Last line option, uncommonly used based upon susceptibility data, may rarely be used for special scenarios.
Strategies used: ASP Prior Authorization for Non-formulary, Prescriber-based restriction, Outpatient use.
May be ordered by an ID physician for the defined use-criteria, if specified.
If a non-ID prescriber orders a restricted antimicrobial, Pharmacy will contact the prescriber to notify him or her of this status and to select vancomycin PO.
If the restricted antimicrobial is necessary or is a continuation of a home medication, the prescriber must place a consult for an ID specialist to assess the necessity of this antimicrobial. Once the consult has been placed, Pharmacy will dispense the medication.
These agents will be monitored by the ASP/Pharmacy and utilization/compliance reported quarterly.