| Package AWP: | $423,600.00 |
| Package: | 1 ML |
| J-Code: | |
| Strength: | 200 MG/1 ML |
| Form: | Solution |
| NDC Number: | 49401008847 |
| Generic Name: | Belimumab |
| Brand Name: | BENLYSTA |
| Mfg. Part No: | 49401008847 |
| Std Packaging: | 4PFS/BX |
| Manufacturer: | GSK |
| Replacement: | |
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