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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polyethylene glycol 3350

polyethylene glycol 3350
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
MiraLax POWDER FOR RECONSTITUTION, ORAL -      

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CLASS
960000

Comments:

Standardize MIRALAX doses for bowel preparation as follows:

  • 17 - 102 g (give the dose with 17 g packets)
  • 103 - 350 g (standardize dose to the 238 g container)
  • 351 - 700 g (standardize dose to the 510 g container)

Last updated: Mar. 8, 2016







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