INFLIXIMAB INFLIXIMAB (10067W) infliximab 100 mg injection, 1 vial 10067W Body System: Antineoplastic And Immunomodulating Agents > Immunosuppressants > Immunosuppressants Manner of administration:Injection Public S100 HSD Public Authority Required (STREAMLINED) Restriction (Streamlined authority code: 4524) 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: $930.80 Max safety net: $25.00 General Patient Charge: $25.00 Available brands Inflectra Ixifi Remicade Remsima Renflexis
