hyaluronic acid derivatives
| Drug Name | Form | Strength | ARHS | Blue Ridge | Caldwell | Chatham | Johnston | Lenoir | Medical Center | Nash | Pardee | Rex | Rockingham | Southeastern | Wayne | Youth Behavioral Health |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hylan G-F 20 (Synvisc One) | SOLUTION, INTRA-ARTICULAR | 8 mg/mL (6 mL) | ||||||||||||||
| Hylan G-F 20 (Synvisc) | SOLUTION, INTRA-ARTICULAR | 8 mg/mL (2 mL) | ||||||||||||||
| Sodium Hyaluronate (Euflexxa) | SOLUTION, INTRA-ARTICULAR | 10 mg/mL (2 mL) | ||||||||||||||
| Sodium Hyaluronate (SupartzFX) | SOLUTION, INTRA-ARTICULAR | 10 mg/mL (2.5 mL) |
UNC Health
Intra-Articular Hyaluronic Acid Products Formulary Fact Sheet
Med Center
UNC Medical Center Formulary Restrictions
Rex
Rex Miscellaneous Formulary Restrictions