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	Product Name	Unit Price	Qty	Discount	Sub Total	Action
	Xarelto 20mg Tablet 28`S 28 Tablets / Rivaroxaban (20mg)	USD $55.00	Qty		USD $55.00
	Dalstep 10mg Tablet ER 100`S 100 Tablet(s) / Dalfampridine (10mg)	USD $78.00	Qty		USD $78.00
	Hetrazan 100mg Tablet 1350'S 1350 Pills / Diethylcarbamazine 100 mg	USD $66.00	Qty		USD $66.00

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Total USD $199.00

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