FormWeb • zafirlukast

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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zafirlukast

zafirlukast

Restricted Leukotriene Formulary
Restricted Accolate --> Restricted to NO SUB orders.
Therapeutic Interchange

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

VIEW MORE Leukotriene Modifiers
CLASS

Comments:

ORDERED FORMULATION

THERAPEUTIC INTERCHANGE

zafirlukast (Accolate)

Children:

10 mg tablet oral BID
10 mg tablet oral BID

Adults:

20 mg tablet oral BID

montelukast (Singulair)

Children:

5 mg chewable tablet oral Daily (If over 5 years old)
4 mg chewable tablet oral Daily (If 5 years old or less)

Adults:

10 mg tablet oral Daily

Last updated: Dec. 26, 2017

Formulary, Not Routinely Stocked: Accolate --> 10 mg, 20 mg

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