FormWeb • gadobenate dimeglumine

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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gadobenate dimeglumine

gadobenate dimeglumine

Restricted Multihance --> Multihance is restricted to selected cardiac imaging studies and follow-up study where Multihance was the imaging agent originally used.

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Multihance	SOLUTION, INTRAVENOUS	529 mg/mL

Comments:

Multihance is restricted to selected cardiac imaging studies and follow-up study is desired where Multihance was the imaging agent originally used. Prohance is the main formulary agent for radiology group.

Reviewed: April 25, 2006, and July 27, 2010, and 28 Nov 2017

Last updated: Dec. 6, 2017

Black Box Warning: Nephrogenic Systemic Fibrosis

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