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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mometasone

mometasone
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Asmanex Twisthaler AEROSOL POWDER, INHALATION 220 mcg/inh      
Asmanex HFA 120 Dose Inhaler AEROSOL, INHALATION 50 mcg/ACT, 100 mcg/ACT, 200 mcg/ACT      
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Comments:

Asmanex is the formulary workhorse agent (except for ventilator patients). See formulary link.

Reviewed: September 28, 2005 and November 13, 2012, 24 April 2018 (Inhaled Corticosteroid Formulary Pediatric Update)

Last updated: Aug. 9, 2018






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