Approved Formulary
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Approved Formulary
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sertraline

sertraline
  • Earned In-Cell If AIC demonstrates adherence to proper regimen for 60 or more days
  • Exceptions / Designators Maximum formulary dose is 250mg per day. Daily doses exceeding 250mg will require TLoC approval.
Brand names: Sertraline HYDROCHLORIDE, ZOLOFT
Form Strength  
CONCENTRATE, ORAL 20 mg/mL
TABLET, ORAL 25 mg; 50 mg; 100 mg


Last updated: Jul. 21, 2022


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