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Remove item	Product	Price	Quantity	Subtotal
×	ACYCLOVIR 5% OINT---(ZOVIRAX OINT)---15 GM---MFR---TORREN---NDC---13668-0515-01	$1.98	ACYCLOVIR 5% OINT---(ZOVIRAX OINT)---15 GM---MFR---TORREN---NDC---13668-0515-01 quantity	$3.96
×	ACETAMINOPHEN 160MG/5ML SOL---(*TYLENOL SOL)---118 ML---MFR---MAJOR---NDC---00904-7014-20	$2.29	ACETAMINOPHEN 160MG/5ML SOL---(*TYLENOL SOL)---118 ML---MFR---MAJOR---NDC---00904-7014-20 quantity	$2.29
×	ACARBOSE 50 MG TABS---(PRECOSE)---100---MFR---AVET---NDC---23155-0148-01	$8.51	ACARBOSE 50 MG TABS---(PRECOSE)---100---MFR---AVET---NDC---23155-0148-01 quantity	$8.51
×	ACYCLOVIR 400 MG TABS---(ZOVIRAX)---100---MFR---BIONPH---NDC---69452-0290-20	$5.41	ACYCLOVIR 400 MG TABS---(ZOVIRAX)---100---MFR---BIONPH---NDC---69452-0290-20 quantity	$5.41
×	ACYCLOVIR 200 MG CAPS---(ZOVIRAX)---100---MFR---VIONA---NDC---72578-0002-01	$4.73	ACYCLOVIR 200 MG CAPS---(ZOVIRAX)---100---MFR---VIONA---NDC---72578-0002-01 quantity	$4.73
×	ACETAMINOPHEN 500 MG TABLETS---(*TYLENOL TABS)---1000---MFR---GERICA---NDC---57896-0219-10	$14.76	ACETAMINOPHEN 500 MG TABLETS---(*TYLENOL TABS)---1000---MFR---GERICA---NDC---57896-0219-10 quantity	$14.76
×	ALBUTEROL SULFATE SOL 0.083%---(PROVENTIL SOL)---25X3ML---MFR---NEPHRO---NDC---00487-9501-25	$6.35	ALBUTEROL SULFATE SOL 0.083%---(PROVENTIL SOL)---25X3ML---MFR---NEPHRO---NDC---00487-9501-25 quantity	$6.35
×	ALBUTEROL SULFATE AEROSOL 90MCG---(PROVENTIL HFA)---6.7 GM---MFR---SANDOZ---NDC---00781-7296-85	$8.12	ALBUTEROL SULFATE AEROSOL 90MCG---(PROVENTIL HFA)---6.7 GM---MFR---SANDOZ---NDC---00781-7296-85 quantity	$8.12
×	ACETAMINOPHEN 160MG/5ML LIQUID---(TYLENOL ELIXIR CHILD)---473 ML---MFR---WESTMI---NDC---69367-0323-16	$3.88	ACETAMINOPHEN 160MG/5ML LIQUID---(TYLENOL ELIXIR CHILD)---473 ML---MFR---WESTMI---NDC---69367-0323-16 quantity	$3.88
×	VENLAFAXINE HCL ER 37.5MG CAPS---(EFFEXOR XR)---1000---MFR---EPIC---NDC---42806-0601-10	$19.44	VENLAFAXINE HCL ER 37.5MG CAPS---(EFFEXOR XR)---1000---MFR---EPIC---NDC---42806-0601-10 quantity	$19.44
×	VENLAFAXINE HCL ER 75 MG CAPS---(EFFEXOR XR)---1000---MFR---EPIC---NDC---42806-0602-10	$32.89	VENLAFAXINE HCL ER 75 MG CAPS---(EFFEXOR XR)---1000---MFR---EPIC---NDC---42806-0602-10 quantity	$32.89
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Subtotal $110.34

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AMLODIPINE BESYLATE 5 MG TABS—(NORVASC)—1000—MFR—LUPIN—NDC—68180-0455-02
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AMLODIPINE BESYLATE 5 MG TABS—(NORVASC)—1000—MFR—UNICHE—NDC—29300-0397-10
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AMLODIPINE BESYLATE 5 MG TABS—(NORVASC)—90—MFR—ASCEND—NDC—67877-0198-90
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AMLODIPINE BESYLATE 5 MG TABS—(NORVASC)—90—MFR—ASCEND—NDC—67877-0901-90
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AMLODIPINE BESYLATE 10 MG TABS—(NORVASC)—1000—MFR—LUPIN—NDC—68180-0721-03
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AMLODIPINE BESYLATE 10 MG TABS—(NORVASC)—90—MFR—ASCEND—NDC—67877-0199-90
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AMLODIPINE BESYLATE 5 MG TABS—(NORVASC)—1000—MFR—LUPIN—NDC—68180-0455-02

AMLODIPINE BESYLATE 5 MG TABS—(NORVASC)—1000—MFR—UNICHE—NDC—29300-0397-10

AMLODIPINE BESYLATE 5 MG TABS—(NORVASC)—90—MFR—ASCEND—NDC—67877-0198-90

AMLODIPINE BESYLATE 5 MG TABS—(NORVASC)—90—MFR—ASCEND—NDC—67877-0901-90

AMLODIPINE BESYLATE 10 MG TABS—(NORVASC)—1000—MFR—LUPIN—NDC—68180-0721-03

AMLODIPINE BESYLATE 10 MG TABS—(NORVASC)—90—MFR—ASCEND—NDC—67877-0199-90

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