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Image Product Name Model Quantity Unit Price Total
Senade tablets 13,5mg #20 Senade tablets 13,5mg #20
1072    Remove $5.50 $5.50
Dexilant capsules 60mg #14 Dexilant capsules 60mg #14
1206    Remove $36.25 $36.25
Dexilant capsules 30mg #14 Dexilant capsules 30mg #14
1205    Remove $26.55 $26.55

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Sub-Total: $68.30
Total: $68.30