| Package AWP: | $720,000.00 |
| Package: | 15 ML |
| J-Code: | J2323 |
| Strength: | 20 MG/1 ML |
| Form: | Solution |
| NDC Number: | 64406000801 |
| Generic Name: | Natalizumab |
| Brand Name: | TYSABRI |
| Mfg. Part No: | 64406000801 |
| Std Packaging: | EACH |
| Manufacturer: | BIOLOGIX DIRECT |
| Replacement: | |
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