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colistimethateCareFirst (Caremark)

Treatment of acute or chronic infections due to sensitive strains of certain gram-negative bacilli, particularly Pseudomonas aeruginosa

Initial criteria

  • Diagnosis of acute or chronic infection caused by susceptible gram-negative organisms
  • Evidence that infection is proven or strongly suspected to be caused by susceptible bacteria
  • If culture and susceptibility results are available, they confirm sensitivity to colistimethate
  • Drug reserved for infections where gram-negative organisms are suspected or confirmed, and alternatives are unsuitable or resistance noted