| Package AWP: | $36,000.00 |
| Package: | 188 EA |
| J-Code: | |
| Strength: | 100 MG |
| Form: | Tablet |
| NDC Number: | 59676070101 59676-0701-01 |
| Generic Name: | 930356 930356 |
| Brand Name: | SIRTURO |
| Mfg. Part No: | 59676-0701-01 |
| Std Packaging: | 188/EA |
| Manufacturer: | JOM |
| Replacement: | |
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