LVP solution
| Drug Name | Form | Strength | Formulary Unrestricted | Formulary Restricted | Non-formulary | Interchange |
|---|---|---|---|---|---|---|
| Dianeal Low Calcium with 1.5% Dextrose | SOLUTION, INTRAPERITONEAL | Dextrose 1.5% with Electrolytes (Dianeal Low Ca/Delflex Low Mag-Low Ca) | ||||
| Dianeal Low Calcium with 2.5% Dextrose | SOLUTION, INTRAPERITONEAL | Dextrose 2.5% with Electrolytes (Dianeal Low Ca/Delflex Low Mag-Low Ca) | ||||
| Dianeal PD-2 with 1.5% Dextrose | SOLUTION, INTRAPERITONEAL | Dextrose 1.5% with Electrolytes (Dianeal PD-2) | ||||
| Dianeal PD-2 with 2.5% Dextrose | SOLUTION, INTRAPERITONEAL | Dextrose 2.5% with Electrolytes (Dianeal PD-2) | ||||
| Dianeal PD-2 with 4.25% Dextrose | SOLUTION, INTRAPERITONEAL | Dextrose 4.25% with Electrolytes (Dianeal PD-2) | ||||
| Extraneal | SOLUTION, INTRAPERITONEAL | Icodextrin 7.5% with Electrolytes (Extraneal) | ||||
| Dextrose 5% and 0.225% Sodium Chloride | SOLUTION, INTRAVENOUS | Dextrose 5% with 0.225% NaCl | ||||
| Dextrose 5% and 0.45% Sodium Chloride | SOLUTION, INTRAVENOUS | Dextrose 5% with 0.45% NaCl | ||||
| Dextrose 5% and 0.9% Sodium Chloride | SOLUTION, INTRAVENOUS | Dextrose 5% with 0.9% NaCl | ||||
| Dextrose 5% and Lactated Ringers | SOLUTION, INTRAVENOUS | Dextrose 5% in Lactated Ringers Injection | ||||
| Dextrose 5% and Water | SOLUTION, INTRAVENOUS | Dextrose 5% in Water | ||||
| Lactated Ringers, Intravenous | SOLUTION, INTRAVENOUS | Lactated Ringers Injection | ||||
| Plasma-Lyte | SOLUTION, INTRAVENOUS | Electrolyte Solution (Plasma-Lyte) | ||||
| Sodium Chloride 0.45%, Intravenous | SOLUTION, INTRAVENOUS | Sodium Chloride 0.45% | ||||
| Sodium Chloride 0.9%, Intravenous | SOLUTION, INTRAVENOUS | Sodium Chloride 0.9% |