FormWeb • polatuzumab vedotin

Inpatient Non-formulary and Restricted to Outpatient Use Inpatient use requires approval by a physician department leader (i.e. Medical Director or Chair, or hospital CMO) collaborating with a pharmacy leader.

See HERE for more information and workflow.

See HERE for additional pharmacy workflow details.

Last updated: Mar. 25, 2025

polatuzumab vedotin

Restricted Inpatient Non-formulary and Restricted to Outpatient Use

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