Search results for:

levocetirizine (non-formulary)

levocetirizine (non-formulary)
Brand names: Xyzal (non-formulary)
Form Strength ANAN ASMP LACH LALK LOHH LOLR LOWC SDSD SESE SFSF Formulary Status
TABLET, ORAL                    


Comments:

Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note:  “Therapeutic Interchange” should be placed in the order comments)

Second Generation Antihistamines (Adult) 

Medication Ordered 

Brand Name 

Dosage form 

ERX 

Dose and Frequency 

Formulary Medication 

Dosage Form 

ERX 

Dose and Frequency 

Loratadine 

Claritin 

Tablets 

FORMULARY AGENT (ADULTS) 

Desloratadine 

Clarinex 

Tablets, ODT 

32019 

2.5mg Daily 

Loratadine 

Tablet 

10466 

10mg Daily 

Cetirizine 

Zyrtec 

Tablets, Liquid, Chew, ODT, Capsule  

9506 

119150 

159033 

38397 

119529 

150676 

10mg Daily 

Levocetirizine 

Xyzal 

Tablets, Liquid 

87837 

91552 

2.5mg Daily 

Fexofenadine 

Allegra 

Tablets, Liquid 

25425 

150957 

180mg Daily 

Loratadine  

Claritin 

Reditabs, Alavert 

ODT, Liquid 

27512 

76472 

 10mg Daily 

Desloratadine/Pseudoephedrine 

(2.5mg/120mg) 

Clarinex-D 12 Hour 

Tablet 

70502 

1 tablet BID 

Loratadine/Pseudoephedrine 

(5mg/120mg) 

Tablets 

27520 

1 tablet BID 

Loratadine/Pseudoephedrine 

(10mg/240mg) 

Claritin-D 

24 Hour 

Tablet 

27521 

1 tablet Daily 

Cetirizine/Pseudoephedrine 

(5mg/120mg) 

Zyrtec-D 12 hour 

Tablets 

31239 

1 tablet BID 

Fexofenadine/Pseudoephedrine 

(60mg/120mg) 

Allegra-D 12 hour 

Tablets 

27522 

1 tablet BID 

Fexofenadine/Pseudoephedrine 

(180mg/240mg) 

Allegra-D 24 hour 

Tablets  

40389 

1 tablet Daily 

 

Second Generation Antihistamines (Children) 

Medication Ordered 

Brand Name 

Dosage form 

ERX 

Dose and Frequency 

Formulary Medication 

Dosage Form 

ERX 

Dose and Frequency 

Cetirizine 

Zyrtec 

Tablets, Liquid 

FORMULARY AGENT (CHILDREN) 

Desloratadine 

Clarinex 

Tablets 

32019 

2.5mg Daily 

Cetirizine 

Tablet, Liquid 

15349 

97141 

5mg Daily 

Loratadine 

Claritin 

Tablets, Liquid, Chew 

9506 

119150 

 5mg Daily 

Cetirizine 

Zyrtec 

Chew, Syrup 

200447 

38402 

70838 

5mg Daily 

Levocetirizine 

Xyzal 

Tablets, Liquid 

87837 

91552 

2.5mg Daily 

Fexofenadine 

Allegra 

Tablets, ODT, Liquid 

25425 

87923 

150957 

60mg BID 

Loratadine  

Claritin 

Reditabs, Alavert 

ODT, Liquid 

27512 

76472 

5mg Daily 

Cetirizine   

Zyrtec 

Capsule, 

Chew, 

ODT, 

Tablet 

38403 

119529 

150676 

159033 

38397 

162046 

10mg Daily 

Cetirizine 

Tablet, Liquid 

15349 

97141 

10mg Daily 


Last updated: Aug. 22, 2024
  • Therapeutic Interchange: T.I.


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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