Approved Formulary
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Approved Formulary
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epoetin beta-methoxy polyethylene glycol

epoetin beta-methoxy polyethylene glycol
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-formulary Interchange
Mircera SOLUTION FOR INJECTION 30 mcg/ 0.3 ml pre-filled syringe      
Mircera SOLUTION FOR INJECTION 50 mcg/ 0.3 ml pre-filled syringe      
Mircera SOLUTION FOR INJECTION 75 mcg/ 0.3 ml pre-filled syringe      
Mircera SOLUTION FOR INJECTION 100 mcg/ 0.3 ml pre-filled syringe      
Mircera SOLUTION FOR INJECTION 150 mcg/ 0.3 ml pre-filled syringe      
Mircera SOLUTION FOR INJECTION 200 mcg/ 0.3 ml pre-filled syringe      


Comments:

Mircera is a RESTRICTED medication.  Use is restricted to authorized dialysis clinics for patients who have been diagnosed with CKD.  COA only stocks pre-filled syringe sizes with active patient orders.  See Lexi for full restriction details.


Last updated: Mar. 8, 2021


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