tacrolimus topical
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines(Note: “Therapeutic Interchange” should be placed in the order comments)
Topical Calcineurin Inhibitors (as of 10/2024)
Medication Ordered
Brand Name
Dosage form
ERX
Dose and Frequency
Formulary Medication
Dosage Form
Pimecrolimus
Elidel
Cream
32052
BID
Tacrolimus
(Protopic)
Ointment
29442
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note: “Therapeutic Interchange” should be placed in the order comments)
Topical Calcineurin Inhibitors (as of 10/2024)
Medication Ordered
Brand Name
Dosage form
ERX
Dose and Frequency
Formulary Medication
Dosage Form
ERX
Dose and Frequency
Pimecrolimus
Elidel
Cream
32052
BID
Tacrolimus
(Protopic)
Ointment
29442
BID