TOCILIZUMAB

tocilizumab 80 mg/4 mL injection, 4 mL vial

TOCILIZUMAB (13696W)

tocilizumab 80 mg/4 mL injection, 4 mL vial
13696W
Body System:
Manner of administration:Injection
Private
S100 HSD Private
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 14485)

Indication: Severe active rheumatoid arthritis
Treatment phase: Subsequent continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 5 DPMQ: $177.66 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Actemra
Avtozma