GOLIMUMAB
golimumab 50 mg/0.5 mL injection, 0.5 mL syringe
GOLIMUMAB (3428K)
3428K
Manner of administration:Injection
Restriction
Indication: Severe active rheumatoid arthritis
Treatment phase: First continuing treatment
Restriction
Indication: Severe active rheumatoid arthritis
Treatment phase: First continuing treatment - balance of supply
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: $1,052.63 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Simponi | |||||
