TOCILIZUMAB

tocilizumab 200 mg/10 mL injection, 10 mL vial

TOCILIZUMAB (13330N)

tocilizumab 200 mg/10 mL injection, 10 mL vial
13330N
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: $401.42 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Actemra