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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avalglucosidase alfa

avalglucosidase alfa
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Nexviazyme POWDER FOR INJECTION, INTRAVENOUS 100 mg      
Comments:

Restricted to use in the outpatient setting. Reimbursement and specialty pharmacy benefits eligibility will be evaluated prior to initiation.

 

Reviewed: May 2022

Updated: June 2022

Last updated: Jul. 6, 2022






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