ADALIMUMAB

adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes

ADALIMUMAB (10960W)

adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
10960W
Body System:
Manner of administration:Injection
General Schedule
Authority Required

Restriction

Indication: Moderate to severe ulcerative colitis
Treatment phase: First continuing treatment

Restriction

Indication: Moderate to severe ulcerative colitis
Treatment phase: Continuing 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: 5 DPMQ: $495.79 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Amgevita
Hadlima
Hyrimoz