Search results for:

trastuzumab

trastuzumab
Brand names: Herceptin, Herzuma, Kanjinti, Ogivri, Ontruzant, Trazimera
Form Strength ANAN ASMP LACH LALK LOHH LOLR LOWC SDSD SESE SFSF Formulary Status
POWDER FOR INJECTION, INTRAVENOUS 150 mg; anns 150 mg; anns 420 mg; dkst 150 mg; dkst 420 mg; dttb 150 mg; dttb 420 mg; pkrb 150 mg; pkrb 420 mg; qyyp 150 mg; qyyp 420 mg            

VIEW MORE Antineoplastic Agents
CLASS
100000

Comments:

Chemotherapy Chart

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*

Ogivri (trastuzumab-dkst)

Biosimilar

Formulary

(preferred)

Use Ogivri

Use Ogivri unless third party payer requires other trastuzumab product

Kanjinti (trastuzumab-anns)

Ontruzant (trastuzumab-dttb) Herzuma (trastuzumab-pkrb) Trazimera (trastuzumab-qyyp)

Biosimilars

Formulary, restricted to OP

(not preferred)

Interchange to Ogivri

Interchange to Ogivri unless third party payer requires other trastuzumab product

Herceptin (trastuzumab)

Reference


Last updated: May. 1, 2024


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