FormWeb • estradiol-levonorgestrel

Huntsville Hospital

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.

Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

Search results for:

estradiol-levonorgestrel

estradiol-levonorgestrel

Non-formulary Estrogen Patch Formulary
Therapeutic Interchange

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Climara Pro	FILM, EXTENDED RELEASE, TRANSDERMAL	0.045 mg-0.015 mg/24 hours

Comments:

ORDERED FORMULATION

THERAPEUTIC INTERCHANGE

estradiol-levonorgestrel (Climara Pro)

0.045 mg-0.015 mg/24 hours

estradiol-norethindrone (Combipatch)

0.05 mg-0.14 mg/24 hours

Last updated: Feb. 3, 2025

Black Box Warning: Cardiovascular and Other Risks
HAZ-MED: Table 2H (estradiol)
HAZ-MED: Table 2H (levonorgestrel)

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