Tier 4 Protected Antimicrobial
- 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 an alternative antimicrobial. 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.
- Requires approval from Antimicrobial Stewardship Subcommittee Chairpersons, regardless of inpatient or outpatient status. These medications are not stocked in the Pharmacy and require 24-48 hours for approval and procurement of the drug.