FormWeb • pantoprazole

Approved Hospital Formulary

Formulary Addition Requisition (Position 1)

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pantoprazole

Drug Name	Form	Strength	Non-Formulary	Restricted	Renal Dosing	REMS	Therapeutic Interchange	Notes
Pantoprazole	DELAYED RELEASE TABLET, ORAL	40 mg
Protonix IV	POWDER FOR INJECTION, INTRAVENOUS	40 mg

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Additional Information:

Drug Name	Common Side Effects
pantoprazole	GI: abdominal pain, diarrhea, nausea headache, dizziness skin rash

Last updated: Aug. 22, 2022

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