| Package AWP: | $17,660.00 |
| Package: | 1 EA |
| J-Code: | J2997 |
| Strength: | 2 MG |
| Form: | Powder for Solution |
| NDC Number: | 50242004164 |
| Generic Name: | Alteplase, Recombinant |
| Brand Name: | CATHFLO ACTIVASE |
| Mfg. Part No: | 13057 |
| Std Packaging: | 48EA/CS |
| Manufacturer: | GENENTECH |
| Replacement: | |
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