FormWeb • procarbazine

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Children's of Alabama

Approved Formulary

Alabama Medicaid Formulary Questions or Suggestions? CHS Homepage

HIGH ALERT: Please read the COMMENTS very carefully.

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procarbazine

procarbazine

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-formulary	Interchange
Matulane	CAPSULE	50 mg

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CLASS

High Alert Drug

Comments:

This medication will only be procured by pharmacy when patients are actively scheduled for treatment. Use is restricted to Hem/onc providers.

Last updated: Sep. 13, 2024

Black Box Warning: More Information

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.