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Image Product Name Model Quantity Unit Price Total
Medrol (Methylprednisolone) 4mg #30 Medrol (Methylprednisolone) 4mg #30
609    Remove $26.25 $26.25
Diacordin 120mg #30 Diacordin 120mg #30
370    Remove $20.20 $20.20

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Sub-Total: $46.45
Total: $46.45