FormWeb • eculizumab

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Children's of Alabama

Approved Formulary

Alabama Medicaid Formulary Questions or Suggestions? CHS Homepage

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eculizumab

eculizumab

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-formulary	Interchange
Soliris	INJECTION	10 mg/ml

VIEW MORE immunosuppressive agents, immunologic agents, selective immunosuppressants
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Comments:

Eculizumab requires patient and prescriber enrollment in REMS program. Medication procurement is patient specific. Please contact the Nephrologhy or Bone Marrow Transplant pharmacist prior to ordering on a new patient.

Last updated: Jan. 20, 2017

Black Box Warning: More Info
REMS: More Info

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.