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zoledronic acid

zoledronic acid

Restricted Medications Reclast = Outpatient Only (for osteoporosis)

Drug Name	Form	Strength	Non-Formulary	Restricted	TX Sub	Notes
Reclast	SOLUTION, INTRAVENOUS	4 mg/5 mL
Zometa	SOLUTION, INTRAVENOUS	5 mg/100 mL

Display Bone Resorption Inhibitors Class : 922400

Medication comments:

Per policy, use of these medications is restricted as noted below:
generic (Brand)	Restrictions
zoledronic acid (Reclast, Zometa)	Reclast (osteoporosis): Outpatient Only Zometa (hypercalcemia): not restricted.

USP <800> Hazardous Drug Assessment of Risk (AOR)
Per policy, these drugs are exempt from USP <800> handling requirements under normal circumstances. The following outlines must be followed.
generic (Brand) Route [Packaging: Manufacturer ⇒ Dispense]	Activities
zoledronic acid (Reclast - Ready to hang) IV [n/a]	Ready to hang	Stock @ IDBH? N NIOSH Table 2^B↑
Pharmacy: Receiving / Storage / Preparation Exposure Risk: minimial	• Handling/preparation PPE Requirements: n/a
	• Receiving from Distributor: Standard
	• Pharmacy Storage Area: Carousel
	• Packaging/Reconstitution Location: n/a
	• Compounding (Non-Sterile/Sterile) Location: n/a
	• Omnicell Load: Yes
Transport	• Transport (dose is placed inside a plastic sealable bag): Standard
Nursing: Storage / Administration Exposure Risk: moderate	• Handling/administration PPE Requirements: Single pair of CX approved gloves. Wash hands after handling
	• Storage of Finished dose in Nursing Area/Procedural Area: Omnicell
	• Signage on Patient Door Required: No
	• Manipulation of Dosage Form: n/a
	• Special Manipulation for Administration: Do not handle while pregnant
Disposal / Spills	• Disposal of Drug Waste: Full- black bin Trace- yellow bin
	• Disposol of Used PPE: trash bin (inside plastic bag)
	• Spill management: n/a
NIOSH Supplemental Information: Number of stillbirths increased and survival of neonates decreased in lab studies at low doses
Reason for exemption of USP<800> Containment Requirements: Preg Category D. For skin contact, remove contaminated clothing, flush area with large amounts of water and soap.
zoledronic acid (Zometa) IV [n/a]		Stock @ IDBH? N NIOSH Table 2^B↑
Pharmacy: Receiving / Storage / Preparation Exposure Risk: moderate	• Handling/preparation PPE Requirements: Single CX glove and gown Do not prepare if pregnant.
	• Receiving from Distributor: Standard
	• Pharmacy Storage Area: IV Room
	• Packaging/Reconstitution Location: n/a
	• Compounding (Non-Sterile/Sterile) Location: Positive pressure room
	• Omnicell Load: No
Transport	• Transport (dose is placed inside a plastic sealable bag): Standard
Nursing: Storage / Administration Exposure Risk: moderate	• Handling/administration PPE Requirements: Single pair of CX approved gloves. Wash hands after handling
	• Storage of Finished dose in Nursing Area/Procedural Area: Patient Med Drawer
	• Signage on Patient Door Required: No
	• Manipulation of Dosage Form: n/a
	• Special Manipulation for Administration: Do not handle while pregnant
Disposal / Spills	• Disposal of Drug Waste: Full- black bin Trace- yellow bin
	• Disposol of Used PPE: trash bin (inside plastic bag)
	• Spill management: n/a
NIOSH Supplemental Information: Number of stillbirths increased and survival of neonates decreased in lab studies at low doses
Reason for exemption of USP<800> Containment Requirements: Preg Category D. For skin contact, remove contaminated clothing, flush area with large amounts of water and soap.

Last updated: May. 22, 2025

Hazard.Drug Handling(USP 800) USP<800> Hazardous Drug / Assessment of Risk

UpToDate Lexidrug

Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556

This site is intended for the staff of Iredell Health System. While others may view accessible pages, Iredell Health System makes no warranty, express or implied, as to the use of this information outside of Iredell Health System. The content of this policy and procedure document serves as guidance to the delivery of quality patient care. Care providers are expected to exercise critical thinking and situational awareness skills, and in specific situations to take such action as is necessary for the delivery of quality patient care.