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Product	Price	Quantity	Subtotal
Universal Arm Sling, Envelope Style, Navy Blue, Poly-Cotton, Adjustable Strap	$15.00	Universal Arm Sling, Envelope Style, Navy Blue, Poly-Cotton, Adjustable Strap quantity	$15.00
Dexcom G7 Receiver	$385.99	Dexcom G7 Receiver quantity	$385.99
FreeStyle Libre 3 Sensor Kit - Pack of 2	$180.79	FreeStyle Libre 3 Sensor Kit - Pack of 2 quantity	$180.79

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Subtotal	$581.78
Total	$581.78

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FreeStyle Libre 3 Plus Sensor Kit - Pack of 2

Original price was: $279.98.Current price is: $199.99.

FreeStyle Libre 3 Sensor Kit

$93.59

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Order Summery

Medicare Claim Insurance Purchase Request

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$55.00

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$279.98 Original price was: $279.98.$199.99Current price is: $199.99.

$93.59

Original price was: $279.98.Current price is: $199.99.