Approved Hospital Formulary
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Brand name products with an equivalent generic may not be available to order at Henry Ford Health. For questions, contact inpatient pharmacy.
Approved Hospital Formulary
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dilTIAZem

dilTIAZem
Drug Name Form Strength Clinic Use Only Inpatient Restrictions Outpatient Restrictions Non-Formulary
DilTIAZem HYDROCHLORIDE CD CAPSULE, EXTENDED RELEASE, ORAL 120 mg/24 hours; 180 mg/24 hours; 240 mg/24 hours; 300 mg/24 hours        
DilTIAZem HYDROCHLORIDE ER CAPSULE, EXTENDED RELEASE, ORAL 120 mg/24 hours; 240 mg/24 hours        
DilTIAZem HYDROCHLORIDE CAPSULE, EXTENDED RELEASE, ORAL 180 mg/24 hours; 240 mg/24 hours        
DilTIAZem HYDROCHLORIDE SOLUTION, INTRAVENOUS 5 mg/mL        
DilTIAZem HYDROCHLORIDE TABLET, ORAL 30 mg; 45 mg (1/2 tab); 60 mg; 90 mg        

High Alert Drug : Policy
Last updated: Aug. 16, 2018


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