FormWeb • obeticholic acid

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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obeticholic acid

obeticholic acid

Non-formulary Miscellaneous Programs

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Ocaliva	TABLET, ORAL	5 mg, 10 mg

Comments:

obeticholic Acid (Ocaliva) – Non-formulary, not stocked, specialty pharmacy dispenses patient specific prescriptions only directly to patient, hospital cannot order. Patient must use own supply in hospital.

Reviewed: 13 December 2016 (Ocaliva)

Last updated: Mar. 25, 2019

Black Box Warning: Hepatic Decompensation and Failure in Incorrectly Dosed PBC Patients with Child-Puch Class B or C or Decompensated Cirrhosis

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