FormWeb • amphetamine-dextroamphetamine

Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

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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.

Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

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amphetamine-dextroamphetamine

amphetamine-dextroamphetamine

Formulary
Non-formulary Miscellaneous Programs

Drug Name	Form	Strength
Adderall XR	CAPSULE, EXTENDED RELEASE, ORAL	5 mg, 10 mg, 15 mg, 20 mg, 25 mg, 30 mg
Mydayis	CAPSULE, EXTENDED RELEASE, ORAL	12.5 mg, 25 mg, 37.5 mg, 50 mg
Adderall	TABLET, ORAL	5 mg, 7.5 mg, 10 mg, 12.5 mg, 20 mg, 30 mg

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Adderall medication guide

Adderall XR medication guide

Mydayis medication guide

Ordered Formulation

Therapeutic Interchange

amphetamine-dextroamphetamine (Adderall)

12.5 mg tablet
30 mg tablet

amphetamine-dextroamphetamine (Adderall)

ONE 5 mg tablet PLUS ONE 7.5 mg tablet (Total: 12.5 mg)
THREE 10 mg tablets (Total: 30 mg)

amphetamine-dextroamphetamine (Adderall XR)

10 mg extended release capsule
15 mg extended release capsule
25 mg extended release capsule
30 mg extended release capsule

amphetamine-dextroamphetamine (Adderall XR)

TWO 5 mg ER capsules (Total: 10 mg)
THREE 5 mg ER Capsules (Total: 15 mg)
ONE 20 mg ER capsule PLUS ONE 5 mg ER capsule (Total: 25 mg)
ONE 20 mg ER capsule PLUS TWO 5 mg ER capsules (Total: 30 mg)

amphetamine-dextroamphetamine (Mydayis)

12.5 mg ER capsule
25 mg ER capsule
37.5 mg ER capsule
50 mg ER capsule

amphetamine-dextroamphetamine (Adderall XR)

TWO 5 mg ER capsule (Total: 10 mg)
ONE 20 mg ER capsule PLUS ONE 5 mg ER capsule (Total: 25 mg)
ONE 20 mg ER capsule PLUS THREE 5 mg ER capsules (Total: 35 mg)
TWO 20 mg ER capsules PLUS TWO 5 mg ER capsules (Total: 50 mg)

Automatic interchange of EVEKEO to ADDERALL on a 1 mg: 1 mg basis.

Reviewed: 22 March 2017 (Evekeo), and 24 Oct 2017 (Mydayis)

Last updated: Nov. 21, 2017

Black Box Warning: Abuse/diversion potential; drug dependence
Formulary, Not Routinely Stocked: Adderall --> 12.5 mg, 30 mg
Formulary, Not Routinely Stocked: Adderall XR --> 10 mg, 15 mg, 25 mg, 30 mg

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