ADALIMUMAB
Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe
ADALIMUMAB (15590M)
15590M
Manner of administration:Injection
Restriction
Indication: Severe Crohn disease
Treatment phase: Balance of supply
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: 0 | DPMQ: $606.96 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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