Approved Formulary
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Approved Formulary
Search results for:

maribavir

maribavir
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-formulary Interchange
Livtencity TABLET 200 mg      

VIEW MORE antiviral agents
CLASS
m00007

Comments:

Maribavir is a RESTRICTED formulary item.  Use is Restricted to patients > 12 yo or > 35 kg with post-transplant refractory or resistant CMV who have failed standard therapy.  It will only be procured pursuant to ID approval and request.


Last updated: May. 26, 2025


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