Tocilizumab
| Strength: | 162cm (L) |
Medication Description
Actemra ACTPen Solution Auto-Injector 162 MG/0.9ML Subcutaneous
Medication Features
| Tier | 4 |
| PA Type | PA Applies |
| PA Group | Actemra |
| ST | N |
| QL | Y |
| QL Amount | 3.6 |
| QL Days | 28 |
Tocilizumab
| Strength: | 162cm (L) |
Actemra ACTPen Solution Auto-Injector 162 MG/0.9ML Subcutaneous
| Tier | 4 |
| PA Type | PA Applies |
| PA Group | Actemra |
| ST | N |
| QL | Y |
| QL Amount | 3.6 |
| QL Days | 28 |