ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR

elexacaftor 50 mg + tezacaftor 25 mg + ivacaftor 37.5 mg tablet [56] (&) ivacaftor 75 mg tablet [28], 84

ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR (13266F)

elexacaftor 50 mg + tezacaftor 25 mg + ivacaftor 37.5 mg tablet [56] (&) ivacaftor 75 mg tablet [28], 84
13266F
Manner of administration:Oral
Private
S100 HSD Private
Authority Required

Restriction

Indication: Cystic fibrosis
Treatment phase: Initial treatment

Restriction

Indication: Cystic fibrosis
Treatment phase: Continuing treatment
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: 5 DPMQ: $20,355.13 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Trikafta