UNC Health

     System Formulary Restriction

• Restricted to outpatient encounters or clinic use only (i.e., no inpatient use)
• Nusinersen orders must be signed by a Pediatric Neurology Attending Physician
• A benefits investigation must be completed prior to use
• Appeal requests on a patient-specific basis must be made to the Financial Administrative Oversight Committee (FAOC)

Med Center
     UNC Medical Center Formulary Restrictions

• Lexicomp
• Micromedex
• UpToDate
• FDA Daily Med