FormWeb • lipiodol

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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lipiodol

lipiodol

Restricted Lipiodol --> Restriceted to use by interventional radiology for procedures approved by the FDA.
Restricted Miscellaneous Program Formulary

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Lipiodol	INJECTION, INJECTABLE	480 mg/mL

Comments:

Lipiodol is an iodinated radiocontrast agent similar to ethiodol (which has been discontinued). Lipiodol is approved as a formulary agent, restricted to use by interventional radiology for procedures approved by the FDA.

Reviewed: November 15, 2011 and 27 January 2015 (Lipiodol)

Last updated: May. 18, 2017

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