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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inclisiran

inclisiran
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Leqvio INJECTION, SUBCUTANEOUS 189 mg/mL      
Comments:

Restricted to use by cardiology in the outpatient setting, including in-office administration. Each case will be evaluated for reimbursement or specialty pharmacy benefits prior to being scheduled to receive the drug.

Reviewed: July 2022 (Leqvio)

Last updated: Jul. 28, 2022






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