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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indium pentetreotide In-111

indium pentetreotide In-111
  • Restricted Restricted to imaging
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Octreoscan INJECTION, INJECTABLE 3 mCi/ML      
Last updated: Aug. 11, 2016






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