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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!
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Approved Hospital Formulary
Suggestions or Corrections? Above and Beyond Nominations Formulary Request
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isosulfan blue

isosulfan blue
  • Restricted Lymphazurin --> Restricted to GYN/ONC specialists for use in vulvar cancer sentinel lymph node mapping.
  • Restricted Miscellaneous Program Formulary
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Lymphazurin SOLUTION, INJECTABLE 10 mg/mL      
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Comments:

LYMPHAZURIN is approved as a formulary agent, restricted to GYN/ONC specialists for use in vulvar cancer sentinel lymph node mapping.

Reviewed: December 16, 2008 and June 24, 2014

Last updated: Jan. 29, 2020






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