| Package AWP: | $4,702.68 |
| Package: | 300 ML |
| J-Code: | 90283 HUMAN IG IV |
| Strength: | 100 MG/1 ML |
| Form: | Solution |
| NDC Number: | 00944270007 00944-2700-07 |
| Generic Name: | 298670 298670 |
| Brand Name: | GAMMAGARD LIQUID |
| Mfg. Part No: | 1502346 |
| Std Packaging: | EA/30GM/300ML/VIAL |
| Manufacturer: | BAXALTA |
| Replacement: | |
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