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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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exagamglogene autotemcel

exagamglogene autotemcel
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Casgevy SUSPENSION, INTRAVENOUS 4 to 13 × 10<sup>6</sup> CD34+ cells/mL      
VIEW MORE Cellular and Gene Therapy
Comments:

Non-Formulary. Refer eligible patients to an authorized treatment center.

Reviewed: May 2024

exagamglogene autotemcel (Casgevy)

Last updated: Jun. 6, 2024






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