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.
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Metoclopramide

metoclopramide
  • Formulary Miscellaneous Program Formulary
  • Restricted Metozolv ODT --> Restricted to patients that cannot take the tablet or solution and do not have an intravenous line.
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Reglan SOLUTION, INJECTABLE 5 mg/mL      
Reglan SYRUP, ORAL 5 mg/5 mL      
Metozolv ODT TABLET, DISINTEGRATING, ORAL 5 mg      
Reglan TABLET, ORAL 5 mg, 10 mg      
VIEW MORE Prokinetic Agents
CLASS
563200
Comments:

Metozolv ODT medication guide

Reglan injection medication guide

Reglan tablet medication guide

Reglan ODT medication guide

Automatic renal adjustment per guidelines. CrCl less than 40 mL/min, use 50% of dose. Renal Adjustment Guidelines

METOZOLV was approved for restricted formulary use in patients that cannot take the tablet or solution and don't have an intravenous line.

Reviewed: December 15, 2009 (METOZOLV)

Last updated: Apr. 7, 2020






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