CLADRIBINE

CLADRIBINE (11604R)

cladribine 10 mg tablet, 4
11604R
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16345)

Indication: Relapsing remitting multiple sclerosis
Treatment phase: Initial treatment

Restriction (Streamlined authority code: 16299)

Indication: Relapsing remitting multiple sclerosis
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 8 # of repeats: 1 DPMQ: $9,136.38 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
CLADRITAB
Mavenclad