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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
Firmagon 80mg Powder x 1 -- POM 114-7636 142.31 --
Firmagon 240mg Powder x 1 -- POM 114-7644 273.00 --