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Janumet XR 50/1000mg Janumet XR 50/1000mg Janumet XR 50/1000mg

RX: _______________________________ RX: _______________________________ RX: _______________________________


CA SET: _______ CA SET: _______ CA SET: _______
Date: ___________________________ Date: ___________________________ Date: ___________________________
MATERIAL:2004816 MATERIAL:2004816 MATERIAL:2004816

Janumet XR 50/1000mg Janumet XR 50/1000mg Janumet XR 50/1000mg


RX: _______________________________ RX: _______________________________ RX: _______________________________
CA SET: _______ CA SET: _______ CA SET: _______
Date: ___________________________ Date: ___________________________ Date: ___________________________
MATERIAL:2004816 MATERIAL:2004816 MATERIAL:2004816

Janumet XR 50/1000mg Janumet XR 50/1000mg Janumet XR 50/1000mg


RX: _______________________________ RX: _______________________________ RX: _______________________________
CA SET: _______ CA SET: _______ CA SET: _______
Date: ___________________________ Date: ___________________________ Date: ___________________________
MATERIAL:2004816 MATERIAL:2004816 MATERIAL:2004816

Janumet XR 50/1000mg Janumet XR 50/1000mg Janumet XR 50/1000mg


RX: _______________________________ RX: _______________________________ RX: _______________________________
CA SET: _______ CA SET: _______ CA SET: _______
Date: ___________________________ Date: ___________________________ Date: ___________________________
MATERIAL:2004816 MATERIAL:2004816 MATERIAL:2004816

Janumet XR 50/1000mg Janumet XR 50/1000mg Janumet XR 50/1000mg


RX: _______________________________ RX: _______________________________ RX: _______________________________
CA SET: _______ CA SET: _______ CA SET: _______
Date: ___________________________ Date: ___________________________ Date: ___________________________
MATERIAL:2004816 MATERIAL:2004816 MATERIAL:2004816

Janumet XR 50/1000mg Janumet XR 50/1000mg Janumet XR 50/1000mg


RX: _______________________________ RX: _______________________________ RX: _______________________________
CA SET: _______ CA SET: _______ CA SET: _______
Date: ___________________________ Date: ___________________________ Date: ___________________________
MATERIAL:2004816 MATERIAL:2004816 MATERIAL:2004816

Janumet XR 50/1000mg Janumet XR 50/1000mg Janumet XR 50/1000mg


RX: _______________________________ RX: _______________________________ RX: _______________________________
CA SET: _______ CA SET: _______ CA SET: _______
Date: ___________________________ Date: ___________________________ Date: ___________________________
MATERIAL:2004816 MATERIAL:2004816 MATERIAL:2004816

Janumet XR 50/1000mg Janumet XR 50/1000mg Janumet XR 50/1000mg


RX: _______________________________ RX: _______________________________ RX: _______________________________
CA SET: _______ CA SET: _______ CA SET: _______
Date: ___________________________ Date: ___________________________ Date: ___________________________
MATERIAL:2004816 MATERIAL:2004816 MATERIAL:2004816

Janumet XR 50/1000mg Janumet XR 50/1000mg Janumet XR 50/1000mg


RX: _______________________________ RX: _______________________________ RX: _______________________________
CA SET: _______ CA SET: _______ CA SET: _______
Date: ___________________________ Date: ___________________________ Date: ___________________________
MATERIAL:2004816 MATERIAL:2004816 MATERIAL:2004816

Janumet XR 50/1000mg Janumet XR 50/1000mg Janumet XR 50/1000mg


RX: _______________________________ RX: _______________________________ RX: _______________________________
CA SET: _______ CA SET: _______ CA SET: _______
Date: ___________________________ Date: ___________________________ Date: ___________________________
MATERIAL:2004816 MATERIAL:2004816 MATERIAL:2004816

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