FormWeb • idursulfase

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Children's of Alabama

Approved Formulary

Alabama Medicaid Formulary Questions or Suggestions? CHS Homepage

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idursulfase

idursulfase

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-formulary	Interchange
Elaprase	SOLUTION FOR INFUSION	6 mg/3ml vial

VIEW MORE metabolic agents, lysosomal enzymes
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Comments:

Idursulfase is a RESTRICTED formulary medication. Use is restricted to out-patient infusion clinic and will only be procured pursuant to a scheduled patient infusion.

Last updated: Dec. 2, 2022

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.