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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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eluxadoline

eluxadoline
  • Restricted Viberzi --> Restricted to continuation of home therapy ~OR~ initiation by GI specialist
  • Restricted Miscellaneous Programs
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Viberzi TABLET, ORAL 75 mg, 100 mg      
Comments:

Viberzi Medication Guide

Restricted to continuation of maintenance therapy (home medication) by any prescriber or initiation during hospitalization by the GI specialist.

Reviewed: 28 June 2016 (Viberzi)

Last updated: Aug. 21, 2017






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