FormWeb • etranacogene dezaparvovec-drlb

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:

etranacogene dezaparvovec-drlb

etranacogene dezaparvovec-drlb

Non-formulary Miscellaneous Formulary

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Hemgenix	SUSPENSION, INTRAVENOUS	1 × 10<sup>13</sup> genome copies/mL

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Reviewed: August 2023 (Hemgenix)

Last updated: Aug. 29, 2023

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