Approved Hospital Formulary
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Approved Hospital Formulary
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empagliflozin

empagliflozin
Brand names: Jardiance
Form Strength
TABLET, ORAL 10 mg (formulary, restricted), 25 mg (non-formulary)


Additional Information:

Formulary Restricted to patients with a diagnosis of heart failure. 

For new starts - The provider or their designee please check coverage and affordability, by sending a discharge prescription to outpatient pharmacy, in order to ensure continuity of care.


Last updated: Nov. 3, 2022







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