| Package AWP: | $11.85 |
| Package: | 15 GM |
| J-Code: | |
| Strength: | 40% |
| Form: | Gel/Jelly |
| NDC Number: | 00574006930 00574-0069-30 |
| Generic Name: | 174350 174350 |
| Brand Name: | GLUTOSE 15 |
| Mfg. Part No: | 2200830 |
| Std Packaging: | 3/PK TUBES |
| Manufacturer: | PADDOCK LABS |
| Replacement: | |
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