| Package AWP: | $769,680.00 |
| Package: | 30 ML |
| J-Code: | J1300 |
| Strength: | 10 MG/1 ML |
| Form: | Solution |
| NDC Number: | 25682000101 |
| Generic Name: | Eculizumab |
| Brand Name: | SOLIRIS |
| Mfg. Part No: | 25682000101 |
| Std Packaging: | EACH |
| Manufacturer: | ALEXION PHARM |
| Replacement: | |
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