IBRUTINIB

ibrutinib 560 mg tablet, 30
Manner of administration:Oral
General Schedule
Authority Required

Restriction

Indication: Mantle cell lymphoma
Treatment phase: Initial treatment

Restriction

Indication: Mantle cell lymphoma
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 30 # of repeats: 5 DPMQ: $10,551.66 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Imbruvica