23 × $36.00
37 × $122.50
22 × $20.00
16 × $80.00
1 × $80.00
3 × $19.00
18 × $800.00
12 × $29.00
1 × $29.00
3 × $49.00
1 × $59.00
8 × $230.00
2 × $230.00
1 × $26.00
1 × $19.00
3 × $900.00
Subtotal: $27,245.50
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T3-liothyronine sodium 25 mcg*100 pills
$19.00
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