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Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

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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.

Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

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abatacept

abatacept

Restricted Miscellaneous Program Formulary
Restricted Orencia IV --> Restricted to Outpatient Medical.

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Orencia IV	POWDER FOR INJECTION, INTRAVENOUS	250 mg
Orencia Subcutaneous	SOLUTION, SUBCUTANEOUS	125 mg/mL

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CLASS

Comments:

Orencia IV is restricted to use in Outpatient Medical Department. Defer inpatient orders to outpatient therapy whenever possible.

Orencia Subcutaneous is non-formulary, not stocked. Defer the dose until after discharge.

Reviewed: October 30, 2007 (Orencia IV) and December 13, 2011 (Orencia Subcutaneous)

Last updated: Dec. 28, 2017

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