FormWeb • valGANciclovir

Children's of Alabama

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Children's of Alabama

Approved Formulary

Alabama Medicaid Formulary Questions or Suggestions? CHS Homepage

Look Alike/Sound Alike: Do not confuse with valACYclovir. See policy.

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valGANciclovir

valGANciclovir

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-formulary	Interchange
Valcyte	LIQUID	250 mg/ 5 mL
Valcyte	TABLET	450 mg

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Last updated: Jan. 20, 2016

Black Box Warning: More Information
Look Alike/Sound Alike: Do not confuse with valACYclovir. See policy.

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.