| Package AWP: | $679,560.00 |
| Package: | 1 EA |
| J-Code: | J0180 |
| Strength: | 35 MG |
| Form: | Powder for Solution |
| NDC Number: | 58468004001 |
| Generic Name: | Agalsidase Beta |
| Brand Name: | FABRAZYME |
| Mfg. Part No: | 58468-0040-01 |
| Std Packaging: | |
| Manufacturer: | SANOFI GENZYME |
| Replacement: | |
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