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.
Approved Hospital Formulary
Suggestions or Corrections? Above and Beyond Nominations Formulary Request
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palivizumab

palivizumab
  • Formulary
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Synagis POWDER FOR INJECTION, INTRAMUSCULAR 50 mg, 100 mg      
VIEW MORE Monoclonal Antibodies
Comments:

 

Nirsevimab (Beyfortus) is the preferred agent.

 

Last updated: Dec. 13, 2024
  • Formulary, Not Routinely Stocked: 50 mg, 100 mg






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