TOCILIZUMAB

tocilizumab 200 mg/10 mL injection, 10 mL vial

TOCILIZUMAB (13716X)

tocilizumab 200 mg/10 mL injection, 10 mL vial
13716X
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: 1 Max qty units: 1 # of repeats: 5 DPMQ: $217.98 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Actemra
Avtozma