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:

mavorixafor

mavorixafor
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Xolremdi CAPSULE, ORAL 100 mg      
Comments:

Non-formulary. This drug is only dispensed via specialty pharmacy and is supplied directly to the patient. Defer initiation to the outpatient setting. Inpatients should use their home supply.

 

 

 

 

 

 

Reviewed: April 2025

 

Mavorixafor (XOLREMDI) Spotlight.pdf

Last updated: Sep. 18, 2025






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