RUXOLITINIB
ruxolitinib 15 mg tablet, 56
RUXOLITINIB (15014F)
15014F
Manner of administration:Oral
Restriction
Indication: Polycythemia vera
Treatment phase: Initial treatment
Restriction
Indication: Polycythemia vera
Treatment phase: Balance of Initial treatment - up to 48 weeks
Restriction
Indication: Polycythemia vera
Treatment phase: First continuing treatment
Restriction
Indication: Polycythemia vera
Treatment phase: Subsequent 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: 56 | # of repeats: 5 | DPMQ: $4,675.43 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Jakavi | |||||