TOFACITINIB

tofacitinib 5 mg tablet, 56

TOFACITINIB (13737B)

tofacitinib 5 mg tablet, 56
13737B
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 17707)

Indication: Severe active 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: 1 Max qty units: 56 # of repeats: 5 DPMQ: $1,155.38 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Xeljanz