| Package AWP: | $721.20 |
| Package: | |
| J-Code: | J0585 Injection, onabotulinumtoxina, 1 unit |
| Strength: | |
| Form: | |
| NDC Number: | 00023114501 00023-1145-01 |
| Generic Name: | 929446 |
| Brand Name: | BOTOX |
| Mfg. Part No: | 00023114501 |
| Std Packaging: | EACH |
| Manufacturer: | |
| Replacement: | |
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