Approved Hospital Formulary
Pharmacy - Home (sharepoint.com) Contact Pharmacy
Do Not Tube List
Webpage Links
QR Code Add Formweb to your mobile device
Android iOS
Approved Hospital Formulary
Pharmacy - Home (sharepoint.com) Contact Pharmacy

Restricted

Please review each of these drugs carefully.
abatacept
acetaminophen
adalimumab
ado-trastuzumab emtansine
albendazole
alemtuzumab
alfentanil
alglucosidase alfa
alvimopan
aminolevulinic acid
amphotericin B
amphotericin B liposomal
anacaulase topical
aprepitant
arformoterol
artemether-lumefantrine
artesunate
Atezolizumab
atovaquone-proguanil
avacincaptad pegol
avelumab
aztreonam
baricitinib
belimumab
bevacizumab
bezlotoxumab
biotin
brentuximab vedotin
bupivacaine liposome
cabazitaxel
cabotegravir
cabotegravir-rilpivirine
calaspargase pegol
canakinumab
cangrelor
cannabidiol
capsaicin topical
carfilzomib
ceftaroline
cefTAZidime
ceftazidime-avibactam
ceftolozane-tazobactam
cemiplimab
cenobamate
certolizumab
cetuximab
cidofovir
cloZAPine
coenzyme Q10
creatine
cytarabine liposomal-daunorubicin liposomal
DACTINomycin
daratumumab
daratumumab-hyaluronidase
darbepoetin alfa
denosumab
dexmedetomidine
dostarlimab
DOXOrubicin liposomal
dronedarone
durvalumab
eculizumab
elosulfase alfa
empagliflozin
eribulin
ertapenem
esketamine
eslicarbazepine
etanercept
ethambutol
ethionamide
fam-trastuzumab deruxtecan
faricimab ophthalmic
fat emulsion, intravenous
fibrinogen
flucytosine
fluoroestradiol F 18
foscarnet
fosfomycin
ganciclovir
ganciclovir ophthalmic
gemtuzumab ozogamicin
glucarpidase
golimumab
goserelin
hepatitis B adult vaccine
hyaluronidase-rituximab
hyaluronidase/pertuzumab/trastuzumab
ibandronate
ibuprofen
idursulfase
imiglucerase
inclisiran
inotuzumab ozogamicin
interferon beta-1a
ipilimumab
irinotecan liposomal
isoniazid
itraconazole
ivermectin
ixabepilone
lanreotide
loncastuximab tesirine
lumateperone
lurbinectedin
luspatercept
macitentan
melatonin
Mepolizumab
methoxsalen
methylnaltrexone
miFEPRIStone
mirvetuximab soravtansine
molnupiravir
NAC (N-Acetyl-L-Cysteine)
naloxegol
natalizumab
naxitamab
necitumumab
nirmatrelvir-ritonavir
nirsevimab
nitazoxanide
Nivolumab
obinutuzumab
ocrelizumab
octreotide
omalizumab
PACLitaxel protein-bound
palifermin
palivizumab
panitumumab
pasireotide diaspartate
patiromer
pegfilgrastim
Pembrolizumab
pentamidine
pertuzumab
pimavanserin
plerixafor
polidocanol
posaconazole
praziquantel
primaquine
pyrazinamide
pyrimethamine
Ramucirumab
ranibizumab ophthalmic
rasburicase
ravulizumab
remdesivir
ribavirin
rifabutin
rifampin
rifapentine
riociguat
risankizumab
romiDEPsin
romiPLOStim
RSV mRNA vaccine
RSV vaccine preF3, recombinant
RSV vaccine, preF A-preF B, recombinant
sacituzumab govitecan
selexipag
sugammadex
teclistamab
temsirolimus
tenecteplase
teplizumab
teprotumumab
teriparatide
testosterone
tocilizumab
tolvaptan
trabectedin
trastuzumab
triamcinolone hexacetonide
triamcinolone ophthalmic
triptorelin
ublituximab
ustekinumab
Vedolizumab
voriconazole
vutrisiran
ziv-aflibercept
zoledronic acid






This site is intended for the staff of Legacy Health.
While others may view accessible pages, Legacy Health makes no warranty, express or implied,
as to the use of this information outside of Legacy Health.

Copyright © 2024 Rpharmy, LLC ­ All Rights Reserved