RITUXIMAB

RITUXIMAB (13088W)

rituximab 100 mg/10 mL injection, 10 mL vial
13088W
Body System:
Manner of administration:Injection
Public
S100 HSD Public
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 6 Max qty units: 6 # of repeats: 0 DPMQ: $259.44 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Ruxience

RITUXIMAB (13109Y)

rituximab 100 mg/10 mL injection, 10 mL vial
13109Y
Body System:
Manner of administration:Injection
Private
S100 HSD Private
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 6 Max qty units: 6 # of repeats: 0 DPMQ: $278.70 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Ruxience