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simethicone
simethicone
Brand names: Gas Relief Ultra Strength Softgels, Infants' Gas Relief
| Form | Strength | ANAN | ASMP | LACH | LALK | LOHH | LOLR | LOWC | SDSD | SESE | SFSF | Formulary Status |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAPSULE, ORAL | 125 mg; 180 mg | capsule is non formulary | ||||||||||
| LIQUID, ORAL | 40 mg/0.6 mL | |||||||||||
| TABLET, CHEWABLE, ORAL | 80 mg; 125 mg |
Last updated: Nov. 28, 2023
- Therapeutic Interchange: T.I.
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note: “Therapeutic Interchange” should be placed in the order comments
Simethicone Agents (as of 11/2023)
Medication Ordered
Brand Name
Dosage form
ERX
Dose and Frequency
Formulary Medication
Dosage Form
ERX
Dose and Frequency
Simethicone
Simethicone
Chew Tablets, Drops
FORMULARY AGENT
Simethicone 180mg
Simethicone
Capsule
24400
Same as ordered
Simethicone 80mg
Chew Tablet
7227
160mg with same frequency as ordered
Simethicone 125mg
Chew Tablet
7226
Same as ordered
120mg with same frequency as ordered
Simethicone 125mg
Capsule
11361
Same as ordered
120mg with same frequency as ordered
Simethicone 250mg
Capsule
168605
Same as ordered
240mg with same frequency as ordered
Simethicone 42mg
Chew Tablet
188180
Same as ordered
40mg with same frequency as ordered