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Image Product Name Model Quantity Unit Price Total
Notta pills #12 Notta pills #12
170    Remove $8.50 $8.50
Topamax 100mg #60 Topamax 100mg #60
204    Remove $259.50 $259.50
Tebantin (Gabapentin) 300mg #50 Tebantin (Gabapentin) 300mg #50
203    Remove $70.40 $70.40

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Sub-Total: $338.40
Total: $338.40