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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dalfampridine

dalfampridine
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Ampyra TABLET, EXTENDED RELEASE, ORAL 10 mg      


Comments:

Ampyra medication guide


Ampyra -- Drug is only available through specialty pharmacies and sent directly to patient or physician, hospital cannot order.  Classified as non-formulary, not stocked, patient must use their own home medication.


Last updated: Aug. 17, 2017







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