CERTOLIZUMAB PEGOL

certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices

CERTOLIZUMAB PEGOL (13701D)

certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices
13701D
Body System:
Manner of administration:Injection
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 14499)

Indication: Severe active rheumatoid arthritis
Treatment phase: Subsequent continuing 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: 2 # of repeats: 5 DPMQ: $1,012.68 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Cimzia