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Drug Tariff (Part D)
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Prazosin 2mg tablets (100)
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Probenecid 500mg tablets (50)
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Sodium chloride 5% eye ointment (3.5g)
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Sucralfate 1g tablets (40)
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Sucralfate 2g/50ml enema (1)
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Sultiame 200mg tablets (50)
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Trimetazidine 35mg modified-release tablets (60)
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