| ANDA 204515 | NCM USA BRONX LLC |
| Prescription | 001 |
| 001 | INJECTABLE;INTRAVENOUS | 3.75-260mCi/mL | 0 | AMMONIA N 13 | AMMONIA N-13 |
| UNKNOWN; | ORIG | 1 | AP | 2015-02-04 |
| ORIG | 1 | Null | 7 |
| 001 | Prescription | AP |
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