VOSORITIDE

vosoritide 400 microgram injection [10 vials] (&) inert substance diluent [10 x 0.5 mL syringes], 1 pack

VOSORITIDE (13275Q)

vosoritide 400 microgram injection [10 vials] (&) inert substance diluent [10 x 0.5 mL syringes], 1 pack
13275Q
Body System:
Manner of administration:Injection
General Schedule
Authority Required

Restriction

Indication: Achondroplasia
Treatment phase: Initial treatment

Restriction

Indication: Achondroplasia
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 3 Max qty units: 30 # of repeats: 5 DPMQ: $27,840.93 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Voxzogo