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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dipyridamole

dipyridamole
  • Formulary
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Persantine TABLET, ORAL 25 mg, 50 mg, 75 mg      
VIEW MORE Vasodilating Agents, Miscellaneous
Last updated: Dec. 22, 2023
  • Formulary, Not Routinely Stocked: 50 mg tablet; 75 mg tablet






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