GALCANEZUMAB
galcanezumab 120 mg/mL injection, 1 mL pen device
GALCANEZUMAB (12478R)
12478R
Body System:
Manner of administration:Injection
Restriction 16104
Indication: Treatment-resistant migraine
Treatment phase: Initial treatment
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 2 | # of repeats: 1 | DPMQ: $1,037.94 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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