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		Price	Quantity	Subtotal
	Pulmicort Inhaler 100mcg - 200 actuations	$27.00	Pulmicort Inhaler 100mcg - 200 actuations quantity	$27.00
	Pulmicort Inhaler 200mcg - 100 metered actuations	$33.00	Pulmicort Inhaler 200mcg - 100 metered actuations quantity	$33.00
	Xopenex 45mcg -200 Doses	$14.00	Xopenex 45mcg -200 Doses quantity	$14.00
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Subtotal $74.00

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Subtotal	$74.00
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Total	$104.00

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Total $104.00