|
ambrisentan
|
- New starts are restricted to pulmonary & critical care specialists registered with REMS program
|
|
aminolevulinic acid
|
- Restricted to neurosurgeons that have completed the Gleolan training course
|
|
amphotericin B
|
- Infectious Disease, Solid Organ Transplant, Bone Marrow Transplant, Hematology/Oncology, and Neonatology
|
|
amphotericin B liposomal
|
- Infectious Disease, Solid Organ Transplant, Bone Marrow Transplant, Hematology/Oncology, and Neonatology
|
|
andexanet alfa
|
- Restricted to attending level physicians
|
|
Angiotensin II
|
- Restricted to ICU intensivist/critical care physicians
|
|
anifrolumab-fnia
|
- Restricted to rheumatology providers
|
|
ARIPiprazole
|
- Aripiprazole (Abilify Maintena®) is restricted to the psychiatry service line.
|
|
avibactam-ceftazidime
|
- Infectious Disease Pharmacist (only for 24 hour course) OR Infectious Disease ONLY
|
|
axicabtagene ciloleucel
|
- Hematology/Oncology certified REMS providers ONLY
|
|
belantamab mafodotin
|
- Restricted to hematology/oncology providers
|
|
bicalutamide
|
- New start restricted to hematology/oncology/urology providers. All provider types can continue home therapy
|
|
bosentan
|
- New starts are restricted to pulmonary & critical care specialists registered with REMS program
|
|
brexucabtagene autoleucel
|
- Restricted to hematology/oncology providers enrolled in the Tecartus REMS program
|
|
bupivacaine/meloxicam
|
- Restricted to use by surgeons
|
|
calcitonin
|
- Nephrology, Endocrine, Oncology and Intensivists ONLY
|
|
caplacizumab
|
- Restricted to hematology providers
|
|
cefiderocol
|
- Restricted to infectious disease providers
|
|
ceftaroline
|
|
|
ceftolozane-tazobactam
|
- Infectious Disease Pharmacist (only for 24 hour course) OR Infectious Disease ONLY
|
|
cemiplimab
|
- Restricted to hematology/oncology providers
|
|
colistimethate
|
|
|
conivaptan
|
- Restricted to attending level nephrologists, cardiologists, and intensive care intensivists
|
|
crizanlizumab-tmca
|
- Restricted to hematology providers
|
|
dalbavancin
|
|
|
DAPTOmycin
|
- Infectious Disease, Solid Organ Transplant, Bone Marrow Transplant, or Hematology/Oncology ONLY
|
|
Daratumumab
|
- Restricted to hematology/oncology providers
|
|
degarelix
|
- Restricted to hematology/oncology providers
|
|
durvalumab
|
- Restricted to hematology/oncology providers
|
|
eculizumab
|
- Restricted to attending-level physicians registered with the eculizumab (Soliris®) REMS Program
|
|
edaravone
|
- Restricted to neurology specialists
|
|
emapalumab
|
- Restricted to hematology/oncology providers
|
|
enfortumab vedotin-ejfv
|
- Restricted to hematology/oncology providers
|
|
epoprostenol
|
- New infusion starts are restricted to pulmonary & critical care specialists
- Inhaled epoprostenol is restricted to prescribing by ICU intensivists, cardiologists, and pulmonologists.
|
|
eravacycline
|
|
|
esketamine
|
- Restricted to attending level psychiatry providers
|
|
fam-trastuzumab deruxtecan-nxki
|
- Restricted to hematology/oncology providers
|
|
fentaNYL
|
|
|
fidaxomicin
|
- Infectious Disease or Gastroenterologists ONLY
|
|
fluPHENAZine
|
- Fluphenazine decanoate (Prolixin decanoate®) is restricted to the psychiatry service line.
|
|
glucarpidase
|
- Restricted to hematology/oncology providers
|
|
haloperidol
|
- Haloperidol decanoate (Haldol®) is restricted to the psychiatry service line.
