FormWeb • belatacept

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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belatacept

belatacept

Restricted Miscellaneous Programs
Restricted Nulojix --> Restricted to nephrology.

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Nulojix	POWDER FOR INJECTION, INTRAVENOUS	250 mg

Comments:

Nulojix medication guide

Nulojix is for the prevention of organ rejection in adult kidney transplant patients. It is classified as a formulary agent, restricted to nephrology. It is not routinely stocked and will be obtained for patients if medically necessary. Outpatients will be evaluated on a case-by-case basis to receive the drug in the Outpatient Medical Department.

Reviewed: September 27, 2011

REMS: View FDA REMS Info

Last updated: Dec. 28, 2017

Black Box Warning: Post transplant lymphoproliferative disorder; serious infections

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