| Package AWP: | $1,975.00 |
| Package: | 15 ML |
| J-Code: | |
| Strength: | 2.5% |
| Form: | Solution |
| NDC Number: | 59390018213 |
| Generic Name: | Hypromellose |
| Brand Name: | GONIOTAIRE |
| Mfg. Part No: | 3572104 |
| Std Packaging: | EACH 15ML |
| Manufacturer: | ALTAIRE PHARM |
| Replacement: | |
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