FormWeb • HYOSCYAMINE/METHENAMINE/METHYLENE BLUE/SODIUM BIPHOSPHATE

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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HYOSCYAMINE/METHENAMINE/METHYLENE BLUE/SODIUM BIPHOSPHATE

HYOSCYAMINE/METHENAMINE/METHYLENE BLUE/SODIUM BIPHOSPHATE

Drug Name	Form	Strength
Urogesic-Blue	TABLET, ORAL	0.12 mg-81.6 mg-10.8 mg-40.8 mg

VIEW MORE Anti-infectives, Miscellaneous
CLASS

Comments:

Use Urogesic Blue for orders of Prosed DS, Trac Tabs 2X, Urised, and UTA.

Last updated: Oct. 9, 2025

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