ADALIMUMAB
adalimumab 20 mg/0.2 mL injection, 2 x 0.2 mL syringes
ADALIMUMAB (15148G)
15148G
Manner of administration:Injection
Restriction
Indication: Enthesitis/spondylitis related juvenile idiopathic arthritis
Treatment phase: Initial treatment
Restriction
Indication: Enthesitis/spondylitis related juvenile idiopathic arthritis
Treatment phase: Initial treatment - balance of supply
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: 3 | DPMQ: $649.38 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
|
|
|||||
