ADALIMUMAB

adalimumab 20 mg/0.2 mL injection, 2 x 0.2 mL syringes

ADALIMUMAB (13293P)

adalimumab 20 mg/0.2 mL injection, 2 x 0.2 mL syringes
13293P
Body System:
Manner of administration:Injection
Public
S100 HSD Public
Authority Required (STREAMLINED)

Restriction  17707

Indication: Severe active juvenile idiopathic arthritis
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: 2 # of repeats: 5 DPMQ: $567.42 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Humira