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Medications listed are available on OH EPIC Formulary, unless otherwise noted.
Not all formulary medications are available at each facility. Please refer to your local pharmacy for available inventory.

HIGH ALERT: Please review policy carefully.

Search results for:

leuprolide

leuprolide
  • Ambulatory: 22.5mg - Urology
  • Ambulatory: 45mg (Eligard) - Urology
  • Ambulatory: Subcut. kit - ObGyn; Lurpon Depot - Urology
Drug Name Form Strength Infusion Center Available Restricted Non-formulary Ambulatory Available Interchange REMS
Lupron Depot-Ped KIT, INTRAMUSCULAR pediatric 45 mg/6 months      
Lupron Depot KIT, INTRAMUSCULAR 7.5 mg/month; 22.5 mg/3 months; 30 mg/4 months; 45 mg/6 months      
Lupron Depot-Ped KIT, INTRAMUSCULAR 11.25 mg/3 months        
Lupron KIT, SUBCUTANEOUS 1 mg/0.2 mL        
Lupron Depot POWDER FOR INJECTION, EXTENDED RELEASE, INTRAMUSCULAR 3.75 mg/month; 11.25 mg/3 months        
Lupron Depot-Ped POWDER FOR INJECTION, EXTENDED RELEASE, INTRAMUSCULAR 7.5 mg/month; 11.25 mg/month; 15 mg/month; 30 mg/3 months        
Eligard POWDER FOR INJECTION, EXTENDED RELEASE, SUBCUTANEOUS 7.5 mg/month; 45 mg/6 months        

High Alert Drug : Policy

Additional Information and Links

    leuprolide (Lupron Depot-PED) 45 mg IM injection (PEDS – q 6 month)

  • OH Epic formulary via CAM and therapy plan, restricted to:
    • Indication: central precocious/premature puberty
    • Service line: Endocrinology
    • Formulary location: clinic/ambulatory, outpatient infusion
    • Service location: clinic/ambulatory, outpatient infusion, home infusion
    • Patient population: pediatrics

Last updated: Apr. 25, 2025


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