RITUXIMAB

RITUXIMAB (13095F)

rituximab 500 mg/50 mL injection, 50 mL vial
13095F
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: 2 Max qty units: 2 # of repeats: 1 DPMQ: $458.54 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Riximyo
Ruxience
Truxima

RITUXIMAB (13101M)

rituximab 500 mg/50 mL injection, 50 mL vial
13101M
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: 2 Max qty units: 2 # of repeats: 1 DPMQ: $432.36 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Riximyo
Ruxience
Truxima