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Approved Formulary
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LVP solution with lytes
LVP solution with lytes
| Drug Name | Form | Strength | Non-Formulary | Restricted | TX Sub | Notes |
|---|---|---|---|---|---|---|
| Dextrose 5% and 0.2% Sodium Chloride with Potassium Chloride 20 mEq/L | SOLUTION, INTRAVENOUS | Dextrose 5% with 0.2% NaCl and KCl 20 mEq/L | ||||
| Dextrose 5% and 0.45% Sodium Chloride with Potassium Chloride 10 mEq/L | SOLUTION, INTRAVENOUS | Dextrose 5% with 0.45% NaCl and KCl 10 mEq/L | ||||
| Dextrose 5% and 0.45% Sodium Chloride with Potassium Chloride 20 mEq/L | SOLUTION, INTRAVENOUS | Dextrose 5% with 0.45% NaCl and KCl 20 mEq/L | ||||
| Dextrose 5% and 0.45% Sodium Chloride with Potassium Chloride 30 mEq/L | SOLUTION, INTRAVENOUS | Dextrose 5% with 0.45% NaCl and KCl 30 mEq/L | ||||
| Dextrose 5% and 0.45% Sodium Chloride with Potassium Chloride 40 mEq/L | SOLUTION, INTRAVENOUS | Dextrose 5% with 0.45% NaCl and KCl 40 mEq/L | ||||
| Dextrose 5% and 0.9% Sodium Chloride with Potassium Chloride 20 mEq/L | SOLUTION, INTRAVENOUS | Dextrose 5% with 0.9% NaCl and KCl 20 mEq/L | ||||
| Dextrose 5% and 0.9% Sodium Chloride with Potassium Chloride 40 mEq/L | SOLUTION, INTRAVENOUS | Dextrose 5% with 0.9% NaCl and KCl 40 mEq/L | ||||
| Dextrose 5% and Water with Potassium Chloride 20 mEq/L | SOLUTION, INTRAVENOUS | Dextrose 5% in Water with KCl 20 mEq/L | ||||
| Sodium Chloride 0.45% with Potassium Chloride 20 mEq/L | SOLUTION, INTRAVENOUS | Sodium Chloride 0.45% with KCl 20 mEq/L | ||||
| Sodium Chloride 0.9% with Potassium Chloride 20 mEq/L | SOLUTION, INTRAVENOUS | Sodium Chloride 0.9% with KCl 20 mEq/L | ||||
| Sodium Chloride 0.9% with Potassium Chloride 40 mEq/L | SOLUTION, INTRAVENOUS | Sodium Chloride 0.9% with KCl 40 mEq/L |
Last updated: Mar. 22, 2025