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340b Splitter Program |
No |
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Goods Received Note |
Yes |
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Insurance Covered |
No |
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Is It Prescription Available |
Prescription Unavailable |
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Medicine Requirement For |
30 Days |
|
Patient Gender |
Other |
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Payment Option |
Online Transfer |
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Payment Options |
Online Transfer |
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Prescription Order Method |
Courier |
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Record Management Software |
Yes |
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Residing Location |
Other |
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Service Required For |
Hospital |
