FormWeb • talimogene laherparepvec

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:

talimogene laherparepvec

talimogene laherparepvec

Non-formulary Anti-Neoplastic Formulary

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Imlygic	SUSPENSION, INTRALESIONAL	10^(6) PFU/ML (1 million), 10^(8) PFU/mL (100 million)

Comments:

Imlygic -- Non-formulary, not stocked. Defer use to post-discharge outpatient clinic setting. Available only through specialty pharmacy program.

Reviewed: 23 February 2016 (Imlygic)

Last updated: Mar. 10, 2025

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