USTEKINUMAB

ustekinumab 45 mg/0.5 mL injection, 0.5 mL vial

USTEKINUMAB (12664M)

ustekinumab 45 mg/0.5 mL injection, 0.5 mL vial
12664M
Body System:
Manner of administration:Injection
General Schedule
Authority Required

Restriction

Indication: Severe chronic plaque psoriasis
Treatment phase: First continuing treatment (Whole body)

Restriction

Indication: Severe chronic plaque psoriasis
Treatment phase: First continuing treatment (Face, hand, foot)

Restriction

Indication: Severe chronic plaque psoriasis
Treatment phase: Subsequent continuing treatment (Whole body)

Restriction

Indication: Severe chronic plaque psoriasis
Treatment phase: Subsequent continuing treatment (Face, hand, foot)
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 1 DPMQ: $794.25 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Stelara
Wezlana