ADALIMUMAB

adalimumab 80 mg/0.8 mL injection, 0.8 mL syringe

ADALIMUMAB (12372E)

adalimumab 80 mg/0.8 mL injection, 0.8 mL syringe
12372E
Body System:
Manner of administration:Injection
General Schedule
Authority Required

Restriction

Indication: Severe Crohn disease
Treatment phase: Initial treatment - Initial 1 (new patient)

Restriction

Indication: Severe Crohn disease
Treatment phase: Initial treatment - Initial 2 (change or recommencement of treatment after a break in biological medicine of less than 5 years)

Restriction

Indication: Severe Crohn disease
Treatment phase: Initial treatment - Initial 3 (recommencement of treatment after a break in biological medicine of more than 5 years)
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 3 Max qty units: 3 # of repeats: 0 DPMQ: $2,015.19 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Humira
Yuflyma