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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orlistat

orlistat
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Alli CAPSULE, ORAL 60 mg      
Xenical CAPSULE, ORAL 120 mg      
Comments:

Reclassified as non-formulary in November 2020 (both Xenical and Alli). Defer initiation to outpatient setting. Inpatients may use own supply. 

Reviewed: April 24, 2007 (Alli), November 2020 (Alli and Xenical)

Last updated: Dec. 1, 2020
  • Therapeutic Interchange






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