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.
Search results for:

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:

At Huntsville Main/W&C/Madison, orders for this medication should be rejected and reviewed by an oncology clinical specialist or an oncology pool member (see second page of the document "Hormone Therapies and Guidance on Oral Chemotherapy") 


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: Feb. 18, 2025







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