USTEKINUMAB

ustekinumab 90 mg/mL injection, 1 mL syringe

USTEKINUMAB (14917D)

ustekinumab 90 mg/mL injection, 1 mL syringe
14917D
Body System:
Manner of administration:Injection
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16835)

Indication: Severe chronic plaque psoriasis
Treatment phase: Subsequent continuing treatment, Whole body

Restriction (Streamlined authority code: 16967)

Indication: Severe chronic plaque psoriasis
Treatment phase: Subsequent continuing treatment, Face, hand, foot
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: 1 DPMQ: $986.28 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Steqeyma
Wezlana