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269.73.2008 Cardizem (DILTIAZEM) 25MG (REFRIGERATED) 269.73.2008 Cardizem (DILTIAZEM) 25MG (REFRIGERATED)

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$2.02
475.87.2051 Nasal Cannula-Over Ear (Order per Box) 475.87.2051 Nasal Cannula-Over Ear (Order per Box)

   or remove
$20.50
475.87.2066 Oxygen Mask- Infant 475.87.2066 Oxygen Mask- Infant

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$3.41
475.06.2001 Intranasal Mucosal Atomization Device 475.06.2001 Intranasal Mucosal Atomization Device

   or remove
$3.84
475.27.2004 GAUZE-STERILE 4"X4" 475.27.2004 GAUZE-STERILE 4"X4"

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$0.06
475.09.2019 TAPE-3" 4/Bx 475.09.2019 TAPE-3" 4/Bx

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$2.07
475.87.2059 Nitrous Mouthpiece 475.87.2059 Nitrous Mouthpiece

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$0.25
475.82.2001 Needle-25Gx5/8'' (ISSUED PER BOX) 475.82.2001 Needle-25Gx5/8'' (ISSUED PER BOX)

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$3.52

Sub-Total: $35.67

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1 x 269.73.2008 Cardizem (DILTIAZEM) 25MG (REFRIGERATED)
1 x 475.87.2051 Nasal Cannula-Over Ear (Order per Box)
1 x 475.87.2066 Oxygen Mask- Infant
1 x 475.06.2001 Intranasal Mucosal Atomization Device
1 x 475.27.2004 GAUZE-STERILE 4"X4"
1 x 475.09.2019 TAPE-3" 4/Bx
1 x 475.87.2059 Nitrous Mouthpiece
1 x 475.82.2001 Needle-25Gx5/8'' (ISSUED PER BOX)
$35.67
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