| Package AWP: | $4,554.92 |
| Package: | 30 EA |
| J-Code: | |
| Strength: | 11 MG |
| Form: | Tablet, Extended Release |
| NDC Number: | 00069050130 00069-0501-30 |
| Generic Name: | 930309 930309 |
| Brand Name: | XELJANZ XR |
| Mfg. Part No: | 0069050130 |
| Std Packaging: | 30/BT |
| Manufacturer: | PFIZER |
| Replacement: | |
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