CERTOLIZUMAB PEGOL
certolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes
CERTOLIZUMAB PEGOL (10904X)
10904X
Manner of administration:Injection
Restriction
Indication: Ankylosing spondylitis
Treatment phase: Initial treatment - Initial 1 (new patient)
Restriction
Indication: Ankylosing spondylitis
Treatment phase: Initial treatment - Initial 2 (change or recommencement of treatment after a break
in biological medicine of less than 5 years)
Restriction
Indication: Ankylosing spondylitis
Treatment phase: Initial treatment - Initial 3 (recommencement of treatment after a break in biological
medicine of more than 5 years)
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 3 | Max qty units: 6 | # of repeats: 0 | DPMQ: $2,977.05 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Cimzia | |||||