RX - Non Taxable

$181.10

$63.38

$181.10

$63.38

$181.10

$63.38

$181.10

$63.38

$181.10

$63.38

$181.10

$63.38

$258.92

$200.01

$70.00

$141.10

$49.38

$256.01

$89.60

$170.92

$59.82

$429.84

$150.44