flunisolide (non-formulary)
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines(Note: “Therapeutic Interchange” should be placed in the order comments
Inhaled Corticosteroids (Adults)
Medication Ordered
Brand Name
Available Dosages
Frequency
Formulary Medication
Equivalent
Dose
Beclomethasone HFA
QVAR
40mcg ≤ 12 puffs
Daily
Arnuity Ellipta (Fluticasone furoate)
100 mcg
40mcg > 12 puffs
200mcg
80mcg ≤ 6 puffs
100mcg
80mcg > 6 puffs
Ciclesonide HFA
Alvesco
80mcg: ≤ 8 puffs
80mcg: > 8 puffs
160mcg: ≤ 4 puffs
160mcg: > 4 puffs
Fluticasone HFA
Flovent HFA
44mcg ≤ 10 puffs
44mcg > 10 puffs
110mcg ≤ 4puffs
110mcg > 4puffs
220mcg ≤ 2puffs
220mcg > 2puffs
Fluticasone DPI
Flovent Diskus
100mcg ≤ 5puffs
100mcg > 5puffs
250mcg ≤ 2puffs
250mcg > 2puffs
Flunisolide HFA
Aerospan
80mcg ≤ 8puffs
80mcg > 8puffs
Mometasone DPI
Asmanex Twisthaler
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note: “Therapeutic Interchange” should be placed in the order comments
Inhaled Corticosteroids (Adults)
Medication Ordered
Brand Name
Available Dosages
Frequency
Formulary Medication
Equivalent
Frequency
Dose
Beclomethasone HFA
QVAR
40mcg ≤ 12 puffs
Daily
Arnuity Ellipta (Fluticasone furoate)
100 mcg
Daily
40mcg > 12 puffs
200mcg
80mcg ≤ 6 puffs
100mcg
80mcg > 6 puffs
200mcg
Ciclesonide HFA
Alvesco
80mcg: ≤ 8 puffs
Daily
100mcg
Daily
80mcg: > 8 puffs
200mcg
160mcg: ≤ 4 puffs
100mcg
160mcg: > 4 puffs
200mcg
Fluticasone HFA
Flovent HFA
44mcg ≤ 10 puffs
Daily
100mcg
Daily
44mcg > 10 puffs
200mcg
110mcg ≤ 4puffs
100mcg
110mcg > 4puffs
200mcg
220mcg ≤ 2puffs
100mcg
220mcg > 2puffs
200mcg
Fluticasone DPI
Flovent Diskus
100mcg ≤ 5puffs
Daily
100mcg
Daily
100mcg > 5puffs
200mcg
250mcg ≤ 2puffs
100mcg
250mcg > 2puffs
200mcg
Flunisolide HFA
Aerospan
80mcg ≤ 8puffs
Daily
100mcg
Daily
80mcg > 8puffs
200mcg
Mometasone DPI
Asmanex Twisthaler
110mcg ≤ 4puffs
Daily
100mcg
Daily
110mcg > 4puffs
200mcg
220mcg ≤ 2puffs
100mcg
220mcg > 2puffs
200mcg