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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tocilizumab

tocilizumab
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Avtozma INJECTION, INTRAVENOUS 20 mg/mL    
Tyenne INJECTION, INTRAVENOUS 20 mg/mL    
Actemra INJECTION, SUBCUTANEOUS 162 mg/0.9 mL    
Avtozma INJECTION, SUBCUTANEOUS 162 mg/0.9 mL    
Actemra SOLUTION, INTRAVENOUS 20 mg/mL    
Tofidence SOLUTION, INTRAVENOUS 20 mg/mL    


Comments:

Cytokine Release Syndrome (CRS): Tocilizumab inpatient use is restricted to oncology/hematology providers. 

 

COVID-19:  Due to the potential role in treatment of COVID-19 in patients with evidence of cytokine release, tocilizumab may be utilized in select patients when prescribed by Infectious Diseases or Pediatric Critical Care following Huntsville Hospital's Criteria for Use.  Due to limited supply, availability of this medication is not guaranteed.

 

Other Indications: Tocilizumab is as restricted to outpatient use.

 

TOFIDENCE: Therapeutically equivalent to Actemra for treatment of COVID-19 and CRS. The most cost-effective product may be utilized. Tofidence use in other indications is pending further review by P&T.

 

Avtozma & Tyenne: Therapeutically equivalent to Actemra for treatment of COVID-19 and CRS. The most cost effective product may be utilized.

 


Actemra medication guide


Reviewed: December 2023 (Tofidence) , May 2025 (Avtozma/Tyenne) 

 

Updated: March 2024 (Inpatient Use, Tofidence)

 

Tocilizuymab-bavi (Tofidence)

 

Tocilizumab-bavi (Tofidence) CRS Update

 

Tocilizumab-anoh (AVTOZMA) Spotlight.pdf

 

Tocilizumab-aazg (TYENNE) Spotlight.pdf


Last updated: Jun. 12, 2025







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