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:

ravulizumab

ravulizumab
  • Restricted
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Ultomiris SOLUTION, INTRAVENOUS 300 mg/30 mL      
Comments:

Ultomiris is restricted to hematologists in the hospital outpatient setting using patient assistance programs (PAP) ONLY. If outpatient use other than PAP is deemed medically necessary, refer prescriber to eculizumab (SOLIRIS).

Ultomiris medication guide

REMS: View FDA REMS info

Reviewed: 24 Sept 2019 (Ultomiris)

Last updated: Jul. 7, 2026






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