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	Product Name	Unit Price	Qty	Discount	Sub Total	Action
	Defrijet 500mg Tablet 10'S 10 Tablet(s) / DEFERASIROX 500MG	USD $14.20	Qty		USD $14.20
	Dabistar 110mg Capsule 10'S 10 Capsules / DABIGATRAN ETEXILATE 110MG	USD $9.20	Qty		USD $9.20
	Udiliv 150mg Tablet 150'S 150 Tablet(s) / URSODEOXYCHOLIC ACID(URSODIOL) 150MG	USD $69.60	Qty		USD $69.60

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Total USD $93.00

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