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Medications not yet evaluated by P&T are considered NON-FORMULARY. Always check 2 unique patient identifiers - NAME and DATE OF BIRTH - at every step!
Please be sure to document all clinical activities daily.
Approved Hospital Formulary
Suggestions or Corrections? Above and Beyond Nominations Formulary Request
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OLANZapine-samidorphan

OLANZapine-samidorphan
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Lybalvi TABLET, ORAL 5 mg-10 mg, 10 mg-10 mg, 15 mg-10 mg, 20 mg-10mg    
Comments:

ORDERED FORMULATION

THERAPEUTIC INTERCHANGE

OLANZapine-samidorphan (Lybalvi)

  • 5 mg-10 mg tablet
  • 10 mg-10mg tablet
  • 15 mg-10 mg tablet
  • 20 mg-10 mg tablet

OLANZapine 

  • 5 mg tablet
  • 10 mg tablet
  • 15 mg tablet
  • 20 mg tablet

 

Interchange to OLANZapine monotherapy at the same dosage. Inpatients may use home supply if needed.

 

Reviewed: June 2022 (Lybalvi)

Last updated: Aug. 16, 2022






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