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Children's of Alabama

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Children's of Alabama

Approved Formulary

Alabama Medicaid Formulary Questions or Suggestions? CHS Homepage

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indocyanine green

indocyanine green

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-formulary	Interchange
IC-Green	POWDER FOR INJECTION	25 mg

VIEW MORE radiocontrast agents, topical agents, ophthalmic preparations, ophthalmic diagnostic agents, radiologic agents, miscellaneous diagnostic dyes
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Last updated: Nov. 30, -0001

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Pharmacy Phone Numbers:

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

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Use by pharmaceutical/medical representatives or non-CHS personnel is strictly prohibited.