UPADACITINIB

upadacitinib 15 mg modified release tablet, 28

UPADACITINIB (12835M)

upadacitinib 15 mg modified release tablet, 28
12835M
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Chronic severe atopic dermatitis
Treatment phase: Dose change (increasing up to the 30 mg dose, or, decreasing back down to the 15 mg dose) - whole body, or, face/hands
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 28 # of repeats: 3 DPMQ: $1,212.73 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Rinvoq