RISDIPLAM

risdiplam 750 microgram/mL powder for oral liquid, 80 mL

RISDIPLAM (14647X)

risdiplam 750 microgram/mL powder for oral liquid, 80 mL
14647X
Manner of administration:Oral
Private
S100 HSD Private
Authority Required

Restriction

Indication: Pre-symptomatic spinal muscular atrophy (SMA)
Treatment phase: Initial treatment of pre-symptomatic spinal muscular atrophy (SMA) with 3 copies of the SMN2 gene
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: $10,890.77 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Evrysdi