Add Formweb to your mobile device
System Formulary Update
ICS and ICS/LABA Therapeutic Interchange
The following Formulary Alternatives have been approved by the System Pharmacy and Therapeutics Committee for the ordered medication. Please review and select the appropriate medication per the outlined table.
Inhaled Corticosteroids
|
Non-Formulary Order |
ADULT - Formulary Equivalent Order |
PEDIATRIC – Formulary Equivalent Order |
|
Beclomethasone (QVAR Redihaler) 40 mcg/dose 1 or 2 inhalations twice daily |
Fluticasone (Arnuity Ellipta) 100 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 44 mcg/actuation 1 or 2 inhalations twice daily |
|
Beclomethasone (QVAR Redihaler) 80 mcg/dose 1 or 2 inhalations twice daily |
Fluticasone (Arnuity Ellipta) 100 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 110 mcg/actuation 1 or 2 inhalations twice daily |
|
Budesonide (Pulmicort Flexhaler) 90 mcg/dose Inhaler 2 inhalations twice daily |
Fluticasone (Arnuity Ellipta) 100 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 44 mcg/actuation 1 or 2 inhalations twice daily |
|
Budesonide (Pulmicort Flexhaler) 180 mcg/dose Inhaler 1 inhalation twice daily |
Fluticasone (Arnuity Ellipta) 100 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 44 mcg/actuation 1 or 2 inhalations twice daily |
|
Budesonide (Pulmicort Flexhaler) 180 mcg/dose Inhaler 2 inhalations twice daily |
Fluticasone (Arnuity Ellipta) 200 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 110 mcg/actuation 1 or 2 inhalations twice daily |
|
Ciclesonide (Alvesco) 80 mcg/dose Inhaler 1 or 2 inhalations twice daily |
Fluticasone (Arnuity Ellipta) 100 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 110 mcg/actuation 1 or 2 inhalations twice daily |
|
Ciclesonide (Alvesco) 160 mcg/dose Inhaler 1 inhalation twice daily |
Fluticasone (Arnuity Ellipta) 100 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 110 mcg/actuation 1 or 2 inhalations twice daily |
|
Ciclesonide (Alvesco) 160 mcg/dose Inhaler 2 inhalations twice daily |
Fluticasone (Arnuity Ellipta) 200 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 220 mcg/actuation 1 or 2 inhalations twice daily |
|
Fluticasone (Flovent HFA) 44 mcg/dose Inhaler 1 or 2 inhalations twice daily |
Fluticasone (Arnuity Ellipta) 100 mcg/dose Inhaler 1 inhalation daily |
Not applicable |
|
Fluticasone (Flovent HFA) 110 mcg/dose Inhaler 1 inhalation twice daily |
Fluticasone (Arnuity Ellipta) 100 mcg/dose Inhaler 1 inhalation daily |
Not applicable |
|
Fluticasone (Flovent HFA) 110 mcg/dose Inhaler 2 inhalations twice daily |
Fluticasone (Arnuity Ellipta) 200 mcg/dose Inhaler 1 inhalation daily |
Not applicable |
|
Fluticasone (Flovent HFA) 220 mcg/dose Inhaler 1 or 2 inhalations twice daily |
Fluticasone (Arnuity Ellipta) 200 mcg/dose Inhaler 1 inhalation daily |
Not applicable |
|
Fluticasone (Flovent Diskus) 50 mcg/dose Inhaler 1 or 2 inhalations twice daily |
Fluticasone (Arnuity Ellipta) 100 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 44 mcg/actuation 1 or 2 inhalations twice daily |
|
Fluticasone (Flovent Diskus) 100 mcg/dose Inhaler 1 inhalation twice daily |
Fluticasone (Arnuity Ellipta) 100 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 44 mcg/actuation 1 or 2 inhalations twice daily |
|
Fluticasone (Flovent Diskus) 100 mcg/dose Inhaler 2 inhalations twice daily |
Fluticasone (Arnuity Ellipta) 200 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 110 mcg/actuation 1 or 2 inhalations twice daily |
|
Fluticasone (Flovent Diskus) 250 mcg/dose Inhaler 1 or 2 inhalations twice daily |
Fluticasone (Arnuity Ellipta) 200 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 220 mcg/actuation 1 or 2 inhalations twice daily |
|
Mometasone (Asmanex HFA) 100 mcg/dose Inhaler 1 or 2 inhalations twice daily |
Fluticasone (Arnuity Ellipta) 100 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 110 mcg/actuation 1 or 2 inhalations twice daily |
|
Mometasone (Asmanex HFA) 200 mcg/dose Inhaler 2 inhalations twice daily |
Fluticasone (Arnuity Ellipta) 200 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 220 mcg/actuation 1 or 2 inhalations twice daily |
|
Mometasone (Asmanex Twisthaler) 110 mcg/dose Inhaler 2 inhalations once or twice daily |
Fluticasone (Arnuity Ellipta) 100 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 110 mcg/actuation 1 or 2 inhalations twice daily |
|
Mometasone (Asmanex Twisthaler) 220 mcg/dose Inhaler 1 inhalation once or twice daily |
