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| NDC | 69097-122-03, 69097-122-12, 69097-122-15, 69097-123-03, 69097-123-12, 69097-123-15, 69097-124-03, 69097-124-12, 69097-124-15, 69097-125-03, 69097-125-12, 69097-125-15 |
| Set ID | ca4ec248-285d-4066-8f89-5ed0c538c4c9 |
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| Application Number | ANDA076343 |