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System Formulary Update
Probiotic Removal

Situation:

Probiotics were approved for removal to the health system formulary at the System Pharmacy and Therapeutics Commitee meeting

Background:

The following medications were reviewed: 

• Acidophilus 25 million cell-pectin, citrus 100 mg tablet 
• Bifidobacterium infantis 4 mg capsule 
• Lactobacillus acidophilus capsule
• Lactobacillus No.2-Bifidobacterium No.1- Streptococcus thermophilus 112.5 billion cell capsule 
• Lactobacillus rhamnosus GG 10 billion cell-inulin 200 mg sprinkle capsule
• Lactobacillus acidophilus, bulgaricus 100 million cell granules packet 
• Lactobacillus acidoph, bulgaricus 1 million cell tablet 
• Lactobacillus rhamnosus GG 10 billion cell capsule 
• Lactobacillus rhamnosus GG 15 billion cell sprinkle capsule 
• Lactobacillus acidophilus, casei, rhamnosus 50 billion cell delayed-release capsule 
• Lactobacillus acidophilus-Bifidobacterium animalis-Bifidobacterium longum 15 billion cell capsule 
• Lactobacillus acidophilus, bulgar-Bifidobacterium bifidum-Streptococcus thermophilus 1 billion cell-250 mg tablet 
• Not on formulary, but on UNCHC FORMULARY med list
• Lactobacillus acidophilus, paracasei-Bifidobacterium bifidum-Streptococcus thermophilus 8 billion cell capsule 
• Not on formulary, but on UNCHC FORMULARY med list
• Saccharomyces boulardii 250 mg capsule 

Assessment/Recommendations:

System P&T voted to remove the following product from the UNC Health Medication Formulary:

• Acidophilus 25 million cell-pectin, citrus 100 mg tablet 
• Bifidobacterium infantis 4 mg capsule 
• Lactobacillus acidophilus capsule
• Lactobacillus No.2-Bifidobacterium No.1- Streptococcus thermophilus 112.5 billion cell capsule 
• Lactobacillus rhamnosus GG 10 billion cell-inulin 200 mg sprinkle capsule
• Lactobacillus acidophilus, bulgaricus 100 million cell granules packet 
• Lactobacillus acidoph, bulgaricus 1 million cell tablet 
• Lactobacillus rhamnosus GG 10 billion cell capsule 
• Lactobacillus rhamnosus GG 15 billion cell sprinkle capsule 
• Lactobacillus acidophilus, casei, rhamnosus 50 billion cell delayed-release capsule 
• Lactobacillus acidophilus-Bifidobacterium animalis-Bifidobacterium longum 15 billion cell capsule 
• Lactobacillus acidophilus, bulgar-Bifidobacterium bifidum-Streptococcus thermophilus 1 billion cell-250 mg tablet 
• Lactobacillus acidophilus, paracasei-Bifidobacterium bifidum-Streptococcus thermophilus 8 billion cell capsule 
• Saccharomyces boulardii 250 mg capsule 

Note: Stock of this formulary product may vary at individual entities 

Formulary/Epic Changes will Go-Live on Tuesday, April 23, 2024