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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tetracycline

tetracycline
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Sumycin CAPSULE, ORAL 250 mg, 500 mg      
VIEW MORE Tetracyclines, Local Anesthetics
Comments:

Oral Suspension is not currently commercially available.

Oral acne and periodontal indications are non-formulary. Recommend that if medication needed for non-formulary use, patient to use own supply.

Last updated: Feb. 23, 2017
  • Formulary, Not Routinely Stocked: 250 mg capsule, 500 mg capsule






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