UNC Health Medication Formulary
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UNC Health Medication Formulary
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ocular lubricant

ocular lubricant
Drug Name Form Strength ARHS Blue Ridge Caldwell Chatham Johnston Lenoir Medical Center Nash Pardee Rex Rockingham Southeastern Wayne Youth Behavioral Health
Hypromellose GEL, OPHTHALMIC 0.3% (10 g)                  
Carboxymethylcellulose GEL, OPHTHALMIC 1% (15 mL)                  
Carboxymethylcellulose (Preservative-Free) GEL, OPHTHALMIC 1% (0.4 mL)              
Mineral Oil-White Petrolatum (Preservative-Free) OINTMENT, OPHTHALMIC 20%-80% (3.5 g)      
Mineral Oil-White Petrolatum (Preservative-Free) OINTMENT, OPHTHALMIC 20%-80% (5 g)        
Carboxymethylcellulose SOLUTION, OPHTHALMIC 0.25% (30 mL)            
Carboxymethylcellulose SOLUTION, OPHTHALMIC 0.25% (15 mL)      
Carboxymethylcellulose (Preservative-Free) SOLUTION, OPHTHALMIC 0.25% (0.4 mL)          
Polyvinyl Alcohol-Povidone SOLUTION, OPHTHALMIC 0.5%-0.6% (15 mL)                

UNC Health

Therapeutic Interchange

Non-Formulary Order

Formulary Equivalent Order

Carboxymethylcellulose 0.5% ophthalmic solution

Carboxymethylcellulose 0.25% ophthalmic solution

1 drop three times daily

1 drop three times daily

1 drop four times daily

1 drop four times daily

2 drops three times daily

2 drops three times daily

2 drops four times daily

2 drops four times daily

Carboxymethylcellulose-glycerin 0.5%-0.9% ophthalmic solution

Carboxymethylcellulose 0.25% ophthalmic solution

1 drop three times daily

1 drop three times daily

1 drop four times daily

1 drop four times daily

2 drops three times daily

2 drops three times daily

2 drops four times daily

2 drops four times daily

Cyclosporine 0.05% ophthalmic solution

Carboxymethylcellulose 0.25% ophthalmic solution

1 drop twice daily

1 drop twice daily

1 drop three times daily

1 drop three times daily

Cyclosporine 0.09% ophthalmic solution

Carboxymethylcellulose 0.25% ophthalmic solution

1 drop twice daily

1 drop twice daily

1 drop three times daily

1 drop three times daily

Lifitegrast 5% ophthalmic solution

Carboxymethylcellulose 0.25% ophthalmic solution

1 drop every 12 hours

1 drop every 12 hours

Mineral oil-white petrolatum 3%-94% ophthalmic ointment

Mineral oil-white petrolatum 20%-80% ophthalmic ointment

1 application once

1 application once

1 application every 2 hours as needed

1 application every 2 hours as needed

1 application every 4 hours as needed

1 application every 4 hours as needed

1 application nightly

1 application nightly

Mineral oil-white petrolatum 15%-83% ophthalmic ointment

Mineral oil-white petrolatum 20%-80% ophthalmic ointment

1 application once

1 application once

1 application every 2 hours as needed

1 application every 2 hours as needed

1 application every 4 hours as needed

1 application every 4 hours as needed

1 application nightly

1 application nightly

Mineral oil-white petrolatum 15%-85% ophthalmic ointment

Mineral oil-white petrolatum 20%-80% ophthalmic ointment

1 application once

1 application once

1 application every 2 hours as needed

1 application every 2 hours as needed

1 application every 4 hours as needed

1 application every 4 hours as needed

1 application nightly

1 application nightly

Mineral oil-white petrolatum 31.9%-57.7% ophthalmic ointment

Mineral oil-white petrolatum 20%-80% ophthalmic ointment

1 application once

1 application once

1 application every 2 hours as needed

1 application every 2 hours as needed

1 application every 4 hours as needed

1 application every 4 hours as needed

1 application nightly

1 application nightly

Mineral oil-white petrolatum 42.5%-56.8% ophthalmic ointment

Mineral oil-white petrolatum 20%-80% ophthalmic ointment

1 application once

1 application once

1 application every 2 hours as needed

1 application every 2 hours as needed

1 application every 4 hours as needed

1 application every 4 hours as needed

1 application nightly

1 application nightly

Mineral oil-white petrolatum 42.5%-57.3% ophthalmic ointment

Mineral oil-white petrolatum 20%-80% ophthalmic ointment

1 application once

1 application once

1 application every 2 hours as needed

1 application every 2 hours as needed

1 application every 4 hours as needed

1 application every 4 hours as needed

1 application nightly

1 application nightly

Polyethylene glycol 400-propylene glycol 0.4%-0.3% ophthalmic gel

Carboxymethylcellulose 1% ophthalmic gel

1 drop twice daily

1 drop twice daily

Polyethylene glycol 400-propylene glycol 0.4%-0.3% ophthalmic solution

Carboxymethylcellulose 0.25% ophthalmic solution

1 drop twice daily

1 drop twice daily

Polyethylene glycol 400 1%-hypromellose 0.2%-glycerin 0.2% ophthalmic solution

Carboxymethylcellulose 0.25% ophthalmic solution

1 drop every 2 hours as needed

1 drop every 2 hours as needed

1 drop every 4 hours as needed

1 drop every 4 hours as needed

2 drops every 2 hours as needed

2 drops every 2 hours as needed

2 drops every 4 hours as needed

2 drops every 4 hours as needed

Polyvinyl alcohol-povidone 1.4%-0.6% ophthalmic solution

Mineral oil-white petrolatum 20%-80% ophthalmic ointment

1 drop every 2 hours as needed

1 application every 2 hours as needed

1 drop every 4 hours as needed

1 application every 4 hours as needed

2 drops every 2 hours as needed

1 application every 2 hours as needed

2 drops every 4 hours as needed

1 application every 4 hours as needed

 


Last updated: Jul. 18, 2023
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