Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines (Note: “Therapeutic Interchange” should be placed in the order comments
Sulfonylurea Hypoglycemics
Medication Ordered
Brand Name
Available Dosages
Frequency
Formulary Medication
Equivalent Dose
Frequency
Glipizide XL
Glucotrol XL
2.5 mg
Daily
Glipizide
2.5 mg
Daily
5 mg
2.5 mg
BID before meals
10 mg
5 mg
20 mg
10 mg
Glyburide
Micronase, Diabeta
2.5 mg
Same as ordered
2.5 mg
Same as ordered
5 mg
5 mg
10 mg
10 mg
Glyburide, micronized
Glynase PressTab
1.5 mg
Same as ordered
2.5 mg
3 mg
5 mg
6 mg
10 mg
Glimepiride
Amaryl
1 mg
Daily
2.5 mg
Daily
2 mg
2.5 mg
BID before meals
4 mg
5 mg
8 mg
10 mg
Note: Glyburide 1.25 will remain on formulary and may be used alone or in combination with metformin to make Glucovance 1.25/250
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note: “Therapeutic Interchange” should be placed in the order comments
Sulfonylurea Hypoglycemics
Medication Ordered
Brand Name
Available Dosages
Frequency
Formulary Medication
Equivalent Dose
Frequency
Glipizide XL
Glucotrol XL
2.5 mg
Daily
Glipizide
2.5 mg
Daily
5 mg
2.5 mg
BID before meals
10 mg
5 mg
20 mg
10 mg
Glyburide
Micronase, Diabeta
2.5 mg
Same as ordered
2.5 mg
Same as ordered
5 mg
5 mg
10 mg
10 mg
Glyburide, micronized
Glynase PressTab
1.5 mg
Same as ordered
2.5 mg
3 mg
5 mg
6 mg
10 mg
Glimepiride
Amaryl
1 mg
Daily
2.5 mg
Daily
2 mg
2.5 mg
BID before meals
4 mg
5 mg
8 mg
10 mg
Note: Glyburide 1.25 will remain on formulary and may be used alone or in combination with metformin to make Glucovance 1.25/250