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System Formulary Update
Miscellaneous Ophthalmic Antibiotics

Situation

The miscellaneous ophthalmic antibiotics class review and formulary standardization was approved by the System Pharmacy & Therapeutics Committee in September 2019.

Background

• The following ophthalmic medications were reviewed: bacitracin ophthalmic ointment and solution, Erythromycin ophthalmic ointment, tobramycin ophthalmic ointment and solution, gentamicin ophthalmic ointment and solution, azithromycin ophthalmic solution, sulfacetamide ophthalmic solution and ointment

 Assessment/Recommendation

Go-Live: Tuesday December 15, 2020

System P&T voted to include the following products on the UNC Health Care System Drug Formulary:

• Bacitracin 500 u/g ophthalmic ointment (3.5 g)
• Erythromycin 5 mg/g ophthalmic ointment (both 1g unit dose and 3.5 g tube)
• Tobramycin 0.3% ophthalmic solution (5 mL)
• Gentamicin 0.3% ophthalmic ointment (3.5 g)

Note: Stock of these formulary products may vary at individual entities

As a result, the following products will be removed from the UNC Health Care System Drug Formulary:

• Azithromycin 1% ophthalmic solution
• Gentamicin 0.3% ophthalmic solution
• Sulfacetamide 10% ophthalmic solution
• Sulfacetamide 10% ophthalmic ointment
• Tobramycin 0.3% ophthalmic ointment