OMALIZUMAB

Omalizumab 75 mg/0.5 mL injection, 0.5 mL pen device

OMALIZUMAB (14905L)

Omalizumab 75 mg/0.5 mL injection, 0.5 mL pen device
14905L
Body System:
Manner of administration:Injection
Public
S100 HSD Public
Authority Required

Restriction

Indication: Uncontrolled severe asthma
Treatment phase: Balance of supply
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: 0 DPMQ: $102.99 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Omlyclo
Xolair