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Theophylline Cap Sr 24Hr 100 Mg
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THEO-24 100MG CR CAPSULES
(1 CAP EA)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: 10001 Mfg: UCB PHARMA
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
CAP
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$0.91
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$0.67
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30
CAP
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$27.49
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$20.16
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90
CAP
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$82.46
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$60.47
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180
CAP
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$164.94
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$120.96
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360
CAP
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$329.88
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$241.91
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Theophylline Cap Sr 24Hr 200 Mg
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THEO-24 200MG CR CAPSULES
(1 CAP EA)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: 20001 Mfg: UCB PHARMA
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
CAP
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$1.37
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$1.00
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30
CAP
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$40.96
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$30.03
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90
CAP
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$122.87
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$90.10
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180
CAP
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$245.75
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$180.22
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360
CAP
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$491.48
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$360.42
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Theophylline Cap Sr 24Hr 300 Mg
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THEO-24 300MG CR CAPSULES
(1 CAP EA)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: 30001 Mfg: UCB PHARMA
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
CAP
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$1.68
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$1.23
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30
CAP
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$50.53
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$37.06
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90
CAP
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$151.58
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$111.16
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180
CAP
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$303.16
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$222.31
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360
CAP
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$606.31
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$444.63
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Theophylline Cap Sr 24Hr 400 Mg
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THEO-24 400MG ER CAPSULES
(1 CAP EA)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: Mfg: UCB PHARMA
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
CAP
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$2.36
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$1.73
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30
CAP
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$70.75
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$51.88
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90
CAP
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$212.27
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$155.66
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180
CAP
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$424.52
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$311.32
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360
CAP
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$849.05
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$622.64
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Theophylline Elixir 80 Mg/15Ml
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ELIXOPHYLLIN ELIXIR 80MG/15ML
(1 x 480.0 ML ELX = 480.0)
Type: Brand Name Pharmacy Product
HCPCS code:
Cat#: 064416 Mfg: FOREST
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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480
ML
ELX
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$111.12
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$81.49
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Theophylline Tab Sr 12Hr 100 Mg
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THEOPHYLLINE TD 100MG TDTB12
(1 TAB EA)
Type: Generic Pharmacy Product
HCPCS code:
Cat#: Mfg: GOLDLINE
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
TAB
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$0.83
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$0.22
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30
TAB
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$24.69
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$6.58
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90
TAB
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$74.06
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$19.75
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180
TAB
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$148.10
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$39.49
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360
TAB
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$296.19
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$78.98
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Theophylline Tab Sr 12Hr 200 Mg
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THEOPHYLLINE CR 200MG CRTABS
(1 TAB EA)
Type: Generic Pharmacy Product
HCPCS code:
Cat#: 48201 Mfg: TEVA USA
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
TAB
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$0.59
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$0.16
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30
TAB
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$17.69
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$4.72
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90
TAB
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$53.07
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$14.15
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180
TAB
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$106.14
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$28.30
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360
TAB
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$212.28
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$56.61
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THEOPHYLLINE ER 200MG ERTB12
(1 TAB EA)
Type: Generic Pharmacy Product
HCPCS code:
Cat#: Mfg: INWOOD
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
TAB
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$0.62
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$0.16
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30
TAB
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$18.47
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$4.92
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90
TAB
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$55.41
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$14.78
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180
TAB
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$110.81
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$29.55
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360
TAB
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$221.61
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$59.10
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THEOPHYLLINE TD 200MG TDTB12
(1 TAB EA)
Type: Generic Pharmacy Product
HCPCS code:
Cat#: Mfg: GOLDLINE
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
TAB
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$0.93
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$0.25
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30
TAB
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$28.08
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$7.49
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90
TAB
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$84.26
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$22.47
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180
TAB
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$168.51
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$44.94
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360
TAB
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$337.02
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$89.87
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Theophylline Tab Sr 12Hr 300 Mg
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THEOPHYLLINE 300MG EXTENDED RELEASE TABLETS
(1 TAB EA)
Type: Generic Pharmacy Product
HCPCS code:
J3490
Cat#: 45901 Mfg: PLIVA
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
TAB
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$0.71
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$0.19
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30
TAB
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$21.00
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$5.60
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90
TAB
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$63.02
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$16.80
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180
TAB
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$126.03
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$33.61
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360
TAB
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$252.08
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$67.22
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THEOPHYLLINE ER
(1 TAB EA)
Type: Over-the-Counter Product
HCPCS code:
Cat#: Mfg: INWOOD
Requires Prescription? yes
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THEOPHYLLINE ER 300MG ERTB12
(1 TAB EA)
Type: Generic Pharmacy Product
HCPCS code:
Cat#: Mfg: INWOOD
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
TAB
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$0.74
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$0.20
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30
TAB
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$21.93
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$5.85
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90
TAB
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$65.79
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$17.54
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180
TAB
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$131.57
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$35.08
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360
TAB
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$263.15
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$70.17
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THEOPHYLLINE TD 300MG TDTB12
(1 TAB EA)
Type: Generic Pharmacy Product
HCPCS code:
Cat#: Mfg: GOLDLINE
Requires Prescription? yes
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Quantity
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Retail Price
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Your Price
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1
TAB
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$1.13
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$0.30
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30
TAB
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$33.71
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$8.99
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90
TAB
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$101.13
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$26.97
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180
TAB
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$202.26
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$53.94
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360
TAB
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$404.52
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$107.87
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Order Summary
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