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.
Search results for:

hydroxyurea

hydroxyurea
  • Formulary
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Droxia CAPSULE, ORAL 200 mg      
Hydrea CAPSULE, ORAL 500 mg      
Siklos TABLET, ORAL 100 mg, 1,000 mg    
VIEW MORE Antineoplastic Agents
CLASS
100000
Comments:

Siklos is is non-formulary, not stocked. Patient should use home supply. If needed, a compounded hydroxyurea solution for pediatric patients can be prepared by a local compounding pharmacy. Defer Siklos initation to the outpatient home setting.

Reviewed: 23 April 2019 (Siklos)

Last updated: Jun. 28, 2022






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