Approved Formulary
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Approved Formulary
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amphotericin B

amphotericin B
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-formulary Interchange
Amphotericin B POWDER FOR INJECTION 50 mg      
Amphotericin B intravitreal INJECTION 10 mcg/ml Rx Cmpd      


Comments:

Conventional Amphotericin B is a RESTRICTED formulary medication.  Use is restricted to irrigations or Neonates with candidiasis.  It requires ID approval and ordering thru an OS.   

Ordering of Amphotericin B for Intravitreal administration is RESTRICTED to the OS for compounded ophthalmic formulations using clinical decision support.  Only the 10 mcg/ml concentration that has been approved is allowed for use.

 


Last updated: Jun. 27, 2025


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