Policies and procedures

Procedure M-13.2.6 Prescribing and Dispensing of Medications for Pulmonary Arterial Hypertension

Consults, protocols, and therapeutic interchanges

System_RXCLIN 133 Pharmacy Procedure for Remodulin

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 treprostinil, 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
  • 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 anytime a new cassette is required (2 cassettes required if new start)
  • Remodulin Request Form
• 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

•  Remodulin Nursing Info Sheet

• Micromedex
• UpToDate
• Lexicomp