Policies and procedures

Consults, protocols, and therapeutic interchanges

System_RXCLIN 122 Therapeutic Interchange Glucagon Like Peptide 1 Receptor Agonists

Key points:

• If a patient is taking a GLP-1 receptor agonist as an outpatient and the prescriber desires to continue therapy as an inpatient, the medication may be interchanged to the formulary alternative or the patient can use their own supply if available
• On admission, the pharmacist will verify when the last dose was administered and update the medication history
• Pharmacist will review the GLP-1 receptor agonist order to assure accurate dose, route, and frequency per the approved formulary interchange, and will notify the practitioner to clarify and resolve discrepancies

Additional information

• Micromedex
• UpToDate
• Lexicomp