| RN | SADC | HCC | MSDS | PRICE | DLA | BLANK1 | BLANK3 | BLANK4 | BLANK5 | AAC2 | PD | QPA | BLANK6 | BLANK7 | END_ITEM |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ICD-278 | 13686.11 | 2015274 | 1 | R | REFER TO NET PRICE 8955.51 | 0 | |||||||||
| ICD-278-80186 | 13686.11 | 2015274 | 1 | R | REFER TO NET PRICE 8955.51 | 0 | |||||||||
| ICD-378-80186 | 13686.11 | 2015274 | 1 | R | REFER TO NET PRICE 8955.51 | 0 | |||||||||
| 012-110734-01 | 13686.11 | 2015274 | 1 | R | REFER TO NET PRICE 8955.51 | 0 |
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