div class=trans-pagebuttonPage 1button div class=trans-image amp-img class=trans-thumb alt=Page 1: Sample - Md Practice 20 rx initial order form src=https:reader038fdocumentsinreader038viewer20221006005563b7b0d8b42ad83c8b4aa9html5thumbnails1jpg width=142 height=106 layout=responsive amp-img divpFEE FORMULATION APPROX COSTp p# SUBTOTALp pAPPROX TOTAL:p pXI approve this orderp pXI approve the implimentation feep pXI approve the private insurance setup feepdiv