TOCILIZUMAB

tocilizumab 400 mg/20 mL injection, 20 mL vial

TOCILIZUMAB (15455K)

tocilizumab 400 mg/20 mL injection, 20 mL vial
15455K
Body System:
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 18939)

Indication: Severe active juvenile idiopathic arthritis
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: 4 Max qty units: 4 # of repeats: 5 DPMQ: $1,597.56 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Avtozma