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.
Please be sure to document all clinical activities daily.
Approved Hospital Formulary
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hydroxyurea
hydroxyurea
- Formulary
- Restricted Miscellaneous Programs
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Last updated: Dec. 18, 2025
- Black Box Warning: Prior to initiation of therapy
- HAZ-MED: table 1
- Formulary, Not Routinely Stocked: DROXIA 200 mg
Siklos is is non-formulary, not stocked. Patient should use home supply. Defer Siklos initation to the outpatient home setting.
Xromi (hydroxyurea oral solution): Formulary restricted to pediatric use. Inpatients should use their home supply if available.
Reviewed: 23 April 2019 (Siklos), November 2025
Hydroxyurea Oral Solution (XROMI) Drug Spotlight.pdf