fluticasone-salmeterol
Form | Strength | ANAN | ASMP | LACH | LALK | LOHH | LOLR | LOWC | SDSD | SESE | SFSF | Formulary Status |
---|---|---|---|---|---|---|---|---|---|---|---|---|
AEROSOL, INHALATION | CFC free 45 mcg-21 mcg/inh, 115 mcg-21 mcg/inh, 230 mcg-21 mcg/i | Restricted | ||||||||||
POWDER, INHALATION | 100 mcg-50 mcg, 250 mcg-50 mcg, 500 mcg-50 mcg |
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note: “Therapeutic Interchange” should be placed in the order comments
Long-acting Bronchodilators + Corticosteroids (Adults)
Medication Ordered
Brand Name
Dose/Frequency
Formulary Medication
Dose/Frequency
Budesonide/ Formoterol
Symbicort 80/4.5
2 inhalations BID
Breo 100/25
(Fluticasone/vilanterol)
1 Inhalation Daily
Symbicort
160/4.5
2 inhalations BID
Breo 200/25
1 Inhalation Daily
Mometasone/ Formoterol
Dulera 100/5
2 inhalations BID
Breo 100/25
1 Inhalation Daily
Dulera
200/5
2 inhalations BID
Breo 200/25
1 Inhalation Daily
Fluticasone/ Salmeterol
Advair Diskus/HFA
≤500mcg Fluticasone Daily
Breo 100/25
1 Inhalation Daily
>500mcg Fluticasone Daily
Breo 200/25
1 Inhalation Daily
Automatic conversion occurs for adults only. All adult patients are eligible for automatic conversion even if they came in on Advair from home