| Package AWP: | $0.00 |
| Package: | |
| J-Code: | |
| Strength: | |
| Form: | |
| NDC Number: | 65219059004 65219-0590-04 |
| Generic Name: | |
| Brand Name: | |
| Mfg. Part No: | 65219059004 |
| Std Packaging: | 1 VIAL |
| Manufacturer: | |
| Replacement: | |
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