TOCILIZUMAB

tocilizumab 400 mg/20 mL injection, 20 mL vial

TOCILIZUMAB (15430D)

tocilizumab 400 mg/20 mL injection, 20 mL vial
15430D
Body System:
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 19024)

Indication: Severe active rheumatoid arthritis
Treatment phase: First continuing treatment

Restriction (Streamlined authority code: 18938)

Indication: Severe active rheumatoid arthritis
Treatment phase: First continuing treatment - 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: 5 DPMQ: $399.39 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Avtozma