RUXOLITINIB

ruxolitinib 10 mg tablet, 56

RUXOLITINIB (13245D)

ruxolitinib 10 mg tablet, 56
13245D
Manner of administration:Oral
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 13892)

Indication: Grade II to IV acute graft versus host disease (aGVHD)
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 56 # of repeats: 5 DPMQ: $4,512.50 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Jakavi