Approved Hospital Formulary
Suggestions or Corrections? Above and Beyond Nominations Formulary Request
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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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pneumococcal 23-polyvalent vaccine

pneumococcal 23-polyvalent vaccine
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Pneumovax 23 SOLUTION, INTRAMUSCULAR 0.5 mL      
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Comments:

Formulary, restricted to pediatric patients and Employee Health. Defer administration in adult patients to the outpatient setting.

 

[Updated: January 2025]

Last updated: Feb. 13, 2025






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