TEPROTUMUMAB

Teprotumumab 500 mg injection, 1 vial

TEPROTUMUMAB (15593Q)

Teprotumumab 500 mg injection, 1 vial
15593Q
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 19524)

Indication: Active moderate to severe thyroid eye 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: 6 Max qty units: 6 # of repeats: 6 DPMQ: $63,886.08 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Tepezza