FormWeb • collagenase clostridium histolyticum

Huntsville Hospital

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Medications not yet evaluated by P&T are considered NON-FORMULARY. Always check 2 unique patient identifiers - NAME and DATE OF BIRTH - at every step!
Please be sure to document all clinical activities daily.

Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

Search results for:

collagenase clostridium histolyticum

collagenase clostridium histolyticum

Non-formulary Miscellaneous Programs

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Xiaflex	POWDER FOR INJECTION, INJECTABLE	0.9 mg

Comments:

Xiaflex medication guide

Xiaflex: Non-formulary. Requires administration by MD in the office setting.

REMS (Xiaflex): View FDA REMS Info

Last updated: Apr. 11, 2023

Black Box Warning: Serious Penile Injury

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