| 02239323 | OCTREOTIDE | Sandostatin LAR 10mg Inj Kit Pk | NOV | 1320.9300 | 1320.9300 | NO | NO | NO |
| 02239325 | OCTREOTIDE | Sandostatin LAR 30mg Inj Kit Pk | NOV | 2189.5200 | 1642.1400 | YES | NO | NO |
| 02239324 | OCTREOTIDE | Sandostatin LAR 20mg Inj Kit Pk | NOV | 1706.5800 | 1706.5800 | NO | NO | NO |