ADALIMUMAB

adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes

ADALIMUMAB (12333D)

adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
12333D
Body System:
Manner of administration:Injection
General Schedule
Authority Required

Restriction

Indication: Moderate to severe ulcerative colitis
Treatment phase: Initial treatment - Initial 1 (new patient)

Restriction

Indication: Moderate to severe ulcerative colitis
Treatment phase: Initial treatment - Initial 2 (change or recommencement of treatment after a break in biological medicine of less than 5 years)

Restriction

Indication: Moderate to severe ulcerative colitis
Treatment phase: Initial treatment - Initial 3 (recommencement of treatment after a break in biological medicine of more than 5 years)

Restriction

Indication: Moderate to severe ulcerative colitis
Treatment phase: Initial 1 (new patient) or Initial 2 (change or recommencement of treatment after a break in biological medicine of less than 5 years) or Initial 3 (recommencement of treatment after a break in biological medicine of more than 5 years) - balance of supply
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 3 Max qty units: 6 # of repeats: 0 DPMQ: $1,464.78 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Amgevita
Hadlima
Hyrimoz