FormWeb • asparaginase Erwinia chrysanthemi

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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asparaginase Erwinia chrysanthemi

asparaginase Erwinia chrysanthemi

Restricted Oncology Formulary
Restricted Erwinaze --> Restricted to St. Jude Clinic.

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Erwinaze	POWDER FOR INJECTION, INTRAMUSCULAR	10,000 units

Comments:

Erwinaze is classified as formulary status, restricted to use at the St. Jude Clinic. The drug is not routinely stocked and will be obtained as necessary for individual patients.

Reviewed: April 24, 2012

Last updated: Dec. 28, 2017

Black Box Warning: Note: Latest labeling (3/2007) does not include prior boxed warning.
Chemotherapy:
Formulary, Not Routinely Stocked:

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