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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taliglucerase alfa

taliglucerase alfa
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Elelyso POWDER FOR INJECTION, INTRAVENOUS 200 units      
Comments:

Only available through specialty pharmacy program, non-formulary, not stocked. If patient request arises, each patient will be evaluated on individual basis for use at outpatient infusion center. Inpatients should provide home supply from specialty pharmacy.  Rare use expected.

Reviewed: June 26, 2012

Last updated: Aug. 23, 2024






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