacaps (Fluticasone/formoterol) - 60 Rotacap/s	$13.50	Maxiflo Rotacaps (Fluticasone/formoterol) - 60 Rotacap/s quantity	$13.50
×	Phenergan (Promethazine) - 300 Tablet/s	$62.00	Phenergan (Promethazine) - 300 Tablet/s quantity	$62.00

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Subtotal $101.70

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Subtotal	$101.70
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Total $131.70