FormWeb • Therapeutic Interchange

Franciscan Missionaries of Our Lady Health System

Questions or Suggestions Drug Information Questions

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Franciscan Missionaries of Our Lady Health System

Questions or Suggestions Drug Information Questions

Therapeutic Interchange

Please review each of these drugs carefully.

acebutolol (non-formulary)	T.I.
acetaminophen	T.I.
acetaminophen-hydrocodone	T.I.
acetylcysteine	T.I.
aclidinium (non-formulary)	T.I.
acyclovir topical	T.I.
albuterol	T.I.
albuterol-ipratropium	T.I.
alclometasone topical	T.I.
alfuzosin (non-formulary)	T.I.
ALPRAZolam	T.I.
amLODIPine	T.I.
amphotericin B liposomal	T.I.
atorvastatin	T.I.
atropine-diphenoxylate	T.I.
beclomethasone	T.I.
beclomethasone nasal	T.I.
betamethasone topical	T.I.
betamethasone-clotrimazole topical	T.I.
bevacizumab	Biosimilar and Reference Products Conversion List for Adults
bisoprolol	T.I.
brimonidine ophthalmic	T.I.
brimonidine-timolol ophthalmic	T.I.
brinzolamide ophthalmic	T.I.
budesonide nasal	T.I.
budesonide-formoterol	T.I.
buprenorphine-naloxone	T.I.
buPROPion	T.I.
butenafine topical	T.I.
calcium carbonate	T.I.
calcium-vitamin D	T.I.
carvedilol	T.I.
caspofungin (non-formulary)	T.I.
cefadroxil	T.I.
cefdinir	T.I.
cefepime	T.I.
cefotaxime	T.I.
cefprozil	T.I.
cefTRIAXone	T.I.
cefuroxime	T.I.
cephalexin	T.I.
cetirizine (formulary, restricted to pediatrics)	T.I.
cetirizine-pseudoephedrine	T.I.
cholecalciferol	T.I.
cholestyramine	This is a therapeutic interchange (formulary) option for colestipol
ciclesonide	T.I.
cimetidine (non-formulary)	T.I.
ciprofloxacin ophthalmic	Deprecated: preg_match(): Passing null to parameter #2 ($subject) of type string is deprecated in /var/www/formweb/system/views/site/listingview.php on line 46
clarithromycin	T.I.
clobetasol topical	T.I.
clotrimazole topical	T.I.
colesevelam	This is a therapeutic interchange (formulary) option for colestipol
colestipol	Substitute to Colesevelam Tablet or Cholestyramine Packet
cyclobenzaprine	T.I.
darifenacin	T.I.
denosumab	Biosimilar and Reference Products Conversion List for Adults
desloratadine	T.I.
desoximetasone topical	T.I.
dexamethasone	T.I.
dexlansoprazole (non-formulary)	T.I.
diphenhydrAMINE	T.I.
docosanol topical	T.I.
docusate	T.I.
dolasetron (non-formulary)	T.I.
dorzolamide ophthalmic	T.I.
dorzolamide-timolol ophthalmic	T.I.
doxepin	T.I.
doxycycline	T.I.
eculizumab	Biosimilar and Reference Products Conversion List for Adults
eletriptan (non-formulary)	T.I.
enalapril	T.I.
enoxaparin	T.I.
epoetin alfa	Biosimilar and Reference Products Conversion List for Adults
esomeprazole	T.I.
estazolam (non-formulary)	T.I.
famotidine	T.I.
fenofibrate	T.I.
ferrous sulfate	T.I.
fesoterodine	T.I.
fexofenadine	T.I.
filgrastim	Biosimilar and Reference Products Conversion List for Adults
flunisolide	T.I.
flunisolide nasal	T.I.
fluocinonide topical	T.I.
flurazepam (non-formulary)	T.I.
fluticasone	T.I.
fluticasone nasal	T.I.
fluticasone-salmeterol	T.I.
fluticasone-vilanterol	T.I.
fluvastatin (non-formulary)	T.I.
folic acid	T.I.
formoterol fumarate	T.I.
formoterol-mometasone	T.I.
fosphenytoin	T.I.
frovatriptan (non-formulary)	T.I.
furosemide	T.I.
glimepiride	T.I.
glipiZIDE	T.I.
glyBURIDE	T.I.
hydrochlorothiazide-triamterene	T.I.
hydrocortisone topical	T.I.
hydrocortisone-pramoxine topical	T.I.
HYDROmorphone	T.I.
hydrOXYzine	T.I.
imipenem-cilastatin	T.I.
immune globulin intravenous	T.I.
immune globulin intravenous and subcutaneous	T.I.
indacaterol	T.I.
inFLIXimab	Biosimilar and Reference Products Conversion List for Adults
