FormWeb • bivalirudin

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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bivalirudin

bivalirudin

Restricted Miscellaneous Program Formulary
Restricted Angiomax --> Restricted to Cath Lab ~OR~ HIT protocol.

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Angiomax	POWDER FOR INJECTION, INTRAVENOUS	250 mg

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Comments:

For use in Cath Lab only (exceptions: use in heparin induced thrombocytopenia, completion of bag hung in Cath Lab)

PLEASE NOTE: The bivalirudin dosing for heparin induced thrombocytopenia treatment is significantly different than the dosing used in the Cath Lab. Please encourage the use of the protocol PowerPlans “HOSP BIVALIRUDIN (ANGIOMAX) INFUSION - LOW SLIDING SCALE” or “HOSP BIVALIRUDIN (ANGIOMAX) INFUSION - Standard SLIDING SCALE” whenever bivalirudin is being used to treat heparin induced thrombocytopenia.

Reviewed: 24 Aug 2004 and 27 March 2007

Last updated: Sep. 8, 2020

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