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gabetax/aca_6004_valid_submission.xml

Created March 27, 2014 21:34
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aca_6004_valid_submission.xml
<?xml version="1.0" encoding="UTF-8"?>
<!--Sample XML file generated by XMLSpy v2008 sp1 (http://www.altova.com)-->
<tns:submission xsi:schemaLocation="aca ACASubmission.xsd" xmlns:tns="aca" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<submissionYear>2011</submissionYear>
<business>
<businessType>Manufacturer</businessType>
<businessName>Business Name xyz</businessName>
</business>
<practitionerGroups>
<practitionerGroup>
<practitioner>
<practitionerDesignation>MD</practitionerDesignation>
<person>
<firstName>John A</firstName>
<lastName>Practitioner A</lastName>
<middleInitial>A</middleInitial>
</person>
<personAddress>
<addressLine1>123 Sample Street</addressLine1>
<city>Sample City</city>
<state>AL</state>
<zip>12345-0000</zip>
</personAddress>
</practitioner>
<tradeNameDosage>Trade Name A 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<designee>
<person>
<firstName>John BA</firstName>
<lastName>Designee BA</lastName>
<middleInitial>B</middleInitial>
</person>
<personAddress>
<addressLine1>223 Sample Street</addressLine1>
<city>Sample City</city>
<state>AL</state>
<zip>12345-0000</zip>
</personAddress>
</designee>
<pkgQtyDist>500</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<designee>
<person>
<firstName>John BB</firstName>
<lastName>Designee BB</lastName>
<middleInitial>B</middleInitial>
</person>
<personAddress>
<addressLine1>323 Sample Street</addressLine1>
<city>Sample City</city>
<state>AL</state>
<zip>12345-0000</zip>
</personAddress>
</designee>
<pkgQtyDist>500</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name C 100mg</tradeNameDosage>
<pkgSize>2 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>5000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<designee>
<person>
<firstName>John CC</firstName>
<lastName>Designee CC</lastName>
<middleInitial>C</middleInitial>
</person>
</designee>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name E 100mg</tradeNameDosage>
<pkgSize>3 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>5000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<designee>
<person>
<firstName>John F</firstName>
<lastName>Designee F</lastName>
<middleInitial>F</middleInitial>
</person>
</designee>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<designee>
<person>
<firstName>John FA</firstName>
<lastName>Designee FA</lastName>
<middleInitial>F</middleInitial>
</person>
</designee>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name F 300 mg</tradeNameDosage>
<pkgSize>4 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name G 500mg</tradeNameDosage>
<pkgSize>5 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name H 150mg</tradeNameDosage>
<pkgSize>6 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>5000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>5000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name I 700mg</tradeNameDosage>
<pkgSize>7 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>8000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>8000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name J</tradeNameDosage>
<pkgSize>8 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name K 400mg</tradeNameDosage>
<pkgSize>9 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>6000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>6000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name L 200mg</tradeNameDosage>
<pkgSize>10 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
</practitionerGroup>
<practitionerGroup>
<practitioner>
<practitionerDesignation>MD</practitionerDesignation>
<person>
<firstName>John A1</firstName>
<lastName>Practitioner A1</lastName>
<middleInitial>A</middleInitial>
</person>
<personAddress>
<addressLine1>1231 Sample Street</addressLine1>
<city>Sample City</city>
<state>AL</state>
<zip>12345-0000</zip>
</personAddress>
</practitioner>
<tradeNameDosage>Trade Name A1 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<designee>
<person>
<firstName>John B1</firstName>
<lastName>Designee B1</lastName>
<middleInitial>B</middleInitial>
</person>
</designee>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name C1 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<designee>
<person>
<firstName>John D1</firstName>
<lastName>Designee D1</lastName>
<middleInitial>D</middleInitial>
</person>
</designee>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name E1 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name F1 300 mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name G1 500mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name H1 150mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>5000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>5000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name I1 700mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>8000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>8000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name J1</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name K1 400mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>6000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>6000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name L1 200mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
</practitionerGroup>
<practitionerGroup>
<practitioner>
<practitionerDesignation>MD</practitionerDesignation>
<person>
<firstName>John A2</firstName>
<lastName>Practitioner A2</lastName>
<middleInitial>A</middleInitial>
</person>
<personAddress>
<addressLine1>1232 Sample Street</addressLine1>
<city>Sample City</city>
<state>AL</state>
<zip>12345-0000</zip>
</personAddress>
</practitioner>
<tradeNameDosage>Trade Name A2 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name C2 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name E2 100mg </tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name F2 300 mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name G2 500mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name H2 150mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>5000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>5000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name I2 700mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>8000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>8000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name J2</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name K2 400mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>6000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>6000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name L2 200mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
</practitionerGroup>
<practitionerGroup>
<practitioner>
<practitionerDesignation>MD</practitionerDesignation>
<person>
<firstName>John A3</firstName>
<lastName>Practitioner A3</lastName>
<middleInitial>A</middleInitial>
</person>
<personAddress>
<addressLine1>1233 Sample Street</addressLine1>
<city>Sample City</city>
<state>AL</state>
<zip>12345-0000</zip>
</personAddress>
</practitioner>
<tradeNameDosage>Trade Name A3 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name C3 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name E3 100mg </tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name F3 300 mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name G3 500mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name H3 150mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>5000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>5000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name I3 700mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>8000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>8000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name J3</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name K3 400mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>6000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>6000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name L3 200mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
</practitionerGroup>
<practitionerGroup>
<practitioner>
<practitionerDesignation>MD</practitionerDesignation>
<person>
<firstName>John A4</firstName>
<lastName>Practitioner A4</lastName>
<middleInitial>A</middleInitial>
</person>
<personAddress>
<addressLine1>1234 Sample Street</addressLine1>
<city>Sample City</city>
<state>AL</state>
<zip>12345-0000</zip>
</personAddress>
</practitioner>
<tradeNameDosage>Trade Name A4 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name C4 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name E4 100mg </tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name F4 300 mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name G4 500mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name H4 150mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>5000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>5000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name I4 700mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>8000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>8000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name J4</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name K4 400mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>6000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>6000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name L4 200mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
