Approved Formulary
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Approved Formulary
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dornase alfa

dornase alfa
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-formulary Interchange
Pulmozyme SOLUTION 2.5 mg/2.5 mL      


Comments:

All orders for Dornase Alfa for non-CF indications will have an auto stop of 6 doses.  Patient should have documented improvement for medication to be continued after the initial 6 doses and a pulmonary consult is recommended. 


Last updated: Mar. 25, 2019


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