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	Product Name	Unit Price	Qty	Discount	Sub Total	Action
	Desifer 100mg Tablet 30'S 30 Tablet(s) / DEFERASIROX 100MG	USD $39.68	Qty		USD $39.68
	Dapsone 100mg Tablet 1000'S 1000 Tablet(s) / DAPSONE 100MG	USD $15.00	Qty		USD $15.00
	X Vir 0.5mg Tablet 30'S 30 Tablets / Entecavir (0.5mg)	USD $29.00	Qty		USD $29.00

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Total USD $83.68

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