ALEMTUZUMAB
alemtuzumab 12 mg/1.2 mL injection, 1.2 mL vial
ALEMTUZUMAB (10243D)
10243D
Manner of administration:Injection
Restriction 9636
Indication: Multiple sclerosis
Treatment phase: Initial treatment
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 5 | Max qty units: 5 | # of repeats: 0 | DPMQ: $51,464.33 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Lemtrada | |||||