FormWeb • rilonacept

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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rilonacept

rilonacept

Non-formulary Rarely Used Drugs and Expensive (RUDE)

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Arcalyst	POWDER FOR INJECTION, SUBCUTANEOUS	220 mg

Comments:

ARCALYST is classified as non-formulary, not-stocked. This drug is used to treat a group of rare disorders called Cryopyrin-Associated Periodic Syndromes. This drug is a chronic outpatient drug and is only available through a specialty pharmacy. Have patients use their home supply.

Reviewed: October 28, 2008

Last updated: Nov. 30, -0001

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