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Huntsville Hospital

Approved Hospital Formulary

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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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bedaquiline

bedaquiline

Non-formulary Miscellaneous Programs

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Sirturo	TABLET, ORAL	100 mg

Comments:

Sirturo medication guide

Non-formulary, not stocked, drug is 4^th line for resistant TB, very expensive, rare use expected, and supplied through specialty pharmacy to patient. Patient should use own drug supply in hospital, defer initiation to the outpatient setting.

Reviewed: 24 June 2014 (Sirturo)

Last updated: Aug. 21, 2017

Black Box Warning: Increased mortality; QT prolongation

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