| Package AWP: | $0.00 |
| Package: | 1 ML |
| J-Code: | |
| Strength: | 100 MG/1 ML |
| Form: | Solution |
| NDC Number: | 05789464001 05789-4640-01 |
| Generic Name: | 932290 |
| Brand Name: | |
| Mfg. Part No: | 57894-640-01 |
| Std Packaging: | PFS |
| Manufacturer: | JOM |
| Replacement: | |
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