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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siltuximab

siltuximab
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Sylvant POWDER FOR INJECTION, INTRAVENOUS 100 mg, 400 mg      
Comments:

Classified as formulary restricted, for use as approved under COVID-19 Drug Protocol for Adults, if tocilizumab and sarilumab cannot be used or are not available.

Restricted to ID physicians for the management of COVID-19.

 

Sylvant is non-formulary for other indications. It is an IV infusion for a rare disease.

Reviewed: 26 May 2015 (Sylvant), 28 April 2020 (COVID-19)

Last updated: Sep. 15, 2021






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