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	Product Name	Unit Price	Qty	Discount	Sub Total	Action
	Hetrazan 100mg Tablet 1350'S 1350 Pills / Diethylcarbamazine 100 mg	USD $66.00	Qty		USD $66.00
	Natrise 30mg Tablet 8'S 8 Tablet(s) / TOLVAPTAN 30MG	USD $48.80	Qty		USD $48.80

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Total USD $114.80

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