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× Placeholder ACETAMINOPHEN SUSPENSION 160MG/5ML 118ML---BRAND: TYLENOL CHILDREN'S 160MG 118ML---MFR: PERRIGO COMPANY---NDC: 00113-0020-26 $3.23
$3.23
× Placeholder ABACAVIR 300MG TAB YL OBL 60---BRAND: ZIAGEN 300MG TAB 60 (42967)---MFR: CIPLA USA, INC.---NDC: 69097-0514-03 $21.93
$43.86
× Placeholder CEFTRIAXONE SODIUM 2GM RECONSTITUTED INJ YL 1X10VL---BRAND: ROCEPHIN 2GM INJ 1X10VL (14299---MFR: SANDOZ SERVICES INC---NDC: 00781-3209-95 $47.40
$94.80
× Placeholder ACETAMINOPHEN 80MG TBC 30---BRAND: TYLENOL CHILDRENS 80MG (43719)---MFR: MAJOR PHARMACEUTICALS---NDC: 00904-5791-46 $2.90
$2.90
× Placeholder ACETAMINOPHEN 500MG TAB WH RND 50---BRAND: TYLENOL XS 500MG TAB 50---MFR: GERI-CARE PHARMACEUTICAL---NDC: 57896-0204-05 $1.70
$1.70
× Placeholder ACETAMINOPHEN 325MG TAB WH RND 100---BRAND: TYLENOL 325MG TAB 100---MFR: PERRIGO COMPANY---NDC: 00113-0403-78 $2.04
$2.04
× CEFTRIAXONE SODIUM SOL 1 GM---(ROCEPHIN INJ)---SIZE---10X1EA---MFR---SANDOZ---NDC---00781-3208-95 CEFTRIAXONE SODIUM SOL 1 GM---(ROCEPHIN INJ)---SIZE---10X1EA---MFR---SANDOZ---NDC---00781-3208-95 $20.01
$20.01
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Subtotal $168.54
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Total $168.54
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