ANAKINRA

ANAKINRA (10263E)

anakinra 100 mg/0.67 mL injection, 28 x 0.67 mL syringes
10263E
Body System:
Manner of administration:Injection
Private
S100 HSD Private
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 5450)

Indication: Moderate to severe cryopyrin associated periodic syndromes (CAPS)
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 28 # of repeats: 5 DPMQ: $1,195.52 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Kineret

ANAKINRA (10264F)

anakinra 100 mg/0.67 mL injection, 28 x 0.67 mL syringes
10264F
Body System:
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 5450)

Indication: Moderate to severe cryopyrin associated periodic syndromes (CAPS)
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 28 # of repeats: 5 DPMQ: $1,146.64 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Kineret