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

glycerin
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Fleet Glycerin Suppositories Adult SUPPOSITORY, RECTAL adult      
Fleet Glycerin Suppositories Pediatric SUPPOSITORY, RECTAL pediatric      
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Comments:
Entire PEDIA-LAX line (senna, magnesium hydroxide, docusate, glycerin supp, and phosphate enema) is classified as non-formulary, not stocked. Interchange to the similar formulary product.

Glycerin enemas maybe prepared from the glycerin regular stock (liquid bulk bottle) rather than use a pre-made commercial product for pediatric use when the commercial product administration device/unit may not fit some pediatric patients.

Reviewed: May 27, 2008 (PEDIA-LAX)

Last updated: Jul. 13, 2022






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