Approved Hospital Formulary
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Duovisc
sodium hyaluronate
Brand names: Amvisc Plus, Duovisc, Euflexxa, Healon, Hyalgan, Hyaluronate derivatives, HYLAN G F 20, Provisc, SODIUM HYALURONATE OPHTHALMIC, Supartz, Synvisc, Synvisc One
| Form | Strength |
|---|---|
| KIT, INTRAOCULAR | - |
| LIQUID, INTRAOCULAR | 10 mg/mL; 16 mg/mL |
| SOLUTION, INTRA-ARTICULAR | 10 mg/mL; 16 mg/2 mL; 48 mg/6 mL |
Last updated: May. 17, 2017
LH current has 7 hyaluronate products available on formulary.
For orthopedic indications: Synvisc and Euflexxa are available as formulary preferred agents.
For ophthalmic indications: Duovisc, Healon, Healon 5, Provisc (0.55mL), and Viscoat (combination product) are available as formulary preferred agents
NON-formulary products include Provisc (0.85mL), Supartz, Hyalgan, Synvisc One, Orthovisc. Requests for a trial to use non-formulary products must be submitted to the P&T committee.