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                        ","2.50%","28","Select","Select",""],["","31722070090","LOSARTAN POTASSIUM                                                    ","25MG","90","Select","Select",""],["","62175044231","POLYETHYLENE GLYCOL 3350                                              ","3350 NF","-527","Select","Select",""],["","65162083366","DICLOFENAC SODIUM                                                     ","1%","100","Select","Select",""],["","16714035201","FLUOXETINE HCL                                                        ","20MG","30","Select","Select",""],["","99073070827","FREESTYLE LITE TEST STRIPS                                            ","LITE","100","Select","Select",""],["","99073070805","FREESTYLE LITE BLOOD GLUCOSE MONITORING SYSTEM                        ","LITE","1","Select","Select",""],["","62332002431","FLUOXETINE HYDROCHLORIDE                                              ","40MG","-30","Select","Select",""],["","68462053435","TACROLIMUS                                                            ","0.10%","60","Select","Select",""],["","50111033402","METRONIDAZOLE                                                         ","500MG","14","Select","Select",""],["","55111014512","FLUCONAZOLE                                                           ","150MG","1","Select","Select",""],["","57237001830","DULOXETINE HYDROCHLORIDE                                              ","30MG","49","Select","Select",""],["","58160084252","BOOSTRIX                                                              ","","0","Select","Select",""]]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems and 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