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|藥品部分負擔||依健保署規定收取 | |藥品部分負擔||依健保署規定收取 | ||
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[[File: | [[File:QR_MS_Schedule.png|right|225px]] |
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|藥品部分負擔||依健保署規定收取 | |藥品部分負擔||依健保署規定收取 | ||
|} | |} | ||
[[File: | [[File:QR_MS_Schedule.png|right|225px]] |