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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ferric derisomaltose

ferric derisomaltose
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Monoferric INJECTION, INTRAVENOUS 100 mg/mL    


Comments:

Monoferric is restricted to outpatient use.

 

For Updated Formulary Preferred Products (Inpatient and Outpatient): Preferred Products for Select Agents 

 

For inpatients, iron sucrose (Venofer) is the inpatient formulary agent.

 

Outpatient Medical (Adults): May interchange to the most cost effective intravenous iron product at an equivalent elemental dose. The prescriber should be notified of any interchange. 


Reviewed: Sept. 2021


Last updated: Mar. 19, 2024







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