| 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 |