| Package AWP: | $224,730.00 |
| Package: | 5 ML |
| J-Code: | J9395 |
| Strength: | 50 MG/1 ML |
| Form: | Solution |
| NDC Number: | 00310072010 |
| Generic Name: | Fulvestrant |
| Brand Name: | FASLODEX |
| Mfg. Part No: | 4350138 |
| Std Packaging: | 2/PK=EA |
| Manufacturer: | ASTRA ZENECA |
| Replacement: | |
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