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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dacomitinib

dacomitinib
  • Non-formulary
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Vizimpro TABLET, ORAL 15 mg, 30 mg, 45 mg      
Comments:

Non-formulary. Only available through select specialty pharmacies and is shipped directly to the patient. Inpatients should use home supply.

Reviewed: 22 Jan 19 (Vizimpro)

Last updated: Jun. 28, 2022






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