FormWeb • iobenguane I-131

Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

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Medications not yet evaluated by P&T are considered NON-FORMULARY. Always check 2 unique patient identifiers - NAME and DATE OF BIRTH - at every step!
Please be sure to document all clinical activities daily.

Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

Search results for:

Azedra

iobenguane I-131

Non-formulary non stocked

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Azedra	INJECTION, INJECTABLE	555 MBq/mL (15 mCi/mL)

Comments:

Huntsville Hospital doesn't meet the requirements to stock/administer this drug. Refer patient to specialty hospital that is approved to give Azedra.

Reviewed: January 28, 2020

Last updated: Jan. 28, 2020

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