Tocilizumab
| Strength: | 200cm (L) |
Medication Description
Actemra SOLUTION 200 MG/10ML Intravenous
Medication Features
| Tier | 4 |
| PA Type | PA Applies |
| PA Group | Actemra |
| ST | N |
| QL | Y |
| QL Amount | 20 |
| QL Days | 28 |
Tocilizumab
| Strength: | 200cm (L) |
Actemra SOLUTION 200 MG/10ML Intravenous
| Tier | 4 |
| PA Type | PA Applies |
| PA Group | Actemra |
| ST | N |
| QL | Y |
| QL Amount | 20 |
| QL Days | 28 |