RAVULIZUMAB
ravulizumab 1.1 g/11 mL injection, 11 mL vial
RAVULIZUMAB (14776Q)
14776Q
Manner of administration:Injection
Restriction
Indication: Neuromyelitis optica spectrum disorder (NMOSD)
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: 2 | DPMQ: $24,153.99 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Ultomiris | |||||
