OMALIZUMAB

Omalizumab 150 mg/mL injection, 1 mL pen device

OMALIZUMAB (14903J)

Omalizumab 150 mg/mL injection, 1 mL pen device
14903J
Body System:
Manner of administration:Injection
Private
S100 HSD Private
Authority Required

Restriction

Indication: Severe chronic spontaneous urticaria
Treatment phase: Initial 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: 2 DPMQ: $437.68 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Omlyclo
Xolair