FormWeb • Therapeutic Interchange

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Approved Hospital Formulary

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Brand name products with an equivalent generic may not be available to order at Henry Ford Health. For questions, contact inpatient pharmacy.

Henry Ford Health

Approved Hospital Formulary

FormWeb QuickStart Questions or Suggestions? Pharmacy Intranet

Therapeutic Interchange

Please review each of these drugs carefully.

acetaminophen	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
acetaminophen-hydrocodone	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
albuterol-ipratropium	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
amLODIPine	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
amoxicillin	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
atorvastatin	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
brimonidine ophthalmic	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
budesonide-formoterol	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
buprenorphine	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
calcium carbonate	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
calcium-vitamin D	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
carvedilol	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
cefpodoxime	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
cefuroxime	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
cetirizine	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates in Epic
cholecalciferol	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
ciprofloxacin ophthalmic	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
clobetasol topical	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
dorzolamide ophthalmic	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
esomeprazole	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
famotidine	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
fenofibrate	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
ferrous sulfate	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
finasteride	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
fluocinonide topical	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
fluticasone nasal	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
folic acid	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
glipiZIDE	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
hydrocortisone topical	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
hydrOXYzine	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
insulin glargine	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
insulin lispro	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
ipratropium	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
iron polysaccharide	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
latanoprost ophthalmic	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
lisinopril	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
loratadine	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
loratadine-pseudoephedrine	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
losartan	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
magnesium L-lactate	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates in Epic
montelukast	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
multivitamin	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
multivitamin with minerals	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
naproxen	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
NIFEdipine	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
nitrofurantoin	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
oxyCODONE	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
pantoprazole	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
PHENobarbital	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
pioglitazone	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
pravastatin	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
raNITIdine	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates in Epic
sevelamer	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
SITagliptin	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
tamsulosin	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
timolol ophthalmic	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
tiotropium	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
triamcinolone topical	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
valsartan	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
vancomycin	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates
zolpidem	Tier 1: Therapeutic Interchange and Custom Therapeutic Alternates

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