UC/Crohn's
Infliximab
What is High-Cost Approval Needed?
$$- $1000 per 100 mg
Induction: 10-15 mg/kg
Enoxaparin (Lovenox)
What is high-cost approval NOT needed?
$
SubQ: 1 syringe = $2
Usually dosed QD or BID
Immune Globulin (Gamunex-C)
What is High-Cost Approval Needed?
$$
$1,800 per 10g
Mesalamine
What is high-cost approval NOT needed?
$
1 tab/cap= $4
1 suppository= $30
Rivaroxaban (Xarelto)
What is high-cost approval NOT needed?
$
Suspension: $4 per 1 mg
Tablet: $25 per tablet
*Trick Question: relatively cheap, but may cause outpatient insurance issues*
Mycophenolate Mofetil
What is high-cost approval NOT needed?
$
1 tab/cap = $10
Entyvio (Vedolizumab)
$$$
IV: $12,000 per 300 mg
Induction: 10 mg/kg/dose
Factor/ Blood Products (NovoSeven, Benefix, etc)
What is High-Cost Approval Needed?
$$$
*Requires approval from Factor stewardship pharmacist*
Rituximab (Truxima)
What is High-Cost Approval Needed?
$$
$1000 per 100 mg
Class: Anti-CD20
Rinvoq (Upadacitinib)
What is High-Cost Approval Needed?
Tablet: ~$300-600 per tablet
*$12,000 per month, or $150,000 per year
Iron Dextran
What is high-cost approval NOT needed?
$
1000 mg = $400
Anakinra
What is High-Cost Approval Needed?
$ (non-formulary)
100 mg: $270.52
*Usually dosed BID*