Approved Hospital Formulary
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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.
Please be sure to document all clinical activities daily.
Approved Hospital Formulary
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acyclovir
acyclovir
- Formulary Miscellaneous Programs
- Non-formulary
- Therapeutic Interchange
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Last updated: May. 13, 2026
ORDERED FORMULATION
THERAPEUTIC INTERCHANGE
acyclovir (Sitavig)
valACYclovir (Valtrex)
Sitavig is classified as non-formulary, not stocked.
Automatic renal adjustment per guidelines. See Antimicrobial Dosing Guideline and Renal Adjustment Policy (Adult) for more information. CrCl calculation policy available here.
Acyclovir Weight-Based Dosing Guideline (LINKED)
Category A Vesicant: See Management of Extravasation of Irritant and Vesicant Drugs (Non-Chemotherapy) - ADULTS and Management of Extravasation of Irritant and Vesicant Drugs (Non-Chemotherapy) PEDIATRIC
Powerplans: HOSP Vesicant Extravasation Management Orders and PEDS Vesicant Extravasation Management Orders
Drug Shortage Management Strategy: NOT IN EFFECT
IV Acyclovir Shortage Management Dec 2025
Reviewed: August 26, 2014 (Sitavig), October 22, 2019, November 2019 (Shortage Management Strategy)