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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lifitegrast ophthalmic

lifitegrast ophthalmic
  • Formulary
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Xiidra SOLUTION, OPHTHALMIC 5%      


Comments:

Inpatients my use home supply.

If requested, an order for artificial tears 1 drop in each eye q2 hrs PRN dry eyes may be entered per protocol.

 

Xiidra has a different mechanism than Restasis, and does not start working for about 14 days.


Reviewed: 13 December 2016 (Xiidra) and 19 Jan 2017 (Pediatrics)

Updated: November 2021


Last updated: Nov. 24, 2021







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