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Product Price Qty Total  
Xanax Tablets 0.25mg 3X10's Xanax Tablets 0.25mg 3X10's  162
 162
Folic Acid Tablets Folic Acid Tablets  100
 200
Distalgesic Tab 10's Distalgesic Tab 10's  159
 159

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Subtotal  521
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Total  821