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FUMARATE\/HYDROCHLOROTHIAZIDE                               ","TAB 10\/6.25","28","Select","Select",""],["","00574402235","BACITRACIN                                                            ","OIN OP","4","Select","Select",""],["","57896050110","ONE-DAILY MULTI-VITAMIN                                               ","TAB MULT-VIT","28","Select","Select",""],["","40985027416","D3 SUPER STRENGTH                                                     ","CAP 2000UNIT","18","Select","Select",""],["","63824000850","MUCINEX                                                               ","TAB 600MG ER","30","Select","Select",""],["","00904576960","MAPAP ARTHRITIS PAIN                                                  ","TAB 650MG","20","Select","Select",""],["","58160088752","FLUARIX QUADRIVALENT 2021-2022                                        ","INJ 2021-22","0","Select","Select",""]]}},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems and 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