|
|
idecabtagene vicleucel
|
- Restricted to hematology/oncology providers enrolled in the Abecma REMS program
|
|
iloprost
|
- New starts are restricted to pulmonary & critical care specialists
|
|
imipenem, cilastatin, and relebactam
|
- Restricted to infectious disease providers
|
|
inotuzumab ozogamicin
|
- Restricted to hematology and oncology specialists
|
|
isavuconazonium
|
|
|
letermovir
|
- Infectious Disease and Bone Marrow Transplant ONLY
|
|
lisocabtagene maraleucel
|
- Restricted to hematology/oncology providers enrolled in the Breyanzi REMS program
|
|
lurbinectedin
|
- Restricted to hematology/oncology providers
|
|
luspatercept-aamt
|
- Restricted to hematology/oncology providers
|
|
macitentan
|
- New starts are restricted to pulmonary & critical care specialists registered with REMS program
|
|
maribavir
|
- Restricted to Infectious Diseases, Solid-Organ Transplant, Stem-Cell Transplant, and Heme/Onc providers.
|
|
meropenem-vaborbactam
|
|
|
methoxsalen
|
- Restricted to transfusion medicine providers
|
|
micafungin
|
- Any provider can order a first dose, subsequent therapy is restricted to Infectious Disease, Solid Organ Transplant, Bone Marrow Transplant, or Hematology/Oncology ONLY
|
|
Moxetumomab Pasudotox
|
- Restricted to hematology/oncology providers
|
|
natamycin ophthalmic
|
|
|
olaratumab
|
- Restricted to hematology/oncology providers
|
|
paliperidone
|
- Paliperidone palmitate (Invega Sustenna®) is restricted to the psychiatry service line.
|
|
pertuzumab/trastuzumab/hyaluronidase-zzxf
|
- Restricted to hematology/oncology providers
|
|
polatuzumab vedotin-piiq
|
- Restricted to hematology/oncology providers
|
|
polymyxin B sulfate
|
|
|
posaconazole
|
- Infectious Disease or Hematology/Oncology ONLY
|
|
ravulizumab
|
- Restricted to providers enrolled in the Ultomiris REMS Program
|
|
remdesivir
|
- Restricted to infectious disease, pulmonary, and critical care providers
|
|
riociguat
|
- New starts are restricted to pulmonary & critical care specialists registered with REMS program
|
|
risperiDONE
|
- Risperidone (Risperdal Consta®) is restricted to the psychiatry service line.
|
|
riTUXimab
|
- Rituxan Hycela® (rituximab and hyaluronidase human) is restricted to attending-level hematologists and oncologists
|
|
sacituzumab govitecan-hziy
|
- Restricted to hematology/oncology providers
|
|
selexipag
|
- IV selexipag is restricted to pulmonologists and cardiologists
|
|
Sipuleucel-T
|
- Restricted to hematology/oncology providers
|
|
sotalol
|
- IV sotalol is restricted to use by cardiologists and electrophysiologists
|
|
sugammadex
|
- Restricted to anesthesiology providers
|
|
tafasitamab-cxix
|
- Restricted to hematology/oncology providers
|
|
tagraxofusp-erzs
|
- Restricted to hematology/oncology providers
|
|
talimogene laherparepvec
|
- Restricted to hematology/oncology providers
|
|
tebentafusp
|
- Restricted to hematology providers
|
|
teprotumumab
|
- Restricted to hematology/oncology providers
|
|
tigecycline
|
|
|
tisagenlecleucel
|
- Hematology/Oncology certified REMS providers ONLY
|
|
tocilizumab
|
- Hematology, Oncology, Rheumatology, Critical Care, Pulmonary, Infectious Diseases
|
|
trastuzumab
|
- Restricted to hematology/oncology providers
|
|
trastuzumab and hyaluronidase-oysk
|
- Restricted to hematology/oncology providers
|
|
treprostinil
|
- New starts are restricted to pulmonary & critical care specialists
|
|
vedolizumab
|
- Restricted to gastroenterology specialists
|
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