Levofloxacin injection — CareFirst (Caremark)
Acute pyelonephritis caused by Escherichia coli, including cases with concurrent bacteremia
Initial criteria
- Reserve levofloxacin injection for treatment of uncomplicated urinary tract infection in patients who have no alternative treatment options
 - Reserve levofloxacin injection for treatment of acute bacterial exacerbation of chronic bronchitis in patients who have no alternative treatment options
 - Reserve levofloxacin injection for treatment of acute bacterial sinusitis in patients who have no alternative treatment options
 - Appropriate culture and susceptibility tests should be performed before treatment when possible
 - Use only to treat or prevent infections proven or strongly suspected to be caused by susceptible bacteria