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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

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Baclofen

baclofen

Formulary

Drug Name	Form	Strength
Gablofen, Lioresal Intrathecal	SOLUTION, INTRATHECAL	0.05 mg/mL, 0.5 mg/mL, 2 mg/mL
Fleqsuvy	SUSPENSION, ORAL	5 mg/mL
Lioresal	TABLET, ORAL	5 mg, 10 mg, 20 mg

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Comments:

LIORESAL intrathecal and GABLOFEN intrathecal are approved as formulary agents. The hospital will stock one of these products, based on pricing.

Reviewed: January 25, 2011 (GABLOFEN)

Last updated: Nov. 30, -0001

Black Box Warning: Intrathecal: Abrupt discontinuation

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