Approved Hospital Formulary
QR Code Add Formweb to your mobile device
Approved Hospital Formulary
Search results for:

Esketamine

esketamine
Brand names: Spravato
Form Strength
DEVICE, NASAL 28 mg (1 ea) [contains edetate disodium]


Additional Information:

Esketamine (Spravato) is a formulary restricted medication: use restricted to Unity and requires insurance pre-approval prior to use.  

Note: May continue patient own medication in hospital if patient is admitted on medication through patient own controlled medication process.

For Esketamine Use at Unity, see Policy 902.5000


Last updated: Jul. 30, 2024


Class III






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