| Package AWP: | $53.53 |
| Package: | 3 ML |
| J-Code: | J1815 Injection, insulin, per 5 units |
| Strength: | 100 U/1 ML |
| Form: | Solution |
| NDC Number: | 00002821517 00002-8215-17 |
| Generic Name: | 301568 301568 |
| Brand Name: | HUMULIN R |
| Mfg. Part No: | 4273850 |
| Std Packaging: | 1/EACH (REF) |
| Manufacturer: | ELI LILLY |
| Replacement: | |
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