| Package AWP: | $59,762.00 |
| Package: | 1 EA |
| J-Code: | J0490 |
| Strength: | 120 MG |
| Form: | Powder for Solution |
| NDC Number: | 49401010101 |
| Generic Name: | Belimumab |
| Brand Name: | BENLYSTA |
| Mfg. Part No: | 49401-0101-01 |
| Std Packaging: | EACH |
| Manufacturer: | GSK |
| Replacement: | |
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