ZSFG Restricted Antimicrobials

Modified Date: 
February 17, 2022

Restricted Antimicrobials at Zuckerberg San Francisco General

All of the antimicrobials listed require approval by ID pharmacist or ID fellow, except for the routes and indications noted in the table below. 

Approval workflow:

  • Weekdays
    • 0700 - 1529: contact ID pharmacist
    • 1530 - 1959: contact ID fellow
    • 2000 - 0659: Pharmacy will release overnight doses pending approval the next day
  • Weekends & Holidays
    • 0700 - 1959: contact ID fellow
    • 2000 - 0659: Pharmacy will release overnight doses pending approval the next day

Contact information:

  • ID Fellow: 443-2847
  • ID Pharmacist: 443-4379 or "ZSFG ID Pharmacist" on Epic secure chat

Restricted

Antimicrobial

Comments

Amikacin

 

Amphotericin B (liposomal, conventional)

 

Artemether Lumefantrine (Coartem)  
Artesunate  

Aztreonam

 

Ceftaroline

 

Ceftazidime

Approval not required for: opthalmic injection and drops 

Ceftazidime-Avibactam (Avycaz) N/A
Ceftolozane-Tazobactam (Zerbaxa) N/A 

Clarithromycin

Approval not required for: H pylori, MAC treatment or prophylaxis

Daptomycin

N/A

Fidaxomicin (Dificid) N/A

Foscarnet

Approval not required for opthalmic injection

Fosfomycin N/A

Ganciclovir

Approval not required for opthalmic injection

Imipenem

N/A

Isavuconazole Approval not required for continuation of prior to admission therapy

Itraconazole

Approval not required for: Aspergillus, Histoplasma, eosinophilic folliculitis, bullous tinea

Linezolid

N/A

Meropenem

N/A

Micafungin

N/A

Moxifloxacin

Approval not required for opthalmic injection and/or drops

Pentamidine

N/A

Piperacillin-Tazobactam (Zosyn)

Approval not required for Donor Network Protocol

Posaconazole

N/A

Pyrimethamine N/A

Rifampin

 

Approval not required for: active or latent tuberculosis

Tigecycline N/A

Voriconazole

Approval not required for: opthalmic injection and/or drops

Non-Formulary*

N/A

*Non-formulary antimicrobials at ZSFG include: caspofungin (use micafungin instead), colistin, omadacycline, quinupristin/dalfopristin, tedizolid