| Package AWP: | $166,104.00 |
| Package: | 200 ML |
| J-Code: | J1568 |
| Strength: | 50 MG/1 ML |
| Form: | Solution |
| NDC Number: | 68982084004 |
| Generic Name: | Immune Globulin |
| Brand Name: | OCTAGAM |
| Mfg. Part No: | OF84004 |
| Std Packaging: | 1 EACH |
| Manufacturer: | OCTAPHARMA |
| Replacement: | |
© 2026 Cardinal Health. All rights reserved.