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For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
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1.1 -1
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- : Brand name drug
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
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- : Brand name drug
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
1.2 -1
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- : Brand name drug
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
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- : Brand name drug
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
1.3 -1
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- : Brand name drug
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
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- : Brand name drug
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
1.4 -1
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- : Brand name drug
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
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- : Brand name drug
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
1.5 -1
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- : Brand name drug
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
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- : Brand name drug
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
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2.1 -1
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- : Generic drug name
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
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- : Generic drug name
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
2.2 -1
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- : Generic drug name
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
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- : Generic drug name
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
2.3 -1
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- : Generic drug name
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
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- : Generic drug name
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
2.4 -1
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- : Generic drug name
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
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- : Generic drug name
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
2.5 -1
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- : Generic drug name
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
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- : Generic drug name
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
2.6 -1
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- : Generic drug name
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
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- : Generic drug name
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
2.7 -1
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- : Generic drug name
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
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- : Generic drug name
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
2.8 -1
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- : Generic drug name
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
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- : Generic drug name
- : DIN
- : Strength
- : Quantity
- : Price (including DDF)
- : DDF
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- : Month
- : DIN number
- : Comments
- : Month
- : DIN number
- : Comments
- : Month
- : DIN number
- : Comments
- : Month
- : DIN number
- : Comments
- : Month
- : DIN number
- : Comments
- : Month
- : DIN number
- : Comments
- : Month
- : DIN Number
- : Comments
- : Month
- : DIN Number
- : Comments
- : Month
- : DIN number
- : Comments
- : Month
- : DIN number
- : Comments
- : Month
- : DIN number
- : Comments
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