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×	Lan 15mg (Lansoprazole) - 30 Capsule/s	$7.30	Lan 15mg (Lansoprazole) - 30 Capsule/s quantity	$7.30
×	Doxinate (Pyridoxine / Doxylamine) - 30 Tablet/s	$8.00	Doxinate (Pyridoxine / Doxylamine) - 30 Tablet/s quantity	$8.00
×	Refresh Tear 10 ml (Carboxymethylcellulose sodium) - 12 Bottle/s	$72.50	Refresh Tear 10 ml (Carboxymethylcellulose sodium) - 12 Bottle/s quantity	$72.50

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Subtotal $87.80

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Subtotal	$87.80
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Total	$117.80

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Total $117.80