NATALIZUMAB

natalizumab 300 mg/15 mL injection, 15 mL vial

NATALIZUMAB (9624M)

natalizumab 300 mg/15 mL injection, 15 mL vial
9624M
Manner of administration:Injection
Private
S100 HSD Private
Authority Required (STREAMLINED)

Restriction  13625

Indication: Clinically definite relapsing-remitting multiple sclerosis
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: $637.97 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Tysabri