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:

sodium hyaluronate

sodium hyaluronate
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Euflexxa SOLUTION, INTRA-ARTICULAR 10 mg/mL      
Hyalgan SOLUTION, INTRA-ARTICULAR 10 mg/mL      
Supartz SOLUTION, INTRA-ARTICULAR 10 mg/mL      


Comments:

The formulary workhorse for hyaluronic acid is Supartz. 

 Euflexxa is also currently on the formulary.

 

Hyalgan, Synvisc, and Orthovisc are non-formulary, not stocked.


Reviewed: September 26, 2006


Last updated: Jul. 28, 2021
  • Formulary, Not Routinely Stocked: Euflexxa







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