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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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suvorexant

suvorexant

Restricted Miscellaneous Programs
Restricted Belsomra --> Restricted to the continuation of therapy.
Therapeutic Interchange

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Belsomra	TABLET, ORAL	5 mg, 10 mg
Belsomra	TABLET, ORAL	15 mg, 20 mg

Comments:

ORDER FORMULATION

THERAPEUTIC INTERCHANGE

NOTES

suvorexant (Belsomra)

5 mg tablet oral
10 mg tablet oral

zolpidem (Ambien)

5 mg tablet oral
5 mg tablet oral

Interchange orders for new starts to zolpidem. Belsomra is dispensed from pharmacy for patients continuing a home regimen

suvorexant (Belsomra)

15 mg tablet oral
20 mg tablet oral

zolpidem (Ambien)

10 mg tablet oral
10 mg tablet oral

Interchange orders for new starts to zolpidem (not to exceed 5 mg for females). Belsomra is dispensed from pharmacy for patients continuing a home regimen

For Belsomra 15 mg, dispense three 5 mg tabs

For Belsomra 20 mg, dispense two 10 mg tabs

Belsomra medication guide

Belsomra is classified as formulary status, restricted to patients continuing a home regimen in the hospital. Orders for new starts are interchanged to zolpidem. Belsomra is a controlled substance and is dispensed from pharmacy rather than using a patient's own supply of medication

Reviewed: 23 June 2015 (Belsomra)

Last updated: Apr. 13, 2023

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