insulin isophane (NPH)	T.I.
insulin isophane-insulin regular	T.I.
insulin lispro	T.I.
insulin lispro-insulin lispro protamine	T.I.
insulin regular	T.I.
isosorbide mononitrate	T.I.
isradipine	T.I.
ketoconazole topical	T.I.
ketorolac	T.I.
ketotifen ophthalmic	T.I.
l. actobacillus acidophilus and bulgaricus	T.I.
lansoprazole	T.I.
latanoprost ophthalmic	T.I.
levalbuterol	T.I.
levocetirizine	T.I.
levoFLOXacin	T.I.
lisinopril	T.I.
loperamide	T.I.
loratadine	T.I.
loratadine-pseudoephedrine	T.I.
losartan	T.I.
lovastatin (non-formulary)	T.I.
megestrol	T.I.
memantine	T.I.
meperidine	T.I.
meropenem	T.I.
metFORMIN	T.I.
micafungin	T.I.
miconazole topical	T.I.
mirabegron
mometasone nasal	T.I.
morphine	T.I.
moxifloxacin	T.I.
multivitamin	T.I.
multivitamin with iron	T.I.
multivitamin with minerals	T.I.
mupirocin topical	T.I.
nadolol	T.I.
nafcillin	T.I.
naproxen	T.I.
naratriptan (non-formulary)	T.I.
nebivolol	T.I.
nisoldipine (non-formulary)	T.I.
nitrofurantoin	T.I.
nizatidine (non-formulary)	T.I.
nystatin topical	Deprecated: preg_match(): Passing null to parameter #2 ($subject) of type string is deprecated in /var/www/formweb/system/views/site/listingview.php on line 46
olmesartan	T.I.
olodaterol	T.I.
olodaterol-tiotropium	T.I.
olopatadine ophthalmic	T.I.
omeprazole	T.I.
ondansetron	T.I.
oxiconazole topical	T.I.
oxybutynin	T.I.
oxyCODONE	T.I.
oxyMORphone	T.I.
pantoprazole	T.I.
PARoxetine	T.I.
pegfilgrastim	Biosimilar and Reference Products Conversion List for Adults
penbutolol (non-formulary)	T.I.
PHENobarbital	T.I.
phenytoin	T.I.
pindolol (non-formulary)	T.I.
piperacillin-tazobactam	T.I.
potassium chloride	T.I.
pramipexole	Deprecated: preg_match(): Passing null to parameter #2 ($subject) of type string is deprecated in /var/www/formweb/system/views/site/listingview.php on line 46
pravastatin (non-formulary)	T.I.
prochlorperazine	T.I.
propafenone	T.I.
propranolol	T.I.
QUEtiapine	T.I.
RABEprazole (non-formulary)	T.I.
ramelteon	Deprecated: preg_match(): Passing null to parameter #2 ($subject) of type string is deprecated in /var/www/formweb/system/views/site/listingview.php on line 46
ramipril (non-formulary)	T.I.
raNITIdine	T.I.
riTUXimab	Biosimilar and Reference Products Conversion List for Adults
rizatriptan	T.I.
salmeterol	T.I.
sevelamer	T.I.
silodosin (non-formulary)	T.I.
simethicone	T.I.
simvastatin	T.I.
SITagliptin	T.I.
sotalol	T.I.
SUMAtriptan	T.I.
tacrolimus topical	T.I.
telmisartan	T.I.
temazepam	T.I.
terbinafine topical	T.I.
terconazole topical	T.I.
timolol ophthalmic	T.I.
tiotropium	T.I.
tobramycin ophthalmic	T.I.
tocilizumab	Biosimilar and Reference Products Conversion List for Adults
tolnaftate topical	T.I.
tolterodine	T.I.
traMADol	T.I.
trastuzumab	Biosimilar and Reference Products Conversion List for Adults
travoprost ophthalmic	T.I.
triamcinolone topical	T.I.
triazolam (non-formulary)	T.I.
trimethobenzamide	T.I.
trospium	T.I.
umeclidinium-vilanterol	T.I.
ustekinumab	Biosimilar and Reference Products Conversion List for Adults
valsartan	T.I.
ZOLMitriptan (non-formulary)	T.I.
zolpidem	T.I.

Pharmacy Phone Numbers

Our Lady of the Lake Regional Medical Center
225-765-4434
Our Lady of the Lake Children’s Hospital
225-374-1380
Our Lady of the Lake Ascension Hospital
225-647-5057
Our Lady of the Lake Assumption Community Hospital
985-369-4290
Our Lady of Angels Hospital
985-730-6789

Our Lady of Lourdes Hospital
337-470-2866
Our Lady of Lourdes Women and Children’s
337-470-5070
Our Lady of Lourdes Heart Hospital
337-470-1080
St. Dominic Jackson Memorial Hospital
601-200-6000
St. Francis Medical Center
318-966-3461