| Package AWP: | $6,000.00 |
| Package: | 50 ML |
| J-Code: | J2150 |
| Strength: | 25% |
| Form: | Solution |
| NDC Number: | 00409403101 |
| Generic Name: | Mannitol |
| Brand Name: | MANNITOL |
| Mfg. Part No: | 00409403101 |
| Std Packaging: | 25/BX |
| Manufacturer: | HOSPIRA |
| Replacement: | |
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