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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hydroxychloroquine

hydroxychloroquine
  • Restricted Indications other than COVID-19
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Plaquenil, Quineprox TABLET, ORAL 200 mg      
VIEW MORE Antimalarials
Comments:

Formulary, Restricted to indications other than COVID-19 or continuation of home medications. Pharmacists should contact providers for alternative COVID-19 therapies.

Pharmacist-led EKG monitoring program discontinued (Jan 2023)

Updated: March 20, 2020 (COVID-19), 24 March 2020 (COVID-19). 28 April 2020 (COVID-19), Jan 2023 (COVID-19 indications removed)

Last updated: Mar. 12, 2026






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