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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collagenase clostridium histolyticum

collagenase clostridium histolyticum
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Xiaflex POWDER FOR INJECTION, INJECTABLE 0.9 mg      
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Xiaflex medication guide

Xiaflex: Non-formulary. Requires administration by MD in the office setting. 

REMS (Xiaflex): View FDA REMS Info
Last updated: Apr. 11, 2023






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