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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.
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margetuximab

margetuximab
Drug Name Form Strength Infusion Center Available Restricted Non-formulary Ambulatory Available Interchange REMS
Margenza SOLUTION, INTRAVENOUS 25 mg/mL        
VIEW MORE Antineoplastic Agents
CLASS
100000
High Alert Drug : Policy
Additional Information and Links

OH Formulary Restrictions:

  • Service Line: Oncology
  • Formulary Location: Outpatient
  • Service location: Outpatient Infusion Center, Home infusion
  • Patient Population: Adults
  • Prior Authorization Required: Yes
  • Restriction/Criteria of Use:
    • Histologically proven, metastatic, refractory HER2-positive breast cancer
    • Tried at least two prior anti-HER2 regimens: at least one of which must have been for metastatic disease
    • Must have disease progression on or after the latest therapy
    • If present, brain metastases must be treated and stable
Last updated: Mar. 21, 2024

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