NUSINERSEN

nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial

NUSINERSEN (13084P)

nusinersen 12 mg/5 mL intrathecal injection, 5 mL vial
13084P
Manner of administration:Injection
Public
S100 HSD Public
Authority Required

Restriction

Indication: Symptomatic type IIIB/IIIC spinal muscular atrophy (SMA)
Treatment phase: Continuing/maintenance treatment in a child or adult, but where treatment was initiated during childhood
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: 0 DPMQ: $104,500.00 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Spinraza