TOFACITINIB

tofacitinib 1 mg/mL oral liquid, 240 mL

TOFACITINIB (13738C)

tofacitinib 1 mg/mL oral liquid, 240 mL
13738C
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 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: 1 # of repeats: 5 DPMQ: $1,155.38 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Xeljanz