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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Vistogard

uridine triacetate
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Vistogard GRANULE, ORAL 10 grams      
Comments:

Restricted to the emergency treatment of adult and pediatric patients following a fluorouracil or capecitabine overdose OR patients with early-onset (within 96 hours), severe or life-threatening toxicity from these agents.

Reviewed: 26 July 2016 (Vistogard)

Last updated: May. 2, 2017
  • Formulary, Not Routinely Stocked: 10 grams - available from manufacturer within approximately 24 hrs.






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