UNC Health Medication Formulary
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UNC Health Medication Formulary
Change Request Form Chemical/SDS Search UNC Health.org
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trastuzumab

trastuzumab
Drug Name Form Strength ARHS Blue Ridge Caldwell Chatham Johnston Lenoir Medical Center Nash Pardee Rex Rockingham Southeastern Wayne Youth Behavioral Health
Trastuzumab (Herceptin) POWDER FOR INJECTION, INTRAVENOUS 150 mg              
Trastuzumab-dkst (Ogivri) POWDER FOR INJECTION, INTRAVENOUS 150 mg                    
Trastuzumab-qyyp (Trazimera) POWDER FOR INJECTION, INTRAVENOUS 150 mg          
Trastuzumab-dkst (Ogivri) POWDER FOR INJECTION, INTRAVENOUS 420 mg          
Trastuzumab-qyyp (Trazimera) POWDER FOR INJECTION, INTRAVENOUS 420 mg            

UNC Health

System Formulary Restriction:

Inpatient: no inpatient use allowed

Outpatient:

    • Ogivri: recommended first line product
    • Trazimera: restricted to those who meet one of the following criteria:
      • Continuation of therapy in patients who previously received Trazimera
      • Initiation of therapy in patients with insurance restrictions that require Trazimera or do not cover Ogivri
    • Herceptin: restricted to those who meet one of the following criteria:
      • Continuation of therapy in patients who previously received Herceptin
      • Initiation of therapy in patients with insurance restrictions that do not cover Ogivri or Trazimera

Med Center
     UNC Medical Center Formulary Restrictions

Rex
     Rex Hematology-Oncology Formulary Restrictions

Last updated: Dec. 29, 2025






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