Approved Formulary
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Approved Formulary

HIGH ALERT: Please read the COMMENTS very carefully.

Search results for:

cidofovir

cidofovir
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-formulary Interchange
Vistide SOLUTION 75 mg/mL      

High Alert Drug

Comments:

Cidofovir is a RESTRICTED formulary medication. Use is restricted to patients with the following diagnosis after ID approval:

- Adenovirus
- BK virus
- CMV resistant or refractory to standard therapy
- HSV resistant or refractory to standard therapy


All other uses require approval from Antimicrobial Stewardship and/or pharmacy leadership.

 


Last updated: Apr. 28, 2026


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