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                            ","CAP 50000UNT","12","Select","Select",""],["","00186504031","NEXIUM                                                                ","CAP 40MG","180","Select","Select",""],["","00527150537","AMPHETAMINE\/DEXTROAMPHETAMINE                                         ","TAB 20MG","120","Select","Select",""],["","00378932232","WIXELA INHUB                                                          ","AER 500\/50","180","Select","Select",""],["","31722057330","ESOMEPRAZOLE MAGNESIUM                                                ","CAP 40MG DR","-180","Select","Select",""],["","42806016005","HYDROXYZINE HYDROCHLORIDE                                             ","TAB 25MG","60","Select","Select",""],["","69315012710","FOLIC ACID                                                            ","TAB 1000MCG","90","Select","Select",""],["","50742061610","METOPROLOL SUCCINATE ER                                               ","TAB 50MG 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                                      ","TAB 100MG","30","Select","Select",""],["","10006070011","VITAMIN B1                                                            ","TAB 100MG","30","Select","Select",""],["","68180072103","AMLODIPINE BESYLATE                                                   ","TAB 10MG","90","Select","Select",""],["","23155000810","HYDROCHLOROTHIAZIDE                                                   ","TAB 25MG","90","Select","Select",""],["","66993001968","ALBUTEROL SULFATE HFA                                                 ","AER HFA","18","Select","Select",""],["","00093720298","PRAVASTATIN SODIUM                                                    ","TAB 40MG","-90","Select","Select",""],["","66689000816","NYSTATIN                                                              ","SUS 100000","480","Select","Select",""]]}},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems and 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