Approved Hospital Formulary
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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.
Please be sure to document all clinical activities daily.
Approved Hospital Formulary
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dalbavancin
dalbavancin
- Restricted Miscellaneous Programs
- Restricted Dalvance --> restricted to outpatient use OR use in ER by ID physician
- Therapeutic Interchange
VIEW MORE Antibacterials, Miscellaneous
Last updated: Jul. 16, 2024
- Formulary, Not Routinely Stocked: Dalvance --> 500 mg
Restricted to (1) outpatient use or (2) use in ED by ID physician.
Dalbavancin is the preferred lipoglycopeptide in the outpatient or ED setting.
For Updated Formulary Preferred Products (Inpatient and Outpatient): Preferred Products for Select Agents
If ordered for an inpatient by an infectious disease specialist in an attempt to expedite discharge, may be used with proper administrative approval (contact a member of AMT).
If after-hours or weekend, please send patient name, FIN, and ID provider ordering the medication to HHRxAMT@hhsys.org.
Automatic renal adjustment per guidelines. See Antimicrobial Dosing Guideline and Renal Adjustment Policy (Adult) for more information. CrCl calculation policy available here.
Reviewed: 15 December 2015 and 28 March 2017
Updated: November 2021