RAVULIZUMAB

ravulizumab 1.1 g/11 mL injection, 11 mL vial

RAVULIZUMAB (14776Q)

ravulizumab 1.1 g/11 mL injection, 11 mL vial
14776Q
Manner of administration:Injection
Private
S100 HSD Private
Authority Required

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