TOCILIZUMAB

tocilizumab 400 mg/20 mL injection, 20 mL vial

TOCILIZUMAB (13299Y)

tocilizumab 400 mg/20 mL injection, 20 mL vial
13299Y
Body System:
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 14093)

Indication: Systemic juvenile idiopathic arthritis
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 5 DPMQ: $798.78 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Actemra
Avtozma