Approved Hospital Formulary
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Approved Hospital Formulary
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oritavancin

oritavancin
Brand names: Orbactiv
Form Strength
INJECTION, INTRAVENOUS 400 mg


Policies and procedures - 

See Oritavancin criteria and pathway, approved by HM P&T 11/2019

Restricted to ID

Exclusion Criteria: Do NOT use if patient has osteomyelitis, diabetic foot infections, sepsis, confirmed/suspected bacteremia, necrotizing fasciitis, hemodynamic instability, or any other co-morbidities requiring inpatient admission.

Indication for Use: Acute bacterial skin and skin structure infections (ABSSIs) – cellulitis, erysipelas, wound infection, or major cutanenous abscess with a minimum lesion surface area of approximately 75 cm2

 

 

Consults, protocols, and therapeutic interchanges

Case Management & ASP Pharmacist Consult 

Case Management Consult: Complete Patient Assistance Program / Insurance Verification Form and fax to 1.855.886.2482. Please call Orbactiv® Support at 1.844.672.2284 for questions.
Set up appointment for patient to follow-up with Infectious Disease physician in 3 – 5 days

Additional information

Houston Methodist Antimicrobial Stewardship page

Last updated: Dec. 30, 2019
  • Provider restrictions: Infectious Disease ONLY
  • Care Management consultation required to confirm benefits

Last updated: Aug. 25, 2022


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