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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copper-64 dotatate

copper-64 dotatate
  • Restricted
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
copper-64 dotatate INJECTION, INTRAVENOUS 148 MBq (4 mCi) (37 MBq (1 mCi) per 1 mL)      


Comments:

Restricted to imaging.


Reviewed: Feb. 2022


Last updated: Mar. 2, 2022







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