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× Placeholder ACEBUTOLOL HCL 400MG CAP MR/GN OBL 100---BRAND: SECTRAL 400MG CAP 100 (13631)---MFR: ANI PHARMACEUTICALS---NDC: 62559-0256-01 $103.08
$103.08
× Placeholder ACETAMINOPHEN 80MG TBC 30---BRAND: TYLENOL CHILDRENS 80MG (43719)---MFR: MAJOR PHARMACEUTICALS---NDC: 00904-5791-46 $2.90
$2.90
× Placeholder CEFTRIAXONE SODIUM 2GM RECONSTITUTED INJ YL 1X10VL---BRAND: ROCEPHIN 2GM INJ 1X10VL (14299---MFR: SANDOZ SERVICES INC---NDC: 00781-3209-95 $47.40
$47.40
× Placeholder ACETAMINOPHEN 325MG TAB WH RND 100UD---BRAND: TYLENOL 325MG TAB 100UD---MFR: MAJOR PHARMACEUTICALS---NDC: 00904-6773-61 $7.62
$7.62
× 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 $183.05
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Total $183.05
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