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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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fidanacogene elaparvovec-dzkt

fidanacogene elaparvovec-dzkt
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Beqvez SUSPENSION, INTRAVENOUS 1 x 10<sup>13</sup> vector genomes/mL      
Comments:

Non-formulary. Eligible patients should be referred to an authorized treatment center.

 

 

 

 

 

Reviewed: December 2024

fidanacogene elaparvovec-dzkt (BEQVEZ) Sptlight.pdf 

Last updated: Dec. 24, 2024






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