FormWeb • PEGFILGRASTIM-CBQV

North Mississippi Medical Center

Pharmacy Home Formulary Request Form P&T Approved Substitutions

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MISSISSIPPI POISON CONTROL CENTER 1-800-222-1222 -- EMERGENCY CONTACT FOR NERVE AGENT/ORGANOPHOSPHATE POISONING 1-800-222-MEMA (6362)

North Mississippi Medical Center

Pharmacy Home Formulary Request Form P&T Approved Substitutions

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PEGFILGRASTIM-CBQV

PEGFILGRASTIM-CBQV

Brand names: UDENYCA

Form	Strength
INJECTION	6 mg/0.6 mL syringe

VIEW MORE Hematopoietic Agents
CLASS

Comments:

Approved May 2019 P&T Committee Meeting as preferred pegfilgrastim product. Will substitute orders for other pegfilgrastim products with Udenyca.

Last updated: May. 8, 2019

MISSISSIPPI POISON CONTROL CENTER 1-800-222-1222 -- EMERGENCY CONTACT FOR NERVE AGENT/ORGANOPHOSPHATE POISONING 1-800-222-MEMA (6362)
For NMMC Use Only.
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