Approved Hospital Formulary
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Approved Hospital Formulary

HIGH ALERT: Please review policy carefully.

Search results for:

teclistamab

teclistamab
Brand names: Tecvayli
Form Strength
SOLUTION, SUBCUTANEOUS cqyv 10 mg/mL; cqyv 90 mg/mL

VIEW MORE Antineoplastic Agents
CLASS
100000

Additional Information:

Formulary restriction: 

Inpatient: Patients with relapsed/refractory multiple myeloma for the initial step-up dosing cycle only; restricted to hematology service. Consider subsequent repeat step-up doses as non-formulary with case-by-case evaluation.  Secure payor authorization for the medication and the admission, prior to drug procurement and patient admission. 

Outpatient: Defer to payor clinical criteria. 


Last updated: Sep. 1, 2023







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