Approved Formulary
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Approved Formulary
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acyclovir

acyclovir
  • Formulary Duration Restrictions Limited to 6 weeks without TLC approval.
  • Cell Status Approved
  • Exceptions / Designators Only oral acyclovir is formulary; injectable form remains non-formulary.
Brand names: Acyclovir Sodium, Zovirax
Form Strength  
CAPSULE, ORAL 200 mg
SOLUTION, INTRAVENOUS 50 mg/mL
TABLET, ORAL 400 mg; 800 mg
Last updated: Apr. 10, 2023

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