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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amphetamine
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Dyanavel XR SUSPENSION, ORAL 2.5 mg/mL    
Comments:

ORDERED FORMULATION

FORMULARY INTERCHANGE

amphetamine XR oral suspsension (Dyanavel XR)

  • 1 - 5 mg qAM

  • 5.1 - 7.5 qAM

  • 7.6 - 11 mg qAM

  • 11.1 - 14 mg qAM

  • 14.1 - 17.5 mg qAM

  • 17.6 - 20 mg qAM

amphetamine-dextroamphetamine (Adderall XR)

  • 5 mg qAM

  • 10 mg qAM

  • 15 mg qAM

  • 20 mg qAM

  • 25 mg qAM

  • 30 mg qAM

Dyanavel XR medication guide

Automatic interchange to Adderall XR as outlined.  If issues with administration, Adderall XR may be opened and sprinkled on applesauce.

Approximate ratio of interchange:  2.5 mg Dyanavel XR = 4 mg Adderall XR

Reviewed: 24 May 2016 (Dyanavel XR)

Interchange Updated: 15 November 2017

Last updated: Dec. 13, 2017






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