Approved Hospital Formulary
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Approved Hospital Formulary
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lidocaine topical
lidocaine topical
- Formulary Miscellaneous Program Formulary
- Non-formulary Miscellaneous Formulary
- Therapeutic Interchange Miscellaneous Formulary
| Drug Name | Form | Strength | Formulary Unrestricted | Formulary Restricted | Non-Formulary | Interchange |
|---|---|---|---|---|---|---|
| LMX 4 | CREAM, TOPICAL | 4% | ||||
| LMX 5 | CREAM, TOPICAL | 5% | ||||
| Zingo | DEVICE, INTRADERMAL | 0.5 mg | ||||
| lidocaine 4% OTC patch | FILM, TOPICAL | 4% | ||||
| Lidoderm | FILM, TOPICAL | 5% | ||||
| Xylocaine Jelly | GEL, TOPICAL | 2% | ||||
| Xylocaine | OINTMENT, TOPICAL | 5% | ||||
| Lidocaine Viscous | SOLUTION, MUCOUS MEMBRANE | 2% | ||||
| Xylocaine | SOLUTION, TOPICAL | 4% |
Last updated: Jul. 24, 2024
- Black Box Warning: Lidocaine, viscous: Do NOT use for teething pain
Standardized Administration: Lidoderm patches have standardized administration (0900) and removal (2100) times. If initially ordered between 0900 and 1659, enter a NOW order and the patch will be removed at 2100 and reapplied at 0900 the following morning. If ordered between 1700 and 0859, the patch will be applied at 0900.
Lidocaine 5% (Rx) and Lidocaine 4% (OTC) patches are interchangeable. Pharmacy will stock and dispense the most cost-effective product for lidocaine topical patches.
LidoSite Topical System is non-formulary, non-stock status.
Zingo (needle free system) is classified as non-formulary, not stocked. Recommend the use of LMX cream as an alternative.
AneCream is classified as non-formulary, not stocked. Recommend the use of LMX cream as an alternative.
Reviewed: August 24, 2005 (LidoSite), May 27, 2008 (Zingo), August 25, 2009 (AneCream), August 2022(OTC 4% Patch)
Updated: July 2024 (4% Patch and Interchange)