BARICITINIB
baricitinib 4 mg tablet, 28
BARICITINIB (11443G)
11443G
Manner of administration:Oral
Restriction
Indication: Severe active rheumatoid arthritis
Treatment phase: First continuing treatment
Restriction
Indication: Severe active rheumatoid arthritis
Treatment phase: First continuing treatment - balance of supply
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 28 | # of repeats: 5 | DPMQ: $1,046.34 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Olumiant | |||||