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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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olmesartan-amLODIPine-hydroCHLOROthiazide

olmesartan-amLODIPine-hydroCHLOROthiazide
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Tribenzor TABLET, ORAL 20 mg-5 mg-12.5 mg    
Tribenzor TABLET, ORAL 40 mg-5 mg-12.5 mg, 40 mg-5 mg-12.5 mg    
Tribenzor TABLET, ORAL 40 mg-10 mg-12.5 mg, 40 mg-10 mg-25 mg    
VIEW MORE Dihydropyridines, Angiotensin II Receptor Antagonists, Thiazide Diuretics
Comments:

ORDERED FORMULATION

THERAPEUTIC INTERCHANGE

olmesartan-amLODIPine-hydroCHLOROthiazide (Tribenzor)

  • 20 mg-5 mg-12.5 mg tablet oral

losartan-hydroCHLOROthiazide (Hyzaar) AND amLODIPine (Norvasc)

  • ONE 100 mg-12.5 mg losartan-hydroCHLOROthiazide PLUS ONE 5 mg amLODIPine

olmesartan-amLODIPine-hydroCHLOROthiazide (Tribenzor)

  • 40 mg-5 mg-12.5 mg                                                                            
  • 40 mg-5 mg-25 mg                                                                                                        
  • 40 mg-10 mg-12.5 mg                                                                                       
  • 40 mg-10 mg-25 mg

valsartan-hydroCHLOROthiazide (Diovan HCT) AND amLODIPine (Norvasc)

  • ONE 320 mg-12.5 mg valsartan-hydroCHLOROthiazide PLUS ONE 5 mg amLODIPine
  • ONE 320 mg-25 mg valsartan-hydroCHLOROthiazide PLUS ONE 5 mg amLODIPine
  • ONE 320 mg-12.5 mg valsartan-hydroCHLOROthiazide PLUS ONE 10 mg amLODIPine
  • ONE 320 mg-25 mg valsartan-hydroCHLOROthiazide PLUS ONE 10 mg amLODIPine

Reviewed: September 28, 2010

Last updated: Dec. 21, 2017






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