Approved Hospital Formulary
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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.
Please be sure to document all clinical activities daily.
Approved Hospital Formulary
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tolvaptan
tolvaptan
- Restricted Samsca --> Restricted to cardiology, endocrinology or nephrology physicians.
- Restricted Miscellaneous Program Formulary
- Non-formulary
Last updated: Nov. 24, 2025
- Black Box Warning: Initiation or re-initiation monitoring
Jynarque medication guide
Samsca medication guide
SAMSCA is classified as formulary, restricted to cardiology, CV surgery, nephrology, or endocrinology.
Jynarque is non-formulary, not stocked. Drug is only distributed directly to the patient from a specialty pharmacy. If ordered for continuation of home use in the hospital, a nephrology consult is recommended. Inpatients should use their own Jynarque if at all possible, rather than Samsca tablets.
Reviewed: August 25, 2009, and 23 Oct 2018 (Jynarque)
Updated: May 2019 (PKS automatic consultation discontinued)
REMS (tolvaptan for ADPKD): View FDA REMS Info