UNC Health Medication Formulary
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UNC Health Medication Formulary
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pertuzumab-trastuzumab-hyaluronidase

pertuzumab-trastuzumab-hyaluronidase
Drug Name Form Strength ARHS Blue Ridge Caldwell Chatham Johnston Lenoir Medical Center Nash Pardee Rex Rockingham Southeastern Wayne Youth Behavioral Health
Pertuzumab-Trastuzumab-Hyaluronidase-zzxf SOLUTION, SUBCUTANEOUS 60 mg-60 mg-2000 units/mL (600 mg-600 mg-20,000 units/10 mL)                    
Pertuzumab-Trastuzumab-Hyaluronidase-zzxf SOLUTION, SUBCUTANEOUS 80 mg-40 mg-2000 units/mL (1200 mg-600 mg-30,000 units/15 mL)                    

UNC Health

     System Formulary Restriction:

     Use of Phesgo injection is restricted to outpatient encounters or clinic use only (ie, no inpatient use)

     Orders must be signed by a Hematology/Oncology Attending Physician

     A benefits investigation must be completed prior to use

Med Center
     UNC Medical Center Formulary Restrictions


Last updated: Jul. 19, 2023







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