FormWeb • Therapeutic Interchange

Approved Hospital Formulary

Formulary Addition Requisition (Position 1)

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Approved Hospital Formulary

Formulary Addition Requisition (Position 1)

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Please review each of these drugs carefully.

acetaminophen	Acetaminohpen ER TI: Autosub to acetaminophen regular-release. Calculate the total daily dose of acetaminophen ER and divide Q6hr
acyclovir-hydrocortisone topical	acyclovir topical (Zovirax Topical) AND hydrocortisone topical (Cortaid)
felodipine	See Drug Detail Page
fenofibrate	See Formulary Substitutions
fluticasone nasal	Fluticasone (Flonase) can be used as a therapeutic equivalent for Mometasone (Nasonex)
glyBURIDE	Therapeutic Interchange List
lovastatin	Autosub Lovastatin 20 mg daily to Pravastatin 20 mg daily Autosub Lovastatin 40 mg daily to Atorvastatin 10 mg daily Autosub Lovastatin 80 mg daily to Atorvastatin 20 mg daily
omeprazole	See Drug Detail Page

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