Fluticasone (Arnuity Ellipta) 100 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 110 mcg/actuation 1 or 2 inhalations twice daily |
|
Mometasone (Asmanex Twisthaler) 220 mcg/dose Inhaler 2 inhalations once daily |
Fluticasone (Arnuity Ellipta) 100 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 110 mcg/actuation 1 or 2 inhalations twice daily |
|
Mometasone (Asmanex Twisthaler) 220 mcg/dose Inhaler 2 inhalations twice daily |
Fluticasone (Arnuity Ellipta) 200 mcg/dose Inhaler 1 inhalation daily |
Fluticasone (Flovent HFA) 220 mcg/actuation 2 inhalations twice daily |
Inhaled Corticosteroids and Long-Acting Inhaled Beta Agonist Combinations
|
Non-Formulary Order |
ADULTS - Formulary Equivalent Order |
PEDIATRICS - Formulary Equivalent Order |
|
Budesonide/Formoterol (Symbicort) 80-4.5 mcg/dose Inhaler 2 inhalations twice daily |
Fluticasone/Vilanterol (Breo Ellipta) 100-25 mcg/dose Inhaler 1 inhalation daily |
Not applicable |
|
Budesonide/Formoterol (Symbicort) 160-4.5 mcg/dose Inhaler 2 inhalations twice daily |
Fluticasone/Vilanterol (Breo Ellipta) 200-25 mcg/dose Inhaler 1 inhalation daily |
Not applicable |
|
Fluticasone/Salmeterol (Advair Diskus) 100-50 mcg/dose Inhaler 1 inhalation twice daily |
Fluticasone/Vilanterol (Breo Ellipta) 100-25 mcg/dose Inhaler 1 inhalation daily |
Budesonide/Formoterol (Symbicort) 80-4.5 mcg/dose Inhaler 2 inhalations twice daily |
|
Fluticasone/Salmeterol (Advair Diskus) 250-50 mcg/dose Inhaler 1 inhalation twice daily |
Fluticasone/Vilanterol (Breo Ellipta) 100-25 mcg/dose Inhaler 1 inhalation daily |
Budesonide/Formoterol (Symbicort) 80-4.5 mcg/dose Inhaler 2 inhalations twice daily |
|
Fluticasone/Salmeterol (Advair Diskus) 500-50 mcg/dose Inhaler 1 inhalation twice daily |
Fluticasone/Vilanterol (Breo Ellipta) 200-25 mcg/dose Inhaler 1 inhalation daily |
Budesonide/Formoterol (Symbicort) 160-4.5 mcg/dose Inhaler 2 inhalations twice daily |
|
Fluticasone/Salmeterol (Advair HFA) 45-21 mcg/dose Inhaler 2 inhalations twice daily |
Fluticasone/Vilanterol (Breo Ellipta) 100-25 mcg/dose Inhaler 1 inhalation daily |
Budesonide/Formoterol (Symbicort) 80-4.5 mcg/dose Inhaler 2 inhalations twice daily |
|
Fluticasone/Salmeterol (Advair HFA) 115-21 mcg/dose Inhaler 2 inhalations twice daily |
Fluticasone/Vilanterol (Breo Ellipta) 100-25 mcg/dose Inhaler 1 inhalation daily |
Budesonide/Formoterol (Symbicort) 80-4.5 mcg/dose Inhaler 2 inhalations twice daily |
|
Fluticasone/Salmeterol (Advair HFA) 230-21 mcg/dose Inhaler 2 inhalations twice daily |
Fluticasone/Vilanterol (Breo Ellipta) 200-25 mcg/dose Inhaler 1 inhalation daily |
Budesonide/Formoterol (Symbicort) 160-4.5 mcg/dose Inhaler 2 inhalations twice daily |
|
Fluticasone/Salmeterol (AirDuo RespiClick) 55-14 mcg/dose Inhaler 1 inhalation twice daily |
Fluticasone/Vilanterol (Breo Ellipta) 100-25 mcg/dose Inhaler 1 inhalation daily |
Budesonide/Formoterol (Symbicort) 80-4.5 mcg/dose Inhaler 2 inhalations twice daily |
|
Fluticasone/Salmeterol (AirDuo RespiClick) 113-14 mcg/dose Inhaler 1 inhalation twice daily |
Fluticasone/Vilanterol (Breo Ellipta) 100-25 mcg/dose Inhaler 1 inhalation daily |
Budesonide/Formoterol (Symbicort) 80-4.5 mcg/dose Inhaler 2 inhalations twice daily |
|
Fluticasone/Salmeterol (AirDuo RespiClick) 232-14 mcg/dose Inhaler 1 inhalation twice daily |
Fluticasone/Vilanterol (Breo Ellipta) 200-25 mcg/dose Inhaler 1 inhalation daily |
Budesonide/Formoterol (Symbicort) 160-4.5 mcg/dose Inhaler 2 inhalations twice daily |
|
Mometasone/Formoterol (Dulera) 100-5 mcg/dose Inhaler 2 inhalations twice daily |
Fluticasone/Vilanterol (Breo Ellipta) 100-25 mcg/dose Inhaler 1 inhalation daily |
Budesonide/Formoterol (Symbicort) 80-4.5 mcg/dose Inhaler 2 inhalations twice daily |
|
Mometasone/Formoterol (Dulera) 200-5 mcg/dose Inhaler 2 inhalations twice daily |
Fluticasone/Vilanterol (Breo Ellipta) 200-25 mcg/dose Inhaler 1 inhalation daily |
Budesonide/Formoterol (Symbicort) 160-4.5 mcg/dose Inhaler 2 inhalations twice daily |
|
Fluticasone/Umeclidinium/Vilanterol (Trelegy) 100-62.5-25 mcg/dose Inhaler 1 inhalation daily |
Fluticasone/Vilanterol (Breo Ellipta) 100-25 mcg/dose Inhaler 1 inhalation daily
Umeclidinium (Incruse Ellipta) 62.5 mcg/dose Inhaler 1 inhalation daily |
Not applicable |
|
Fluticasone/Umeclidinium/Vilanterol (Trelegy) 200-62.5-25 mcg/dose Inhaler 1 inhalation daily |
Fluticasone/Vilanterol (Breo Ellipta) 200-25 mcg/dose Inhaler 1 inhalation daily
Umeclidinium (Incruse Ellipta) 62.5 mcg/dose Inhaler 1 inhalation daily |
Not applicable |