Medications not yet evaluated by P&T are considered NON-FORMULARY . . . . . Always check 2 unique patient identifiers - NAME and DATE OF BIRTH - at every step! . . . . . Please be sure to document all clinical activities daily.
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Enfortumab vedotin-ejfv

Enfortumab vedotin-ejfv
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Padcev POWDER FOR INJECTION, INTRAVENOUS 20 mg. 30 mg        
Comments:

Restricted to oncology in the outpatient setting. Insurance certification or PAP eligibility review required with each case before use. May be administered as "patient own medication" through PAP.

Miscellaneous Programs

Anti-Neoplastic Formulary

 

Reviewed: July 2020

High Value Care Committee: May 2021 - Approved

Last updated: Jun. 28, 2022






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