FormWeb • anifrolumab

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Children's of Alabama

Approved Formulary

Alabama Medicaid Formulary Questions or Suggestions? CHS Homepage

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anifrolumab

anifrolumab

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-formulary	Interchange
Saphnelo	SOLUTION FOR INFUSION	300 mg/2ml vial

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Comments:

Anifrolumab is a RESTRICTED formulary medication. Use is restricted to outpatient infusion clinic with an approved PA in place. All other use requires approval by Pharmacy Leadership.

Last updated: May. 29, 2024

Pharmacy Phone Numbers:

Inpatient Pharmacy: 205-638-9641
IV Room: 205-638-9716
Pharmacy Offices: 205-638-9718

This site is intended for Children's Health System health professionals and employees only.
Use by pharmaceutical/medical representatives or non-CHS personnel is strictly prohibited.