| Package AWP: | $104,640.00 |
| Package: | 3 ML |
| J-Code: | J7322 |
| Strength: | 8 MG/1 ML |
| Form: | Solution |
| NDC Number: | 89122049663 |
| Generic Name: | Hyaluronic Acid |
| Brand Name: | HYMOVIS |
| Mfg. Part No: | 89122049663 |
| Std Packaging: | 2/CT |
| Manufacturer: | FIDIA |
| Replacement: | |
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