| Package AWP: | $12,828.00 |
| Package: | 10 EA |
| J-Code: | J3370 |
| Strength: | 500 MG |
| Form: | Powder for Solution |
| NDC Number: | 00409653401 |
| Generic Name: | Vancomycin Hydrochloride |
| Brand Name: | VANCOMYCIN HCL |
| Mfg. Part No: | 00409653401 |
| Std Packaging: | 10/BX |
| Manufacturer: | HOSPIRA |
| Replacement: | |