FormWeb • incobotulinum toxin A

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Brand name products with an equivalent generic may not be available to order at Henry Ford Health. For questions, contact inpatient pharmacy.

Henry Ford Health

Approved Hospital Formulary

FormWeb QuickStart Questions or Suggestions? Pharmacy Intranet

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incobotulinum toxin A

incobotulinum toxin A

Drug Name	Form	Strength	Clinic Use Only	Inpatient Restrictions	Outpatient Restrictions	Non-Formulary
Xeomin	POWDER FOR INJECTION, INJECTABLE	50 unit; 100 units; 200 units

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Last updated: Oct. 6, 2023

Black Box Warning Distant spread of toxin effect

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