UNC Health Medication Formulary
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UNC Health Medication Formulary
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oxyCODONE

oxyCODONE
Drug Name Form Strength ARHS Blue Ridge Caldwell Chatham Johnston Lenoir Medical Center Nash Pardee Rex Rockingham Southeastern Wayne Youth Behavioral Health
OxyCODONE CONCENTRATE, ORAL 20 mg/mL                      
OxyCODONE SOLUTION, ORAL 1 mg/mL (500 mL)                        
OxyCODONE SOLUTION, ORAL 1 mg/mL (5 mg/5 mL)          
OxyCODONE TABLET, EXTENDED RELEASE, ORAL 10 mg  
OxyCODONE TABLET, EXTENDED RELEASE, ORAL 15 mg                      
OxyCODONE TABLET, EXTENDED RELEASE, ORAL 20 mg    
OxyCODONE TABLET, EXTENDED RELEASE, ORAL 40 mg                
OxyCODONE TABLET, EXTENDED RELEASE, ORAL 80 mg                      
OxyCODONE TABLET, ORAL 5 mg
OxyCODONE TABLET, ORAL 10 mg                        
OxyCODONE TABLET, ORAL 15 mg                    
OxyCODONE TABLET, ORAL 20 mg                          
OxyCODONE TABLET, ORAL 30 mg                          

UNC Health

Therapeutic Interchange

Non-Formulary Order

Formulary Equivalent Order

OxyCODONE myristate (Xtampza) capsule, ER

OxyCODONE HCl tablet, ER

9 mg every 12 hours

10 mg every 12 hours

13.5 mg every 12 hours

15 mg every 12 hours

18 mg every 12 hours

20 mg every 12 hours

27 mg every 12 hours

30 mg every 12 hours

36 mg ever 12 hours

40 mg every 12 hours

Rockingham
     Therapeutic Interchange Policy


Last updated: Sep. 29, 2023







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