| Package AWP: | $1,226.99 |
| Package: | 1 EA |
| J-Code: | J2357 Injection, omalizumab, 5 mg |
| Strength: | 150 MG |
| Form: | Powder for Solution |
| NDC Number: | 50242004062 50242-0040-62 |
| Generic Name: | 927771 927771 |
| Brand Name: | XOLAIR |
| Mfg. Part No: | 50242004062 |
| Std Packaging: | EACH |
| Manufacturer: | GENENTECH |
| Replacement: | |
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