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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
Dextrogel (Dextrose) 25g Gel x 3 Z 342-8497 7.16
Dextrogel (Dextrose) 80g Gel x 1 Z 354-9045 6.84

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