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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parenteral nutrition solution

parenteral nutrition solution
Drug Name Form Strength Clinic Use Only Inpatient Restrictions Outpatient Restrictions Non-Formulary
Dextrose 10% and Water SOLUTION, INTRAVENOUS Dextrose 10% in Water        
Dextrose 20% and Water SOLUTION, INTRAVENOUS Dextrose 20% in Water        
Dextrose 30% and Water SOLUTION, INTRAVENOUS Dextrose 30% in Water        
Dextrose 50% and Water SOLUTION, INTRAVENOUS Dextrose 50% in Water        
Freamine III SOLUTION, INTRAVENOUS Amino Acids 10% (FreAmine III)        
Plenamine SOLUTION, INTRAVENOUS Amino Acids 15% (Novamine/Plenamine)        
Trophamine SOLUTION, INTRAVENOUS Amino Acids 10% (Trophamine)        
Clinimix Sulfite-Free SOLUTION, INTRAVENOUS 4.25% Amino Acids in 5% Dextrose (Clinimix Sulfite-Free)        

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


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