Approved Hospital Formulary
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Approved Hospital Formulary
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Cardizem
dilTIAZem
- Formulary Miscellaneous Program Formulary
| Drug Name | Form | Strength | Formulary Unrestricted | Formulary Restricted | Non-Formulary | Interchange |
|---|---|---|---|---|---|---|
| CardiZEM SR | CAPSULE, EXTENDED RELEASE, ORAL | 60 mg/12 hours, 90 mg/12 hours, 120 mg/12 hours | ||||
| CardiZEM CD, Cartia XT | CAPSULE, EXTENDED RELEASE, ORAL | 120 mg/24 hours, 180 mg/24 hours, 240 mg/24 hours | ||||
| Tiazac, Taztia XT, Dilacor | CAPSULE, EXTENDED RELEASE, ORAL | 120 mg,180 mg, 240 mg, 300 mg, 360 mg | ||||
| CardiZEM CD, Cartia XT | CAPSULE, EXTENDED RELEASE, ORAL | 300 mg/24 hours, 360 mg/24 hours | ||||
| Tiazac, Taztia XT | CAPSULE, EXTENDED RELEASE, ORAL | 420 mg/24 hours | ||||
| CardiZEM | POWDER FOR INJECTION, INTRAVENOUS | 100 mg | ||||
| CardiZEM | SOLUTION, INTRAVENOUS | 5 mg/mL | ||||
| CardiZEM LA, Matzim LA | TABLET, EXTENDED RELEASE, ORAL | 120 mg, 180 mg, 240 mg, 300 mg, 360 mg, 420 mg | ||||
| CardiZEM | TABLET, ORAL | 30 mg, 60 mg, 90 mg |
Last updated: Feb. 22, 2019
dilTIAZem 12 hour products are non-formulary and are to be interchanged to the once daily 24 hour capsule at the same daily dose.
No distinction is made between 24 hour extended release products, the lowest cost option will be stocked.
Reviewed: July 27, 2005 (CardiZEM LA)