TOCILIZUMAB

tocilizumab 80 mg/4 mL injection, 4 mL vial

TOCILIZUMAB (13315T)

tocilizumab 80 mg/4 mL injection, 4 mL vial
13315T
Body System:
Manner of administration:Injection
Private
S100 HSD Private
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 14179)

Indication: Systemic 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: 4 Max qty units: 4 # of repeats: 5 DPMQ: $346.08 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Actemra
Avtozma