| Package AWP: | $35,640.00 |
| Package: | 100 EA |
| J-Code: | J8610 |
| Strength: | 2.5 MG |
| Form: | Tablet |
| NDC Number: | 00555057202 |
| Generic Name: | Methotrexate Sodium |
| Brand Name: | METHOTREXATE SODIUM |
| Mfg. Part No: | 00555057202 |
| Std Packaging: | 100/BT |
| Manufacturer: | TEVA |
| Replacement: | |
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