FormWeb • AMOXICILLIN/CLAVULANATE

North Mississippi Medical Center

Pharmacy Home Formulary Request Form P&T Approved Substitutions

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MISSISSIPPI POISON CONTROL CENTER 1-800-222-1222 -- EMERGENCY CONTACT FOR NERVE AGENT/ORGANOPHOSPHATE POISONING 1-800-222-MEMA (6362)

North Mississippi Medical Center

Pharmacy Home Formulary Request Form P&T Approved Substitutions

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AMOXICILLIN/CLAVULANATE

AMOXICILLIN/CLAVULANATE

Brand names: AUGMENTIN, AUGMENTIN ES-600, AUGMENTIN XR

Form	Strength
POWDER FOR RECONSTITUTION	400 mg/57 mg per 5 mL
POWDER FOR RECONSTITUTION (EXTRA STRENGTH)	600 mg/42.9 mg per 5 mL
TABLET	500 mg/125 mg, 875 mg/125 mg
TABLET, EXTENDED RELEASE	1000 mg/62.5 mg

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Comments: Do not crush XR formulation tablets. See approved substitutions list for dosing instructions of non-formulary strenths/dosage forms.

Last updated: Nov. 30, -0001

MISSISSIPPI POISON CONTROL CENTER 1-800-222-1222 -- EMERGENCY CONTACT FOR NERVE AGENT/ORGANOPHOSPHATE POISONING 1-800-222-MEMA (6362)
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