Search results for:

epoetin alfa

epoetin alfa
Brand names: Epogen, Procrit, Retacrit
Form Strength ANAN ASMP LACH LALK LOHH LOLR LOWC SDSD SESE SFSF Formulary Status
SOLUTION, INJECTABLE 10,000 units/mL preservative-free; 40,000 units/mL preservative-free; 2000 units/mL preservative-free; 3000 units/mL preservative-free; 4000 units/mL preservative-free; 20000 units/mL; epbx 10,000 units/mL preservative-free; epbx 20,000 units/mL; epbx 40,000 units/mL preservative-free; epbx 2000 units/mL preservative-free; epbx 3000 units/mL preservative-free; epbx 4000 units/mL preservative-free      

VIEW MORE Hematopoietic Agents
CLASS
201600

Comments:

Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note:  “Therapeutic Interchange” should be placed in the order comments)

Biosimilar and Reference Products Interchange List for Adults

Medication

Reference Drug or Biosimilar

Formulary Status

Automatic Therapeutic Interchange

Inpatient1

Outpatient

Retacrit (epoetin alfa-epbx)

Biosimilar

Formulary

(preferred)

Use Retacrit

Use Retacrit unless third party payer requires other epoetin product

Procrit (epoetin alfa)

Reference

Formulary, restricted to OP

(not preferred)

Interchange to Retacrit

Interchange to Retacrit unless third party payer requires other epoetin product. If Epogen is required, NFT is needed.

Epogen (epoetin alfa)

Reference

Non-formulary

 


Last updated: May. 1, 2024


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