Approved Formulary
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Approved Formulary

HIGH ALERT: Please read the COMMENTS very carefully.

Search results for:

dalbavancin

dalbavancin
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-formulary Interchange
Dalvance POWDER FOR RECONSTITUTION 500 mg vial      

High Alert Drug

Comments:

Dalbavancin is a RESTRICTED formulary medication.  Use is RESTRICTED to patients > 3mo of age with gram positive infections resistant to standard therapy or in whom requiring prolonged therapy with PICC at home is not feasible.  Administration will be in out-patient infusion clinic and medication will be procured pursuant to scheduled infusion.  All use requires ID approval.


Last updated: Sep. 6, 2025


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

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