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Medications listed are available on OH EPIC Formulary, unless otherwise noted.
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RSV vaccine, preF A-preF B, recombinant

RSV vaccine, preF A-preF B, recombinant
Drug Name Form Strength Infusion Center Available Restricted Non-formulary Ambulatory Available Interchange REMS
Abrysvo INJECTION, INTRAMUSCULAR preservative-free 60 mcg-60 mcg        
Additional Information and Links

Restriction/Criteria of use:

  • Indication: pregnant individuals at 32 through 36 weeks gestational age for the prevention of lower respiratory tract disease (LRTD) and severe LRTD caused by respiratory syncytial virus (RSV) in infants from birth through 6 months of age.
  • Service line: Obstetrics and Gynecology
  • Formulary location: Ambulatory
  • Service location: Clinic
  • Patient population: pregnant individuals at 32 through 36 weeks gestational age
  • Prior authorization required: No
Last updated: Oct. 26, 2023

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