Policies and procedures

System_RXCLIN 169 Pharmacy Consult to Monitor Pulmonary Arterial Hypertension Medications

Key Points:

• Verifying pharmacist must verify all of the following elements with the patient or the patient's specialty pharmacy:
  • Approved prescriber (new starts)
  • Dose (ng/kg/min)
  • Rate (mL/24 hours)
  • Concentration
• Orders written for epoprostenol, including the initial dose, must be forwarded to clinical pharmacist via a "Communication to clinical specialist" i-Vent
• Pharmacy contact information:
  • Accredo Therapeutics (available 24 hr/day): 1-866-344-4874
  • Walgreens Specialty Pharmacy: 1-800-424-9002
  • CVS/Caremark Specialty pharmacy: 1-877-242-2738
• Clinical pharmacist will fill out reconciliation/request form and send to the SPA pharmacist (713-441-5329) in central pharmacy anytime a new cassette is required (2 cassettes required if new start)
  • Flolan Request Form (Standard)
  • Flolan Request Form (Non-Standard - ALARIS Pump)
  • Veletri Request Form (Standard)
• Pharmacist must ensure patient has a back-up cassette at all times and prior to institution cassette changing time
• Pharmacists will document in Epic using i-Vents and consult notes with every rate change and at least daily

Additional information

• Flolan Nursing Info Sheet

• Micromedex
• UpToDate
• Lexicomp