INFLIXIMAB

infliximab 100 mg injection, 1 vial

INFLIXIMAB (9654D)

infliximab 100 mg injection, 1 vial
9654D
Body System:
Manner of administration:Injection
Public
S100 HSD Public
Authority Required

Restriction

Indication: Complex refractory Fistulising Crohn disease
Treatment phase: Initial treatment (new patient or Recommencement of treatment after more than 5 years break in therapy - Initial 1)

Restriction

Indication: Complex refractory Fistulising Crohn disease
Treatment phase: Change or Recommencement of treatment after a break in therapy of less than 5 years (Initial 2)

Restriction

Indication: Complex refractory Fistulising Crohn disease
Treatment phase: First continuing treatment

Restriction

Indication: Complex refractory Fistulising Crohn disease
Treatment phase: 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: 1 # of repeats: 0 DPMQ: $186.16 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Inflectra
Ixifi
Remicade
Remsima
Renflexis