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Humira 40 mg Prefilled Pen Injection (Adalimumab 40mg/0.4mL PreFilled Pen Injection)

$7,295.00

– Prescription Required
– Free Next Day Delivery to Anywhere in CA and NY
– Free Same Day Delivery within 50-Mile Radius of ApoThera
– Concierge Pharmacy; Do NOT Accept Insurance
– Annual Concierge Pharmacy Membership Fee: $300/year
– Accept Credit Cards, Apple Pay and Zelle
– Do NOT accept manufacturer coupons
 
Physicians may send E-Prescriptions (E-Scripts) to:
ApoThera
45 Post, 2nd Floor
Irvine, CA 92618
Phone: (949)387-7711
Fax:      (949)387-7712
Plaque Psoriasis
Initial Dose
– 80 mg SC x 1 dose
Maintenance Dose
– 40 mg every other week beginning 1 week after initial dose
 
Psoriatic Arthritis
– 40 mg SC every other week
– May continue methotrexate, other nonbiologic DMARDS, corticosteroids, NSAIDs and/or analgesics
Rheumatoid Arthritis
– 40 mg SC every other week
– May continue methotrexate, other nonbiologic DMARDS, corticosteroids, NSAIDs, and/or analgesics
– Patients not taking concomitant methotrexate may increase dose to 40 mg every week
 
Ulcerative Colitis
Initial Dose
– 160 mg SC (given on day 1 or split and given over 2 consecutive days)
THEN
– 80 mg SC 2 weeks later (day 15)
Maintenance Dose
– 40 mg SC every other week beginning day 29
– Only continue maintenance dose in patients demonstrating clinical remission by 8 weeks (day 57) of therapy.
– May continue aminosalicylates and/or corticosteroids; if necessary, azathioprine, or mercaptopurine may also be continued)
Crohn Disease
Initial Dose
– 160 mg SC (given on day 1 or split and given over 2 consecutive days)
THEN,
– 80 mg SC 2 weeks later (day 15)
Maintenance Dose
– 40 mg SC every other week beginning day 29
– Some patients may require 40 mg every week as maintenance therapy
– May continue aminosalicylates and/or corticosteroids; if necessary, azathioprine, mercaptopurine, or methotrexate may also be continued
Manufacturer: Abbvie
NDC: 00074-0554-02 Categories: , ,

2 Syringes = 1 Unit

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Description

SC Administration
– For SC injection at separate sites in the thigh or lower abdomen (avoiding areas within 2 inches of navel)
– Rotate injection sites
– May leave at room temperature for ~15 to 30 minutes prior to use; do not remove cap or cover while allowing product to reach room temperature
– Do not use if solution is discolored or contains particulate matter
– Do not administer to skin which is red, tender, bruised, hard, or that has scars, stretch marks, or psoriasis plaques
– Needle cap of the prefilled syringe or needle cover for the adalimumab pen may contain latex
– Prefilled pens and syringes are available for use by patients and the full amount of the syringe should be injected (self-administration); the vial is intended for institutional use only
– Vials do not contain a preservative; discard unused portion
Storage
– Store at 2°C to 8°C (36°F to 46°F) in original container to protect from light
– Do not freeze
– Do not use if frozen even if it has been thawed
– Do not store in extreme heat or cold
– If needed, may be stored at room temperature up to a maximum of 25°C (77°F) for up to 14 days; discard if not used within 14 days
 
Monitoring
– Monitor improvement of symptoms and physical function assessments
– Latent TB screening prior to initiating and during therapy
– Signs/symptoms of active infection, including tuberculosis (prior to, during, and following therapy)
– CBC with differential
– Signs/symptoms/worsening of heart failure
– HBV screening prior to initiating (all patients), HBV carriers (during and for several months following therapy)
– Signs and symptoms of hypersensitivity reaction
– Symptoms of lupus-like syndrome
– Signs/symptoms of malignancy (splenomegaly, hepatomegaly, abdominal pain, persistent fever, night sweats, weight loss), including periodic skin examination
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