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ClaimableClaimablePOMPrescription OnlyPPharmacy OnlySIGDoctor's Signature Required
NPBNamed PatientZZero VATRReduced VATChilled LineChilled Line
Description Strength/Size Presentation Pack Size Img Notation Code Price Qty
Depo-Medrone 40mg / 1ml Vial x 10 -- POM 213-9756 37.90 --
Depo-Medrone 120mg / 3ml Vial x 1 -- POM 011-2961 9.88 --
Depo-Medrone 120mg / 3ml Vial x 10 -- POM 214-3204 97.69 --
Depo-Medrone + Lidocaine 40mg/1ml, 10mg/1ml Vial x 1 -- POM 234-3036 3.94 --
Depo-Medrone + Lidocaine 40mg/1ml, 10mg/1ml Vial x 10 -- POM 215-1793 39.40 --
Depo-Provera Injection 150mg / ml Syringe x 1 POM 233-3292 7.99 --
Depo-Provera Vial (PI) 150mg / ml Vial x 1 POM 339-8419 6.55 --

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