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inFLIXimab

inFLIXimab
Brand names: Avsola, Inflectra, Remicade, Renflexis
Form Strength ANAN ASMP LACH LALK LOHH LOLR LOWC SDSD SESE SFSF Formulary Status
POWDER FOR INJECTION, INTRAVENOUS 100 mg; abda 100 mg; axxq 100 mg; dyyb 100 mg       Remicade 400169, Renflexis 600159, Inflectra 400496 - restricted SDSD


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

*New Starts/New Authorizations Only*

Renflexis (infliximab-abda)

Biosimilar

Formulary

Use Renflexis

Interchange to generic infliximab unless third party payer requires other infliximab product

Inflectra (infliximab-dyyb)

Avsola (infliximab-axxq)

Biosimilars

Formulary, restricted to OP

(not preferred)

Interchange to Renflexis

 

Remicade (infliximab) brand

Reference

Generic infliximab

Reference generic

Formulary, restricted to OP

(preferred)

Use generic infliximab unless third party payer requires other infliximab product

Zymfentra SubQ will be formulary restricted to outpatient use only.

LALK Chemotherapy/Biologic Agents Restriction 


Last updated: Oct. 15, 2025



Pharmacy Phone Numbers
Our Lady of the Lake Regional Medical Center
225-765-4434
Our Lady of the Lake Children’s Hospital
225-374-1380
Our Lady of the Lake Ascension Hospital
225-647-5057
Our Lady of the Lake Assumption Community Hospital
985-369-4290
Our Lady of Angels Hospital
985-730-6789
Our Lady of Lourdes Hospital
337-470-2866
Our Lady of Lourdes Women and Children’s
337-470-5070
Our Lady of Lourdes Heart Hospital
337-470-1080
St. Dominic Jackson Memorial Hospital
601-200-6000
St. Francis Medical Center
318-966-3461