| Package AWP: | $66,458.00 |
| Package: | 30 ML |
| J-Code: | |
| Strength: | 66%-10% |
| Form: | Solution |
| NDC Number: | 00270044535 |
| Generic Name: | Diatrizoate Meglumine/Diatrizoate Sodium |
| Brand Name: | GASTROGRAFIN |
| Mfg. Part No: | 00270044535 |
| Std Packaging: | 24/PK 30ML |
| Manufacturer: | BRACCO |
| Replacement: | |