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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naltrexone

naltrexone
  • Formulary
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Vivitrol POWDER FOR INJECTION, EXTENDED RELEASE, INTRAMUSCULAR 380 mg      
ReVia TABLET, ORAL 50 mg      
Comments:

Vivitrol medication guide

Naltrexone Depot Injection (Vivitrol) is non-formulary, not stocked, do not order. Patients should not be started on this drug in the hospital and should use their home supply or obtain their supply through their normal outpatient means if a dose is needed during hospitalization.

Reviewed: May 23, 2006 (Vivitrol)

REMS(Vivitrol): View FDA REMS Info

Last updated: Aug. 21, 2017






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