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Product Price Quantity Subtotal  
NDC29-M
$302.24
$302.24 ×
112 112 640
$57.39
$57.39 ×
020608-003
$0.74
$0.74 ×
011-00600-10
$3.30
$3.30 ×

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Subtotal $363.67
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Total $435.75
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