-800-ACTEMRA.
What are the ingredients in ACTEMRA?
Active ingredient: tocilizumab
Inactive ingredients: sucrose, polysorbate 80, disodium phosphate dodecahydrate, sodium dihydrogen phosphate dihydrate.
This Medication Guide has been approved by the U.S. Food and Drug Administration.
ACTEMRA is a registered trademark of Chugai Seiyaku Kabushiki Kaisha Corp., a member of the Roche Group.
Genentech, Inc.
A Member of the Roche Group
1 DNA Way
South San Francisco, CA 94080-4990
US License No. 1048
10094884
AAI_4877533_PI_062009_N_5
AAI_4877533_MG_062009_N_5
PI Issued: January 2010
© 2010 Genentech, Inc. All rights reserved.
Representative sample of labeling (see the HOW SUPPLIED section for complete listing):
PRINCIPAL DISPLAY PANEL - 10 mL Carton
NDC 50242-136-01
Actemra®
(tocilizumab)
Injection
200 mg/10 mL
(20 mg/ mL)
For Intravenous Infusion only after
dilution.
Single-Use Vial; Discard unused portion
ATTENTION PROVIDER: Each patient is
required to receive the enclosed
Medication Guide
No Preservative
Rx only
Genentech
ACTEMRA
tocilizumab injection, solution, concentrate
Product Information
Product Type HUMAN PRESCRIPTION DRUG NDC Product Code (Source) 50242-135
Route of Administration INTRAVENOUS DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
tocilizumab (tocilizumab) tocilizumab 20 mg in 1 mL
Inactive Ingredients
Ingredient Name Strength
sucrose
polysorbate 80
sodium phosphate, dibasic, dodecahydrate
sodium phosphate, monobasic, dihydrate
Product Characteristics
Color Score
Shape Size
Flavor Imprint Code
Contains
Packaging
# NDC Package Description Multilevel Packaging
1 50242-135-01 1 VIAL In 1 BOX contains a VIAL, SINGLE-USE
1 4 mL In 1 VIAL, SINGLE-USE This package is contained within the BOX (50242-135-01)
2 50242-135-04 4 VIAL In 1 BOX contains a VIAL, SINGLE-USE
2 4 mL In 1 VIAL, SINGLE-USE This package is contained within the BOX (50242-135-04)
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
BLA BLA125276 01/08/2010
ACTEMRA
tocilizumab injection, solution, concentrate
Product Information
Product Type HUMAN PRESCRIPTION DRUG NDC Product Code (Source) 50242-136
Route of Administration INTRAVENOUS DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
tocilizumab (tocilizumab) tocilizumab 20 mg in 1 mL
Inactive Ingredients
Ingredient Name Strength
sucrose
polysorbate 80
sodium phosphate, dibasic, dodecahydrate
sodium phosphate, monobasic, dihydrate
Product Characteristics
Color Score &nb