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664450

REMICADE 100MG SDV (REF)

NON-RETURNABLE

Package AWP:$1,401.38
Package:1 EA
J-Code:J1745 Injection, infliximab, excludes biosimilar, 10 mg
Strength:100 MG
Form:Powder for Solution
NDC Number:57894003001 57894-0030-01
Generic Name:924781 924781
Brand Name:REMICADE
Mfg. Part No:57894-0030-01
Std Packaging:EA (REF) 10/CS
Manufacturer:JOM
Replacement:
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