Approved Hospital Formulary
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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.
Please be sure to document all clinical activities daily.
Approved Hospital Formulary
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alglucosidase alfa
alglucosidase alfa
- Restricted Rarely Used Drugs and Expensive (RUDE)
- Restricted Lumizyme, Myozyme --> Restricted to Outpatient Medical with administration approval.
Last updated: Dec. 28, 2017
- Black Box Warning: Anaphylaxis; Cardiorespiratory Failure
Both classified as restricted to outpatient, if case arises notify pharmacy administration for approval, each case will be evaluated on an individual basis, referral to a treatment center would be considered.
Lumizyme approved for a specific patient to receive at Outpatient Medical on a longterm basis.
Reviewed: June 27, 2006 (Myozyme), September 29, 2010 and September 25, 2013 (Lumizyme)