FormWeb • omalizumab

Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

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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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omalizumab

omalizumab

Restricted Xolair --> Restricted to Outpatient
Restricted Miscellaneous Program Formulary

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Xolair	INJECTION, SUBCUTANEOUS	150 mg/mL, 75 mg/0.5 mL
Xolair	POWDER FOR INJECTION, SUBCUTANEOUS	150 mg

VIEW MORE Respiratory Tract Agents, Miscellaneous
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Comments:

Xolair medication guide

Xolair is restricted to use in outpatient areas.

Inpatients should use home supply if possible.

For Updated Formulary Preferred Products (Inpatient and Outpatient): Preferred Products for Select Agents

Last updated: Mar. 19, 2024

Black Box Warning: Anaphylaxis

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