AmBisome (liposomal amphotericin B) |
Unrestricted Indications 1) Documented or suspected fungal pneumonia in a patient intolerant of or with contraindications to azoles 2) Prophylaxis against fungal infections in patients on the hematology/BMT service or lung transplant service 3) Empiric therapy for prolonged febrile neutropenia in hematology/oncology/BMT patient All other indications require approval from the Antimicrobial Stewardship Program or consulting ID fellow |
Amikacin |
All use of intravenous amikacin requires authorization from the Antimicrobial Stewardship Program or consulting ID fellow |
Artesunate |
Non-formulary. Requires approval from ID consult service and pharmacy manager. |
Baloxavir marboxil |
All use requires authorization from the Antimicrobial Stewardship Program or consulting ID fellow |
Cefiderocol |
All use requires authorization from the Antimicrobial Stewardship Program or consulting ID fellow |
Ceftaroline |
All use requires authorization from the Antimicrobial Stewardship Program or consulting ID fellow |
Ceftazidime/avibactam (Avycaz) |
All use requires authorization from the Antimicrobial Stewardship Program or consulting ID fellow |
Ceftolozane/tazobactam (Zerbaxa) |
All use requires authorization from the Antimicrobial Stewardship Program or consulting ID fellow |
Cidofovir |
Unrestricted Indications (select on order entry): 1) Unrestricted use on the hematology/oncology/BMT service All other use requires authorization from the Antimicrobial Stewardship Program or consulting ID fellow |
Colistin IV |
All use of IV colistin requires authorization from the Antimicrobial Stewardship Program or consulting ID fellow. Inhaled use of colistin is allowed for unrestricted use in prophylaxis in lung transplant. |
Dalbavancin |
All use requires authorization from the Antimicrobial Stewardship Program or consulting ID fellow |
Daptomycin |
All use requires authorization from the Antimicrobial Stewardship Program or consulting ID fellow |
Eravacycline |
All use requires authorization from the Antimicrobial Stewardship Program or consulting ID fellow |
Fidaxomicin |
All use requires authorization from the Antimicrobial Stewardship Program or the consulting ID fellow |
Foscarnet |
Unrestricted Indications (select on order entry): 1) Use on hematology/oncology/BMT service All other use requires authorization from the Antimicrobial Stewardship Program or consulting ID fellow |
Imipenem/cilastatin |
All use requires authorization from the Antimicrobial Stewardship Program or consulting ID fellow |
Imipenem/cilastatin/relebactam |
All use requires authorization from the Antimicrobial Stewardship Program or consulting ID fellow |
Isavuconazole |
Unrestricted Indications: 1) Documented or suspected fungal pneumonia in a patient with prolonged QT interval 2) Prophylaxis against fungal infections on the hematology/oncology/BMT service or lung transplant service in a patient with prolonged QT interval All other use requires authorization from the Antimicrobial Stewardship Program or consulting ID fellow |
Letermovir |
Unrestricted Indications (provide on order entry): 1) CMV prophylaxis on heme/BMT service All other use requires authorization from the Antimicrobial Stewardship Program or consulting ID fellow |
Maribavir |