| Package AWP: | $176.60 |
| Package: | 1 EA |
| J-Code: | J2997 Injection, alteplase recombinant, 1 mg |
| Strength: | 2 MG |
| Form: | Powder for Solution |
| NDC Number: | 50242004164 50242-0041-64 |
| Generic Name: | 020930 020930 |
| Brand Name: | CATHFLO ACTIVASE |
| Mfg. Part No: | 13057 |
| Std Packaging: | 48EA/CS |
| Manufacturer: | GENENTECH |
| Replacement: | |
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