Approved Hospital Formulary
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Approved Hospital Formulary
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polatuzumab vedotin

polatuzumab vedotin
  • Provider restrictions: Restricted to hematology/oncology providers
  • Care Area restrictions: Restricted to outpatient setting with financial approval
Brand names: Polivy
Form Strength
POWDER FOR INJECTION, INTRAVENOUS 140 mg


 

Policies and procedures

 

Consults, protocols, and therapeutic interchanges

 

Additional information


Last updated: Sep. 23, 2025


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