ADALIMUMAB

adalimumab 20 mg/0.2 mL injection, 2 x 0.2 mL syringes

ADALIMUMAB (12337H)

adalimumab 20 mg/0.2 mL injection, 2 x 0.2 mL syringes
12337H
Body System:
Manner of administration:Injection
General Schedule
Authority Required

Restriction

Indication: Moderate to severe ulcerative colitis
Treatment phase: First continuing treatment

Restriction

Indication: Moderate to severe ulcerative colitis
Treatment phase: 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: 2 # of repeats: 5 DPMQ: $606.96 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Humira
Yuflyma