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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ombitasvir-paritaprevir-ritonavir

ombitasvir-paritaprevir-ritonavir
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Technivie TABLET, ORAL 12.5 mg-75 mg-50 mg      
Comments:

Technivie medication guide

Technivie -- Non-formulary, not stocked.  Initiation should be deferred to outpatient therapy for chronic hepatitis C therapy.   Patient should use their home supply in the hospital.  Cost is about $860/dose.  Drug is only supplied through specialty pharmacies directly to patient’s home.

Reviewed: 17 Nov 2015 (Technivie)

Last updated: Aug. 21, 2017






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