| Dealer # | 696287 | 
| Manufacturer # | 00074364103 | 
| Brand | Lupron Depot® | 
| Manufacturer | Abbott | 
| Application | Antineoplastic Agent | 
| Container Type | Kit | 
| Dosage Form | Injection | 
| Generic Drug Code | 80254 | 
| Generic Drug Name | Leuprolide Acetate | 
| NDC Number | 00074-3641-03 | 
| Strength | 3.75 mg | 
| Type | Intramuscular |