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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concizumab-mtci

concizumab-mtci
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Alhemo INJECTION, SUBCUTANEOUS 40 mg/mL | 100 mg/mL      
Comments:

Non-formulary. Defer initiation to the outpatient setting.  Inpatients may use their home supply.

 

 

Reviewed: June 2025      

Concizumab-mtci (ALHEMO) Spotlight.pdf

Last updated: Jul. 18, 2025






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