| Package AWP: | $179,796.00 |
| Package: | 0.5 ML |
| J-Code: | |
| Strength: | 50 MG/0.5 ML |
| Form: | Solution |
| NDC Number: | 60574411401 |
| Generic Name: | Palivizumab |
| Brand Name: | SYNAGIS |
| Mfg. Part No: | 60574411401 |
| Std Packaging: | EA |
| Manufacturer: | ASTRAZENECA |
| Replacement: | |
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