INFLIXIMAB INFLIXIMAB (10057H) infliximab 100 mg injection, 1 vial 10057H Body System: Antineoplastic And Immunomodulating Agents > Immunosuppressants > Immunosuppressants Manner of administration:Injection Private S100 HSD Private Authority Required (STREAMLINED) Restriction (Streamlined authority code: 9632) Indication: Acute severe ulcerative colitis Quantities & Cost Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge Max qty packs: 5 Max qty units: 5 # of repeats: 1 DPMQ: $977.29 Max safety net: $25.00 General Patient Charge: $25.00 Available brands Inflectra Ixifi Remicade Remsima Renflexis
