FormWeb • hyaluronidase-trastuzumab

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Medications listed are available on OH EPIC Formulary, unless otherwise noted.
Not all formulary medications are available at each facility. Please refer to your local pharmacy for available inventory.

Ochsner Health

Ochsner Health System Formulary

Formulary Addition Request Questions or Suggestions?

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hyaluronidase-trastuzumab

hyaluronidase-trastuzumab

Drug Name	Form	Strength	Infusion Center Available	Restricted	Non-formulary	Ambulatory Available	Interchange	REMS
Herceptin Hylecta	SOLUTION, SUBCUTANEOUS	10,000 units-600 mg/5 mL

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Service Line: Hematology/Oncology
Formulary Location: Outpatient Infusion
Service location: Outpatient Infusion, home infusion
Patient population: Adults
Prior authorization required: Yes

Last updated: Sep. 27, 2023

Black Box Warning: Cardiomyopathy, Embryo-Fetal Toxicity and Pulmonary Toxicity

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