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Formulary synchronization in progress.
Please refer to Epic and your local
pharmacy
for available medications.
Provider restrictions
Please review each of these drugs carefully.| ambrisentan |
|
| aminolevulinic acid |
|
| amphotericin B |
|
| amphotericin B liposomal | |
| Angiotensin II | |
| anifrolumab-fnia |
|
| ARIPiprazole | |
| avibactam-ceftazidime |
|
| axicabtagene ciloleucel | |
| belantamab mafodotin |
|
| bicalutamide |
|
| bosentan |
|
| brexucabtagene autoleucel |
|
| bupivacaine/meloxicam |
|
| calcitonin | |
| caplacizumab | |
| cefiderocol |
|
| ceftaroline | |
| ceftolozane-tazobactam |
|
| cemiplimab |
|
| colistimethate | |
| conivaptan | |
| crizanlizumab-tmca |
|
| dalbavancin |
|
| DAPTOmycin | |
| Daratumumab |
|
| degarelix |
|
| durvalumab |
|
| eculizumab | |
| edaravone | |
| emapalumab | |
| enfortumab vedotin-ejfv |
|
| epoprostenol |
|
| eravacycline |
|
| esketamine |
|
| fam-trastuzumab deruxtecan |
|
| fentaNYL |
|
| fidaxomicin |
|
| fluPHENAZine | |
| glucarpidase |
|
| haloperidol |
|
| idecabtagene vicleucel |
|
| iloprost | |
| imipenem, cilastatin, and relebactam | |
| inotuzumab ozogamicin |
|
| isavuconazonium |
|
| letermovir | |
| lisocabtagene maraleucel |
|
| lurbinectedin |
|
| luspatercept-aamt |
|
| macitentan |
|
| maribavir |
|
| meropenem-vaborbactam | |
| methoxsalen |
|
| micafungin | |
| Moxetumomab Pasudotox |
|
| natamycin ophthalmic | |
| olaratumab | |
| paliperidone | |
| pertuzumab/trastuzumab/hyaluronidase-zzxf |
|
| polatuzumab vedotin |
|
| polymyxin B sulfate | |
| posaconazole |
|
| ravulizumab |
|
| remdesivir |
|
| riociguat |
|
| risperiDONE |
|
| riTUXimab | |
| sacituzumab govitecan |
|
| selexipag |
|
| Sipuleucel-T | |
| sotalol |
|
| sugammadex | |
| tafasitamab-cxix |
|
| tagraxofusp-erzs |
|
| talimogene laherparepvec |
|
| tebentafusp |
|
| teprotumumab |
|
| tigecycline | |
| tisagenlecleucel | |
| tocilizumab |
|
| trastuzumab |
|
| trastuzumab and hyaluronidase-oysk | |
| treprostinil |
|
| vedolizumab |