Approved Hospital Formulary
Suggestions or Corrections? Above and Beyond Nominations Formulary Request
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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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dihydroergotamine

dihydroergotamine
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Brekiya INJECTION, SUBCUTANEOUS 1 mg/mL      
D.H.E. 45 SOLUTION, INJECTABLE 1 mg/mL      
Migranal, DHE Nasal, Atzumi SPRAY, NASAL 4 mg/mL, 5.2 mg      
VIEW MORE Sympatholytic (Adrenergic Blocking) Agents, Antimigraine Agents
Comments:

If nasal spray ordered, contact prescriber to discuss alternative formulary agents (DHE injection or ergotamine SL tab).

Brekiya (DHE autoinjector): Non-Formulary. Inpatients may use home supply or contact prescriber to discuss alternative formulary agents.

 

Reviewed: January 2017 (Pediatrics), January 2017, January 2026 (Brekiya), July 2026 (Atzumi)

Dihydroergotamine Mesylate (BREKIYA) Specialty Drug Summary.pdf

Dihydroergotamine Nasal Spray (ATZUMI) Spotlight.pdf

Last updated: Aug. 14, 2026
Rhazdrugs dihydroergotamine






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