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Image Product Name Model Quantity Unit Price Total
Ovestin vag. supp. #15 Ovestin vag. supp. #15
264    Remove $106.50 $106.50
Diacordin 120mg #30 Diacordin 120mg #30
370    Remove $20.20 $20.20

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Sub-Total: $126.70
Total: $126.70