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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Ubrelvy

ubrogepant
  • Restricted Miscellaneous Programs
  • Restricted Ubrelvy --> restricted to neurology for therapy initiation when a triptan has failed.
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Ubrelvy TABLET, ORAL 50 mg, 100 mg      
Comments:

Restricted to neurology for therapy initiation when a triptan has failed. Any phsician may prescribe Ubrelvy for an inpatient if continuing from a home medication list. Inpatients may use own supply. 

Reviewed: Dec 2020 (Ubrelvy)

Last updated: Mar. 15, 2022
  • Formulary, Not Routinely Stocked: 100 mg






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