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PAYMENT REQUEST DESCRIPTION CHECK DATE CHECK STATUS 
Checks cleared as of 01/31/2015 have been reflected as paid on the reports
AMOUNT
PRM 9300 12021612762 BENZOYL PEROXIDE GEL 02/17/2012 Paid $6,675.00
PRM 9300 11082232237 IPRATROPIUM BROMIDE 08/23/2011 Paid $166.00
PRM 9300 11082232237 M043 Diltiazem HCI ( Cardizem) SDV Strength: 5mg/m 08/23/2011 Paid $234.00
PRM 9300 10120106650 A102.1 WhisperPakâ„¢ Procedure Pack #4-100083-00 to include 12/02/2010 Paid $4,849.50