[Scoundreller]

> fidaxomicin

Couldn’t tell you about inpatient hospital use. Outside of hospital, it’s covered by the public drug plan in Ontario if you’ve failed (or have allergies to) vancomycin treatment.

Metronidazole is still first line under that program for “mild” cases, otherwise it’s vanco. But nobody is really checking, so it comes down to how your doctor wants to document it.

Private drug coverage will vary in their rules.

[haldujai]

Glad to hear approval for vanco is relaxed, this was 2015 when I think vanco first line was still new. I was also on the university drug plan which required documented treatment failure at that time.

I remember we used to give patients vanco IV bags to drink on discharge for outpatient therapy because the PO formulation was too expensive for some (iirc I paid $300 for a 10 day course).

Thanks for the info!