| Package AWP: | $47,725.00 |
| Package: | 4 ML |
| J-Code: | J3262 |
| Strength: | 20 MG/1 ML |
| Form: | Solution |
| NDC Number: | 50242013501 |
| Generic Name: | Tocilizumab |
| Brand Name: | ACTEMRA |
| Mfg. Part No: | 10088905 |
| Std Packaging: | EACH |
| Manufacturer: | GENENTECH |
| Replacement: | |
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