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:

elivaldogene autotemcel

elivaldogene autotemcel
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Skysona SUSPENSION, INTRAVENOUS 4 to 30 x 10^6 cells/mL      
Comments:

Eligible patients, boys 4-17 years of age with early, active cerebral adrenoleukodystrophy (CALD), should be referred to Qualified Treatment Centers (QTCs).

 

 

 

 

Reviewed: January 2024

Last updated: Feb. 16, 2024






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