Approved Hospital Formulary
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Approved Hospital Formulary
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ravulizumab

ravulizumab
Drug Name Form Strength Notes
Ultomiris SOLUTION, INTRAVENOUS 10 mg/mL; 100 mg/mL


Additional Information:

This medication is 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.

 

The goal of the Ultomiris and Soliris, and the Epysqli REMS programs are to mitigate the risk of serious meningococcal infections, and includes health care provider, patient, health care setting/pharmacy and wholesaler-distributor requirements for dispensing. 

See Legacy Health REMS Requirements for detail. 


Last updated: Apr. 28, 2026







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