RISDIPLAM

risdiplam 5 mg tablet, 28

RISDIPLAM (15281G)

risdiplam 5 mg tablet, 28
15281G
Manner of administration:Oral
Public
S100 HSD Public
Authority Required

Restriction

Indication: Symptomatic Type I, II or IIIa spinal muscular atrophy (SMA)
Treatment phase: Initial 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: 28 # of repeats: 5 DPMQ: $25,297.74 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Evrysdi