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                                   ","TAB 10MG","18","Select","Select",""],["","68180096301","ALBUTEROL SULFATE HFA                                                 ","AER HFA","8","Select","Select",""],["","00186037020","SYMBICORT                                                             ","AER 160-4.5","10","Select","Select",""],["","60432060416","PROMETHAZINE\/DEXTROMETHORPHAN                                         ","SYP DM","120","Select","Select",""],["","16714001401","AMOXICILLIN\/CLAVULANATE POTASSIUM                                     ","TAB 875-125","20","Select","Select",""],["","16714029904","AMOXICILLIN                                                           ","CAP 500MG","21","Select","Select",""]]}},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems and 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