FormWeb • eszopiclone (non-formulary)

Melatonin Receptor Agonists
Medication Ordered	Brand Name	Dosage form	Dose	Frequency	Formulary Medication	Dosage Form	Dose	Frequency
Melatonin		Tablets	FORMULARY AGENT
Ramelteon	Rozerem	Tablets	8 mg	HS	Melatonin	Tablets	3 mg	HS
Zolpidem	Ambien	Tablets	FORMULARY AGENT
Zolpidem CR	Ambien CR	Tablets	6.25 mg	HS	Zolpidem	Tablets	5 mg	HS
Zolpidem CR	Ambien CR	Tablets	12.5 mg	HS	Zolpidem	Tablets	10 mg	HS
Eszopiclone	Lunesta	Tablets	1 mg	HS	Zolpidem	Tablets	5 mg	HS
Eszopiclone	Lunesta	Tablets	2 mg	HS	Zolpidem	Tablets	10 mg	HS
Eszopiclone	Lunesta	Tablets	3 mg	HS	Zolpidem	Tablets	10 mg	HS
Zaleplon	Sonata	Capsules	5 mg	HS	Zolpidem	Tablets	5 mg	HS
Zaleplon	Sonata	Capsules	10 mg	HS	Zolpidem	Tablets	10 mg	HS

Last updated: Mar. 3, 2023

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Pharmacy Phone Numbers

Our Lady of the Lake Regional Medical Center
225-765-4434
Our Lady of the Lake Children’s Hospital
225-374-1380
Our Lady of the Lake Ascension Hospital
225-647-5057
Our Lady of the Lake Assumption Community Hospital
985-369-4290
Our Lady of Angels Hospital
985-730-6789

Our Lady of Lourdes Hospital
337-470-2866
Our Lady of Lourdes Women and Children’s
337-470-5070
Our Lady of Lourdes Heart Hospital
337-470-1080
St. Dominic Jackson Memorial Hospital
601-200-6000
St. Francis Medical Center
318-966-3461