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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.
Not all formulary medications are available at each facility. Please refer to your local pharmacy for available inventory.
Search results for:
nivolumab-relatlimab
nivolumab-relatlimab
Additional Information and Links
- Service line: Hematology/Oncology
- Formulary location: Outpatient infusion
- Service location: Outpatient infusion center
- Patient population: Adult, pediatrics 12 years or older
- Prior authorization Required: Yes
- Restriction/Criteria of use:
- Diagnosis of Stage III (unresectable) or Stage IV metastatic melanoma
- No active brain metastases or leptomeningeal metastases
- No diagnosis of uveal melanoma
- No active, known, or suspected autoimmune disease
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- No prior systemic therapy in the unresectable or metastatic setting including chemotherapy, immunotherapy, or targeted therapy
Last updated: Aug. 25, 2022
- HazD: Under review