FormWeb • romiPLOStim

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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romiPLOStim

romiPLOStim

Restricted Nplate --> Restricted to hematology/oncology physicians.
Restricted Miscellaneous Program Formulary

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Nplate	POWDER FOR INJECTION, SUBCUTANEOUS	125 mcg, 250 mcg, 500 mcg

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CLASS

Comments:

Restricted to hematology/oncology physicians. We have approval to round dose down by up to 25% to avoid using an additional vial for a dose.

NPLATE is dosed weekly and is used to treat chronic thrombocytopenia only. If an inpatient is in need of a weekly maintenance dose, and the patient is going to be discharged in the next 24 hours, the dose should be deferred to the outpatient setting if possible. If necessary, a dose may be ordered in for a patient or borrowed from the physician's office. Initiation should be deferred to after discharge.

Reviewed: February 26, 2009

Last updated: Jul. 26, 2024

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