| 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 |
| Caspofungin |
Unrestricted Indications (select indication on order entry): 1) Documented sterile site (not urine or respiratory) infection with microbiologically confirmed Candida glabrata or Candida kruseii 2) Documented sterile site infection (not urine or respiratory) infection with yeast, pending species identification 3) Prophylaxis against fungal infections in patients on the hematology/oncology/BMT service with intolerance of or contraindications to azoles 4) 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 |
| 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 |