FormWeb • omacetaxine

Huntsville Hospital

Approved Hospital Formulary

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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! . . . . . Please be sure to document all clinical activities daily.

Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

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omacetaxine

omacetaxine

Non-formulary Anti-Neoplastic Formulary

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Synribo	POWDER FOR INJECTION, SUBCUTANEOUS	3.5 mg

Comments:

No longer available in the United States

Expected to be rarely used in hospital, defer initiation to outpatient setting, costs $2,000 / day. Patient may use home supply.

Synribo medication guide

Reviewed: June 25, 2013 (Synribo)

Last updated: Mar. 12, 2025

HAZ-MED: Table 1

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