RISDIPLAM

risdiplam 750 microgram/mL powder for oral liquid, 80 mL

RISDIPLAM (12614X)

risdiplam 750 microgram/mL powder for oral liquid, 80 mL
12614X
Manner of administration:Oral
Public
S100 HSD Public
Authority Required

Restriction

Indication: Symptomatic Type I, II or IIIa spinal muscular atrophy (SMA)
Treatment phase: Initial treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: $10,841.89 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Evrysdi