Good question. Fairly recent. But to be clear, I don't know. Here's my best estimate ... first I received was perhaps about 1 month prior to GEN2 approval (but that of course only means when I connect with my cardo friend for dinner). Nonetheless, the hosp was dragging feet ...
Later (late Jan, 2019) I was told the plan was to put it on formulary with restrictions ...
This week I was told that use would be more liberal due to docs having discretion to override the restrictions as they were considered unworkable.
Keep in mind ... this is just high level talk btw friends ...
What I am certain of is that it crossed the line and is on formulary and this Hosp falls well within the 600 that other posters have referred to ...
To me ... use and reuse is the issue ... its hard to get a handle on that issue. That was the purpose of my post.
WT