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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epoetin alfa

epoetin alfa
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Epogen, Procrit SOLUTION, INJECTABLE 2,000 units/mL, 3,000 units/mL, 4,000 units/mL    
Retacrit SOLUTION, INJECTABLE 2,000 units/mL, 3,000 units/mL, 4,000 units/mL    
Epogen, Procrit SOLUTION, INJECTABLE 10,000 units/mL, 20,000 units/mL, 40,000 units/mL    
Retacrit SOLUTION, INJECTABLE 10,000 units/mL, 20,000 units/mL, 40,000 units/mL    

VIEW MORE Hematopoietic Agents
CLASS
201600

Comments:

 

 

Retacrit is the preferred agent for inpatient use.

 

Dose Rounding (Adult): epoetin alfa doses should be rounded to the nearest multiple of 2,000 unit.  Dosages on odd thousand unit increments should be rounded up (e.g. 7,000 units rounds to 8,000 units).

Management of Unattached Dialysis Outpatients: Epoetin alfa Algorithm

 

Dose Rounding (Pediatrics): epoetin alfa doses should be round to the nearest multiple of 10 unit.

 


Retacrit is a biosimilar classified as therapeutically equivalent to the epoetin alfa reference product (Epogen, Procrit) for adult and pediatric patients.

The most cost effective drug for the specific setting, time period, or patient case will be used.

Pediatrics - St. Jude has evaluated and approved RETACRIT as a  formulary agent as of October 11, 2018.

 


Epogen medication guide

Procrit medicaiton guide

Retacrit medication guide


Retacrit Dose

Dispense                                                *Dose available in dialysis pyxis

2,000 units

One 2,000 units/mL vial*

4,000 units

One 4,000 units/mL vial*

6,000 units

IV: Three 2,000 units/mL vials*

Subcutaneous: PREPARE syringe using 40,000 units/mL vial

8,000 units

Two 4,000 units/mL vials*

10,000 units

One 10,000 units/mL vial*

12,000 units

One 10,000 units/mL vial + one 2,000 units/mL vial*

14,000 units

One 10,000 units/mL vial + one 4,000 units/mL vial*

16,000 units

IV: One 10,000 units/mL vial + one 4,000 units/mL vial + one 2,000 units/mL vial*

Subcutaneous: PREPARE syringe using 40,000 units/mL vial

18,000 units

IV: One 10,000 units/mL vial + two 4,000 units/mL vial*

Subcutaneous: PREPARE syringe using 40,000 units/mL vial

20,000 units

Two 10,000 units/mL vials*

>22,000 units to 38,000 units

PREPARE syringe using 40,000 unit/mL vial

40,000 units

One 40,000 units/mL vial

 

Reviewed: December 12, 2006, and 28 Aug 2018 (Retacrit)


Last updated: Jul. 17, 2024







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