UBLITUXIMAB

Ublituximab 150 mg/6 mL injection, 6 mL vial

UBLITUXIMAB (15175Q)

Ublituximab 150 mg/6 mL injection, 6 mL vial
15175Q
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 7386)

Indication: Multiple sclerosis
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: 3 # of repeats: 0 DPMQ: $11,583.00 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Briumvi