| Package AWP: | $4,031.00 |
| Package: | 10 ML |
| J-Code: | J9250 |
| Strength: | 25 MG/1 ML |
| Form: | Solution |
| NDC Number: | 63323012310 |
| Generic Name: | Methotrexate Sodium |
| Brand Name: | METHOTREXATE SODIUM |
| Mfg. Part No: | 102310 |
| Std Packaging: | 1/EACH |
| Manufacturer: | Fresenius Kabi |
| Replacement: | |
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