Approved Formulary
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Approved Formulary
Search results for:

belimumab

belimumab
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-formulary Interchange
Benlysta SOLUTION FOR INFUSION 120 mg vial; 400 mg vial      

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CLASS
m00028

Comments:

Belimumab is RESTRICTED.  Use is restricted to outpatient infusion clinic after a PA is obtained.  This medication will only be procured by pharmacy when patients are actively scheduled for infusion, orders must be in the system by the Thursday prior to the scheduled infusion to ensure adequate supply.    


Last updated: Jul. 5, 2024


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

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