| Package AWP: | $0.00 |
| Package: | |
| J-Code: | |
| Strength: | |
| Form: | |
| NDC Number: | 00904677361 00904-6773-61 |
| Generic Name: | |
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| Mfg. Part No: | 5505839 |
| Std Packaging: | 10x10 UNIT DOSE |
| Manufacturer: | MAJOR PHARM |
| Replacement: | |
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