Approved Hospital Formulary
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Approved Hospital Formulary
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immunologic agents

abatacept
adalimumab
aldesleukin
anti-thymocyte globulin (rabbit)
azaTHIOprine
basiliximab
BCG
belatacept
belimumab
Benralizumab
caplacizumab
certolizumab
cycloSPORINE
cytomegalovirus immune globulin
diphth/haemophilus/pertussis/tetanus/polio
diphtheria/hepB/pertussis,acel/polio/tetanus
diphtheria/tetanus/pertussis (DTaP) ped
eculizumab
emapalumab
etanercept
everolimus
filgrastim
glatiramer
haemophilus b conjugate (PRP-T) vaccine
hepatitis A adult vaccine
hepatitis A pediatric vaccine
hepatitis A-hepatitis B vaccine
hepatitis B adult vaccine
hepatitis B immune globulin
hepatitis B pediatric vaccine
human papillomavirus vaccine
immune globulin intravenous
inFLIXimab
Japanese enceph vacc SA14-14-2, inactivated
leflunomide
lymphocyte immune globulin, anti-thy (equine)
measles/mumps/rubella virus vaccine
meningococcal conjugate vaccine
meningococcal group B vaccine
meningococcal polysaccharide vaccine
methotrexate
mycophenolate mofetil
mycophenolic acid
natalizumab
oprelvekin
palivizumab
pegfilgrastim
plerixafor
pneumococcal 13-valent conjugate vaccine
pneumococcal 23-polyvalent vaccine
poliovirus vaccine, inactivated
rabies immune globulin, human
rabies vaccine, human diploid cell
rabies vaccine, purified chick embryo cell
RHo (D) immune globulin
rotavirus vaccine
sargramostim
sirolimus
tacrolimus
tbo-filgrastim
tetanus immune globulin
tetanus-diphth toxoids (Td) adult/adol
tetanus/diphth/pertuss (Tdap) adult/adol
thalidomide
tocilizumab
typhoid vaccine, inactivated
typhoid vaccine, live
varicella virus vaccine
varicella zoster immune globulin
vedolizumab
zoster vaccine live

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