Approved Formulary
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Approved Formulary
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cangrelor

cangrelor
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-formulary Interchange
Kengreal SOLUTION FOR INFUSION 50 mg vial      


Comments:

Cangrelor is a RESTRICTED formulary medication.  Use of Cangrelor is restricted to: 
- patients who are on oral antiplatelet and have a scheduled procedure in the next 4 days necessitating holding of the oral medication.   
- patients needing antiplatelet therapy who are NPO for all medications.
- patients needing antiplatelet therapy who are not achieving adequate function with clopidigrel, as indicated by Platelet Reaction Units (PRU) greater than 180 using the “VerifyNow P2Y12 monitoring system”. 

- patients requiring emergent antiplatelet therapy during IR procedures within the OR 

All other use of Cangrelor requires approval by Pharmacy Leadership.


Last updated: Mar. 10, 2026


Pharmacy Phone Numbers:
Inpatient Pharmacy: 205-638-9641
IV Room: 205-638-9716
Pharmacy Offices: 205-638-9718

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