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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.
Search results for:

obinutuzumab

obinutuzumab
Drug Name Form Strength Infusion Center Available Restricted Non-formulary Ambulatory Available Interchange REMS
Gazyva SOLUTION, INTRAVENOUS 25 mg/mL        

VIEW MORE Antineoplastic Agents
CLASS
100000
High Alert Drug : Policy

Additional Information and Links

Restrictions:

  • Service Line: Nephrology
  • Formulary Location: Outpatient infusion
  • Service location: Outpatient infusion, home infusion
  • Patient Population: Adults
  • Prior Authorization Required: yes
  • Criteria of Use (all will apply unless specified):
    • Patient does not have an active infection
    • Patient has not received a live vaccine within 28 days prior to starting treatment and live vaccines will not be administered concurrently while on treatment
    • Anti-PLA2R antibody positive
    • Tried and failed, intolerant, contraindicated, or have adverse effects to previous regimens including rituximab, cyclophosphamide + glucocorticoids, and calcineurin inhibitor

Last updated: Nov. 22, 2022


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