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:

pneumococcal 20-valent conjugate vaccine

pneumococcal 20-valent conjugate vaccine
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Prevnar 20 SOLUTION, INTRAMUSCULAR 0.5 mL      

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CLASS
801200

Comments:

Formulary, restricted to pediatric patients, splenectomy patients, and Employee Health. Defer routine administration in adult patients to the outpatient setting.

 

[Updated: January 2025]


Last updated: Feb. 13, 2025







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