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Image Product Name Model Quantity Unit Price Total
Rispolept intramuscularly 37.5mg with dissolvent Rispolept intramuscularly 37.5mg with dissolvent
192    Remove $119.25 $119.25
Rispolept 2mg #20 Rispolept 2mg #20
190    Remove $124.25 $124.25

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Sub-Total: $243.50
Total: $243.50