Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines (Note: “Therapeutic Interchange” should be placed in the order comments)
Anti-diarrheals
Medication Ordered
Brand Name
Ordered Dosage
Frequency
Formulary Medication
Equivalent Dose
Frequency
Diphenoxylate / Atropine
Lomotil
2.5mg / 0.025mg
Various
Loperamide
2 mg
Same as ordered
Note: Oncologists are allowed to utilize Lomotil upon denial of interchange
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note: “Therapeutic Interchange” should be placed in the order comments)
Anti-diarrheals
Medication Ordered
Brand Name
Ordered Dosage
Frequency
Formulary
Medication
Equivalent Dose
Frequency
Diphenoxylate / Atropine
Lomotil
2.5mg / 0.025mg
Various
Loperamide
2 mg
Same as ordered
Note: Oncologists are allowed to utilize Lomotil upon denial of interchange