Approved Hospital Formulary
QR Code Add Formweb to your mobile device

Formulary synchronization in progress.
Please refer to Epic and your local pharmacy for available medications.

Approved Hospital Formulary
Search results for:

maribavir

maribavir
  • Provider restrictions: Restricted to Infectious Diseases, Solid-Organ Transplant, Stem-Cell Transplant, and Heme/Onc providers.
  • Patient restrictions: Inpatient use should be restricted to patients in whom adequate transitions of care have been established regarding medication acquisition in the outpatient setting (i.e. prior authorization, etc)
Brand names: Livtencity
Form Strength
TABLET, ORAL 200mg

Last updated: Aug. 25, 2022


This site is intended for the staff of Houston Methodist.
While others may view accessible pages, Houston Methodist makes no warranty, express or implied,
as to the use of this information outside of Houston Methodist.