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 sulfate

amphetamine sulfate
  • Non-formulary Miscellaneous Programs
  • Therapeutic Interchange Adzenys XR-ODT --> no automatic interchange in pediatrics, use home supply or contact physician.
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Adzenys ER SUSPENSION, EXTENDED RELEASE, ORAL 1.25 mg/mL        
Adzenys XR-ODT TABLET, DISINTEGRATING, EXTENDED RELEASE, ORAL 3.1 mg, 6.3 mg, 9.4 mg, 12.5 mg, 15.7 mg, 18.8 mg    
Evekeo TABLET, ORAL 5 mg, 10 mg    
Comments:

Ordered Formulation

Formulary Interchange

amphetamine sulfate (Evekeo)

  • 5 mg tablet oral

  • 10 mg tablet oral

amphetamine-dextroamphetamine (Adderall)

  • 5 mg tablet oral

  • 10 mg tablet oral

amphetamine sulfate (Adzenys XR-ODT)

  • 3.1 mg ER ODT
  • 6.3 mg ER ODT
  • 9.4 mg ER ODT
  • 12.5 mg ER ODT
  • 15.7 mg ER ODT
  • 18.8 mg ER ODT

amphetamine-dextroamphetamine (Adderall XR)

  • 5 mg ER capsule
  • 10 mg ER capsule
  • 15 mg ER capsule
  • 20 mg ER capsule
  • 25 mg ER capsule
  • 30 mg ER capsule

Evekeo is non-formulary. Interchange to generic Adderall intermediate relase on a 1 mg : 1 mg doseage ratio at some dosing interval.

Adzenys XR-ODT is non-formulary with an automatic interchange to Adderall XR for adults. In pediatrics patient may use home supply, or contact MD for alternative product.

Adzenys ER pending P&T evaluation.

Reviewed: 22 March 2017 (Evekeo), and 27 Feb 2018 (Adzenys XR-ODT)

Last updated: Mar. 19, 2018






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