| Package AWP: | $109,414.00 |
| Package: | 0.9 ML |
| J-Code: | J3262 |
| Strength: | 162 MG/0.9 ML |
| Form: | Solution |
| NDC Number: | 50242013801 |
| Generic Name: | Tocilizumab |
| Brand Name: | ACTEMRA |
| Mfg. Part No: | 10141843 |
| Std Packaging: | 1PFS = EA |
| Manufacturer: | GENENTECH |
| Replacement: | |
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