RISDIPLAM
risdiplam 750 microgram/mL powder for oral liquid, 80 mL
RISDIPLAM (13656R)
13656R
Manner of administration:Oral
Restriction
Indication: Spinal muscular atrophy (SMA)
Treatment phase: Continuing/maintenance treatment in an adult where treatment was initiated in adulthood
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: $32,525.67 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Evrysdi | |||||