PATISIRAN

patisiran 10 mg/5 mL injection, 5 mL vial

PATISIRAN (14264R)

patisiran 10 mg/5 mL injection, 5 mL vial
14264R
Manner of administration:Injection
Public
S100 HSD Public
Authority Required

Restriction

Indication: Hereditary transthyretin amyloidosis
Treatment phase: Initial treatment

Restriction

Indication: Hereditary transthyretin amyloidosis
Treatment phase: Continuing treatment
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 3 Max qty units: 3 # of repeats: 7 DPMQ: $37,349.79 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Onpattro