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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fluticasone-umeclidinium-vilanterol

fluticasone-umeclidinium-vilanterol
  • Non-formulary
  • Therapeutic Interchange
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Trelegy Ellipta POWDER, INHALATION 100 mcg-62.5 mcg-25 mcg/act, 200 mcg-62.5 mcg-25 mcg/act    
Comments:

Due to national shortage of the nebulization solutions, the formulary status of inhaler products has been temporarily adjusted to formulary, restricted to use during the albuterol/Duoneb shortage. Upon shortage resolution, these products will automatically return to their original formulary status. See Albuterol/Duoneb Shortage Mitigation for more information. (Updated Feb 2023)

Ordered Formulation Therapeutic Interchange Notes

fluticasone-umeclidinium-vilanterol (Trelegy Ellipta)                         

  • 100 mcg-62.5 mcg-25 mcg/1 actuation once daily

 

  • 200 mcg-62.5 mcg-25 mcg/1 actuation once daily
 albuterol-ipratropium (DuoNeb) AND budesonide (Pulmicort Respules)
  • albuterol-ipratropium 3 mg-0.5 mg QID PLUS budesonide 250 mcg neb BID
  • albuterol-ipratropium 3 mg-0.5 mg QID PLUS budesonide 500 mcg neb BID 
 Inpatient may use own inhaler.

Trelegy Ellipta medication guide

Inpatient may use own inhaler.

 

Reviewed: 25 June 19 (Trelegy Ellipta)

Updated: February 24 (Trelegy Ellipta Interchange)

Fluticasone umeclidinium vilanterol (Trelegy Ellipta)

Last updated: Apr. 11, 2024






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