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Product	Price	Quantity	Subtotal
Dexcom G7 Receiver	$385.99	Dexcom G7 Receiver quantity	$385.99
Dexcom G6 Receiver	$375.98	Dexcom G6 Receiver quantity	$375.98
FreeStyle Libre 2 Sensor Kit	$89.99	FreeStyle Libre 2 Sensor Kit quantity	$89.99
FreeStyle Libre 3 Plus Sensor Kit - Pack of 2	$199.99	FreeStyle Libre 3 Plus Sensor Kit - Pack of 2 quantity	$199.99

Order Summery

Subtotal	$1,051.95
Total	$1,051.95

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First Name Last Name

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Mediciad

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Best Sellers

Dexcom G7 Sensor

$299.99

Sale

Dexcom G7 Receiver

Original price was: $900.00.Current price is: $385.99.

FreeStyle Libre 2 Sensor Kit

$89.99

Dexcom G6 Transmitter

$249.98

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Order Summery

Medicare Claim Insurance Purchase Request

Medicaid Claim Insurance Purchase Request

No Fault Claim Insurance Purchase Request

Workers Comp Claim Insurance Purchase Request

Other Claim Insurance Purchase Request

Best Sellers

$299.99

$900.00 Original price was: $900.00.$385.99Current price is: $385.99.

$89.99

$249.98

Original price was: $900.00.Current price is: $385.99.