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  Product Name Unit Price Qty Discount Sub Total Action
Keppra 250mg Tablet 10'S Keppra 250mg Tablet 10'S
10 Tablet(s) / LEVETIRACETAM 250MG
USD $1.98
USD $1.98
Jardiance 25mg Tablet 90'S Jardiance 25mg Tablet 90'S
90 Tablet(s) / EMPAGLIFLOZIN 25MG
USD $140.98
USD $140.98
Total USD $142.96

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