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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cannabidiol

cannabidiol
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
CBD Oil (OTC)      
Epidiolex SOLUTION, ORAL 100 mg/mL      


Comments:

Epidiolex is formulary, restricted to pediatrics.

If the drug is needed for an adult inpatient and they do not have their home supply, it will be obtained as a patient specific prescription through special pharmacy distribution. As of 4/23/19, the following specialty pharmacies distribute Epidiolex directly to the patient through a patient specific prescription:  Acaria Health, Accredo, AllianceRx Walgreens Prime, Amber Pharmacy, CVS Specialty. 

Hospital and nonretail institutions can order through Cardinal Health Speciality Distribution (wholesaler).


As of 4/29/19 Epidiolex can be obtained from the specailty pharmacies below:

  • CVS Care Plus, Birmingham - 205-290-9577
  • Walgreens, Birmingham - 205-595-0419  

Epidiolex Engage National Number - 833-421-4243

Amy Padgett, Alabama Acct. Manager - 205-569-1975 


 

CBD Oil (Over-the-Counter)

 

Cannabidiol (CBD Oil) is classified as non-formulary. Inpatient use is generally discouraged.  However, inpatients may use home supply if needed, with an order from a physician, according to the Herbal/Homeopathic Orders policy currently in place.

The FDA has specified that CBD products are excluded from the dietary supplement definition and that it is an unapproved new drug. However, it is currently legal to sell CBD if it meets the definition in the Agricultural Improvement Act (aka the Farm Bill), which is hemp-derived CBD with less than 0.3% THC (OTC approved products).

The FDA has not described what would be an appropriate use and has not described what would be appropriate dose.

Common CBD OTC products include capsules, tablets, soft gels, gummies, liquids, balms, lotions, creams, oils, tinctures, and inhalation.


 

Reviewed: 23 April 2019 (Epidiolex)

Updated: December 2019 (Epidolex), May 2020 (OTC CBD Oil)


Last updated: Aug. 30, 2020







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