ETANERCEPT

etanercept 50 mg/mL injection, 4 x 1 mL syringes

ETANERCEPT (9431J)

etanercept 50 mg/mL injection, 4 x 1 mL syringes
9431J
Body System:
Manner of administration:Injection
General Schedule
Authority Required

Restriction

Indication: Severe chronic plaque psoriasis
Treatment phase: First continuing treatment, Whole body

Restriction

Indication: Severe chronic plaque psoriasis
Treatment phase: First continuing treatment, Face, hand, foot

Restriction

Indication: Severe chronic plaque psoriasis
Treatment phase: Continuing treatment, Whole body or Continuing treatment, Face, hand, foot - balance of supply

Restriction

Indication: Severe chronic plaque psoriasis
Treatment phase: Subsequent continuing treatment, whole body

Restriction

Indication: Severe chronic plaque psoriasis
Treatment phase: Subsequent continuing treatment, Face, hand, foot
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: $846.42 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Brenzys
Enbrel
Erelzi
Nepexto