EVOLOCUMAB

evolocumab 140 mg/mL injection, 1 mL pen device

EVOLOCUMAB (11977J)

evolocumab 140 mg/mL injection, 1 mL pen device
11977J
Body System:
Manner of administration:Injection
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 17402)

Indication: Familial homozygous hypercholesterolaemia
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 3 Max qty units: 3 # of repeats: 5 DPMQ: $652.29 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Repatha