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The Policy VaultThe Policy Vault

Tygacil (tigecycline)CareFirst (Caremark)

Community-acquired bacterial pneumonia caused by susceptible isolates of Streptococcus pneumoniae (penicillin-susceptible isolates), including cases with concurrent bacteremia, Haemophilus influenzae, and Legionella pneumophila

Initial criteria

  • Patient age ≥ 18 years
  • Indicated infection proven or strongly suspected to be caused by susceptible bacteria
  • Tygacil should not be used for diabetic foot infections
  • Tygacil should not be used for hospital-acquired or ventilator-associated pneumonia
  • Appropriate cultures obtained to isolate and identify organisms and determine susceptibility
  • Use of Tygacil should be limited to treatment of infections proven or strongly suspected to be due to susceptible bacteria