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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.
Approved Hospital Formulary
Suggestions or Corrections? Above and Beyond Nominations Formulary Request
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daratumumab-hyaluronidase-fihj

daratumumab-hyaluronidase-fihj
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Darzalex Faspro INJECTION, SUBCUTANEOUS 120 mg and 2000 mg/mL      
Comments:

Restricted to oncology in the outpatient setting. Insurance certification or PAP eligibility review required with each case before use. Darzalex intravenous may be used as an option in some cases. May be administered as "patient own medication" through PAP.

Reviewed: April 2021 (Darzalex Faspro)

Last updated: May. 26, 2021






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