FormWeb • perampanel

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

Search results for:

perampanel

perampanel

Restricted Fycompa --> Restricted to initiation by neurology physicians.
Restricted Miscellaneous Program Formulary

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Fycompa	TABLET, ORAL	2 mg, 4 mg, 6 mg, 8 mg, 10 mg, 12 mg

Comments:

Fycompa medication guide

FYCOMPA is approved for formulary status. Initiation of therapy in the hospital is restricted to neurology physicians. Orders to continue maintenance therapy are not restricted.

Reviewed: June 24, 2014 (Fycompa)

Last updated: Aug. 17, 2017

Black Box Warning: Serious psychiatric and behavioral reactions

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