USTEKINUMAB

ustekinumab 45 mg/0.5 mL injection, 0.5 mL vial

USTEKINUMAB (15397J)

ustekinumab 45 mg/0.5 mL injection, 0.5 mL vial
15397J
Body System:
Manner of administration:Injection
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 18721)

Indication: Severe Crohn disease
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 2 DPMQ: $1,579.14 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Wezlana