</practitionerGroup>
<practitionerGroup>
<practitioner>
<practitionerDesignation>MD</practitionerDesignation>
<person>
<firstName>John A5</firstName>
<lastName>Practitioner A5</lastName>
<middleInitial>A</middleInitial>
</person>
<personAddress>
<addressLine1>1235 Sample Street</addressLine1>
<city>Sample City</city>
<state>AL</state>
<zip>12345-0000</zip>
</personAddress>
</practitioner>
<tradeNameDosage>Trade Name A5 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name C5 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name E5 100mg </tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name F5 300 mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name G5 500mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name H5 150mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>5000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>5000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name I5 700mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>8000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>8000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name J5</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name K5 400mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>6000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>6000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name L5 200mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
</practitionerGroup>
<practitionerGroup>
<practitioner>
<practitionerDesignation>MD</practitionerDesignation>
<person>
<firstName>John A6</firstName>
<lastName>Practitioner A6</lastName>
<middleInitial>A</middleInitial>
</person>
<personAddress>
<addressLine1>1236 Sample Street</addressLine1>
<city>Sample City</city>
<state>AL</state>
<zip>12345-0000</zip>
</personAddress>
</practitioner>
<tradeNameDosage>Trade Name A6 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name C6 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name E6 100mg </tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name F6 300 mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name G6 500mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name H6 150mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>5000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>5000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name I6 700mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>8000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>8000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name J6</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name K6 400mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>6000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>6000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name L6 200mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
</practitionerGroup>
<practitionerGroup>
<practitioner>
<practitionerDesignation>MD</practitionerDesignation>
<person>
<firstName>John A7</firstName>
<lastName>Practitioner A7</lastName>
<middleInitial>A</middleInitial>
</person>
<personAddress>
<addressLine1>1237 Sample Street</addressLine1>
<city>Sample City</city>
<state>AL</state>
<zip>12345-0000</zip>
</personAddress>
</practitioner>
<tradeNameDosage>Trade Name A7 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name C7 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name E7 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name F7 300 mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name G7 500mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name H7 150mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>5000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>5000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name I7 700mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>8000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>8000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name J7</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name K7 400mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>6000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>6000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name L7 200mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
</practitionerGroup>
<practitionerGroup>
<practitioner>
<practitionerDesignation>MD</practitionerDesignation>
<person>
<firstName>John A8</firstName>
<lastName>Practitioner A8</lastName>
<middleInitial>A</middleInitial>
</person>
<personAddress>
<addressLine1>1238 Sample Street</addressLine1>
<city>Sample City</city>
<state>AL</state>
<zip>12345-0000</zip>
</personAddress>
</practitioner>
<tradeNameDosage>Trade Name A8 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name C8 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name E8 100mg </tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name F8 300 mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name G8 500mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name H8 150mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>5000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>5000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name I8 80mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>8000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>8000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name J8</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name K8 400mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>6000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>6000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name L8 200mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
</practitionerGroup>
<practitionerGroup>
<practitioner>
<practitionerDesignation>MD</practitionerDesignation>
<person>
<firstName>John A9</firstName>
<lastName>Practitioner A9</lastName>
<middleInitial>A</middleInitial>
</person>
<personAddress>
<addressLine1>1239 Sample Street</addressLine1>
<city>Sample City</city>
<state>AL</state>
<zip>12345-0000</zip>
</personAddress>
</practitioner>
<tradeNameDosage>Trade Name A9 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name C9 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name E9 100mg </tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name F9 300 mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name G9 500mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name H9 150mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>5000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>5000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name I9 80mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>8000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>8000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name J9</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name K9 400mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>6000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>6000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name L9 200mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
</practitionerGroup>
<practitionerGroup>
<practitioner>
<practitionerDesignation>MD</practitionerDesignation>
<person>
<firstName>John A10</firstName>
<lastName>Practitioner A10</lastName>
<middleInitial>A</middleInitial>
</person>
<personAddress>
<addressLine1>12310 Sample Street</addressLine1>
<city>Sample City</city>
<state>AL</state>
<zip>12345-0000</zip>
</personAddress>
</practitioner>
<tradeNameDosage>Trade Name A10 100mg</tradeNameDosage>
<pkgSize>1 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name C10 100mg</tradeNameDosage>
<pkgSize>2 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>1000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>1000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name E10 100mg </tradeNameDosage>
<pkgSize>3 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name F10 300 mg</tradeNameDosage>
<pkgSize>4 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name G10 500mg</tradeNameDosage>
<pkgSize>5 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name H10 150mg</tradeNameDosage>
<pkgSize>6 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>5000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>5000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name I10 80mg</tradeNameDosage>
<pkgSize>7 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>8000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>8000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name J10</tradeNameDosage>
<pkgSize>8 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>3000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>3000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name K10 400mg</tradeNameDosage>
<pkgSize>9 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>6000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>6000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
<tradeNameDosage>Trade Name L10 200mg</tradeNameDosage>
<pkgSize>10 BOTTLES in 1 CARTON</pkgSize>
<pkgQtyReq>2000</pkgQtyReq>
<hasReqSignature>Y</hasReqSignature>
<pkgQtyDist>2000</pkgQtyDist>
<hasReceiptSignature>Y</hasReceiptSignature>
</practitionerGroup>
</practitionerGroups>
</tns:submission>
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