| Package AWP: | $532,948.00 |
| Package: | 2 EA |
| J-Code: | J0135 |
| Strength: | 40 MG/0.8 ML |
| Form: | Kit |
| NDC Number: | 00074379902 |
| Generic Name: | Adalimumab |
| Brand Name: | HUMIRA |
| Mfg. Part No: | 3799-02 |
| Std Packaging: | 2/PK (REF) |
| Manufacturer: | ABBVIE |
| Replacement: | |
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