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360010

ORTHOVISC SYRING 30MG/2ML 2ML STERILE

Package AWP:$520.80
Package:2 ML
J-Code:J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose
Strength:15 MG/1 ML
Form:Solution
NDC Number:59676036001 59676-0360-01
Generic Name:928028 928028
Brand Name:ORTHOVISC
Mfg. Part No:59676-0360-01
Std Packaging:EACH
Manufacturer:JOM
Replacement: