| Package AWP: | $17,870.00 |
| Package: | 12 EA |
| J-Code: | |
| Strength: | |
| Form: | Sponge |
| NDC Number: | 00009039605 |
| Generic Name: | Gelatin Sponge |
| Brand Name: | GELFOAM |
| Mfg. Part No: | 00009039605 |
| Std Packaging: | 12EA/BOX |
| Manufacturer: | PFIZER |
| Replacement: | |
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