| Package AWP: | $0.00 | 
| Package: | 1 EA | 
| J-Code: |  | 
| Strength: |  | 
| Form: |  | 
| NDC Number: | 81004259005 81004-2590-05 | 
| Generic Name: |  | 
| Brand Name: |  | 
                                    
						         
						        
                                    NOTE- Genentech recommends a backup SUSVIMO Implant Inj KT 100MG/ML (Item 800202) and SUSVIMO Implant Insert Tool (Item 800206) be available at surgical centers on the day of the procedure.