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Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

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Medications not yet evaluated by P&T are considered NON-FORMULARY . . . . . Always check 2 unique patient identifiers - NAME and DATE OF BIRTH - at every step! . . . . . Please be sure to document all clinical activities daily.

Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

HAZ-MED

Please review each of these drugs carefully.

abacavir	Table 2H
abacavir-dolutegravir-lamiVUDine	Table 2H (abacavir)
abacavir-lamiVUDine	Table 2H (abacavir)
abacavir-lamiVUDine-zidovudine	Table 2H (abacavir) Table 2H (zidovudine)
abemaciclib	Table 2H
abiraterone	Table 1
acalabrutinib	Table 1
acitretin	Table 2R
ado-trastuzumab emtansine	Table 1
afatinib	Table 2H
alectinib	Table 1
Alpelisib	Table 2R
altretamine	Table 1
ambrisentan	Table 2R
anacaulase topical	Table 1
anastrozole	Table 2R
apalutamide	Table 2R
apomorphine	Table 2H
arsenic trioxide	Table 1
artesunate	Table 2R
Asciminib	Table 2H
Avapritinib	Table 2R
axitinib	Table 2H
azaCITIDine	Table 1
azaTHIOprine	Table 1
baricitinib	Table 2H
bazedoxifene-conjugated estrogens	Table 2H
belantamab mafodotin-blmf	Table 1
belinostat	Table 1
belumosudil	Table 2R
belzutifan	Table 2R
bempedoic acid	Table 2R
bempedoic acid-ezetimibe	Table 2R
bendamustine	Table 1
benznidazole	Table 2R
bicalutamide	Table 2H
binimetinib	Table 2H
bleomycin	Table 1
blinatumomab	Table 2H
bortezomib	Table 1
bosentan	Table 2R
bosutinib	Table 2R
brentuximab vedotin	Table 1
brigatinib	Table 2R
brincidofovir	Table 1
busulfan	Table 1
cabazitaxel	Table 1
cabergoline	Table 2R
cabozantinib	Table 2R
capecitabine	Table 1
capivasertib	Table 2R
capmatinib	Table 2R
carBAMazepine	Table 2H
CARBOplatin	Table 1
carfilzomib	Table 2H
carmustine	Table 1
cenobamate	Table 2R
ceritinib	Table 2R
chlorambucil	Table 1
chloramphenicol	Table 1
cidofovir	Table 1
CISplatin	Table 1
cladribine	Table 1
clindamycin-tretinoin topical	Table 2R (tretinoin)
cloBAZam	Table 2R
clofarabine	Table 1
clonazePAM	Table 2R
cobimetinib	Table 2R
colchicine	Table 2R
colchicine-probenecid	Table 2R (colchicine)
conjugated estrogens	Table 1
conjugated estrogens topical	Table 1
conjugated estrogens-medroxyPROGESTERone	Table 1
copanlisib	Table 1
crizotinib	Table 2H
cyclophosphamide	Table 1
cycloSPORINE	Table 1
cycloSPORINE ophthalmic	Table 1
cysteamine ophthalmic solution	Table 2R
cytarabine	Table 1
cytarabine liposomal	Table 1
dabrafenib	Table 2H
dacarbazine	Table 1
dacomitinib	Table 2R
dacTINomycin	Table 1
darolutamide	Table 2H
dasatinib	Table 1
DAUNOrubicin	Table 1
DAUNOrubicin liposomal	Table 1
daunorubicin liposomal-cytarabine liposomal	Table 1 (daunorubicin liposomal) Table 1 (cytarabine liposomal)
decitabine	Table 1
decitabine-cedazuridine	Table 1
degarelix	Table 2R
dexrazoxane	Table 1
diclofenac-miSOPROStol	Table 2R (misoprostol)
dihydroergotamine	Table 2R
dinoprostone topical	Table 2R
diroximel fumarate	Table 2H
divalproex sodium	Table 2R
DOCEtaxel	Table 1
DOXOrubicin	Table 1
DOXOrubicin liposomal	Table 1
dronedarone	Table 2R
drospirenone-estradiol	Table 2H
dutasteride	Table 2R
dutasteride-tamsulosin	Table 2R (dutasteride)
duvelisib	Table 2H
elacestrant	Table 2R
elagolix	Table 2R
enasidenib	Table 2H
Encorafenib	Table 1
Enfortumab vedotin-ejfv	Table 1
entecavir	Table 2H
entrectinib	Table 2H
enzalutamide	Table 2R
epiRUBicin	Table 1
erdafitinib	Table 2H
eriBULin	Table 1
erlotinib	Table 2R
eslicarbazepine	Table 2R
esterified estrogens	Table 1
esterified estrogens-methylTESTOSTERone	Table 1
estradiol	Table 2H
estradiol topical	Table 2H
estradiol-levonorgestrel	Table 2H (estradiol) Table 2H (levonorgestrel)
estradiol-norethindrone	Table 2H (estradiol) Table 2H (norethindrone)
estramustine	Table 1
estropipate	Table 2H
ethinyl estradiol-levonorgestrel	Table 2H (levonorgestrel) Table 2H (ethinyl estradiol)
ethinyl estradiol-norgestrel	Table 2H (ethinyl estradiol)
etoposide	Table 1
Etrasimod	Table 2R
everolimus	Table 1
exemestane	Table 2R
exenatide	Table 2H
fam-trastuzumab deruxtecan	Table 1
fedratinib	Table 2H
finasteride	Table 2R
fingolimod	Table 2H
fluconazole	Table 2R
fludarabine	Table 1
fluorouracil	Table 1
fluorouracil topical	Table 1
flutamide	Table 2H
fosphenytoin	Table 2H
fostamatinib	Table 2R
fruquintinib	Table 2R
fulvestrant	Table 2R
ganciclovir	Table 1
ganciclovir ophthalmic	Table 1
gemcitabine	Table 1
gemtuzumab	Table 1
gilteritinib	Table 2H
glasdegib	Table 2H
goserelin	Table 2R
histrelin	Table 2R
HYDROXYprogesterone	Table 2H
hydroxyurea	table 1
ibrexafungerp	Table 2R
icatibant	Table 2R
IDArubicin	Table 1
ifosfamide	Table 1
imatinib	Table 1
Infigratinib	Table 1
inotuzumab ozogamicin	Table 1
insulin degludec-liraglutide	Table 2H (liraglutide)
irinotecan	Table 1
irinotecan liposomal	Table 1
isavuconazonium	Table 2R
ISOtretinoin	Table 2R
istradefylline	Table 2R
ivabradine	Table 2R
ivosidenib	Table 2H
ixabepilone	Table 1
ixazomib	Table 1
lamiVUDine-zidovudine	Table 2H (zidovudine)
larotrectinib	Table 2R
Lefamulin	Table 2R
leflunomide	Table 2H
lenalidomide	Table 1
leniolisib	Table 2R
lenvatinib	Table 2R
letrozole	Table 2R
leuprolide	Table 2R
levonorgestrel	Table 2H
lomitapide	Table 2R
lomustine	Table 1
loncastuximab tesirine-lpyl	Table 1
lorlatinib	Table 2R
lurbinectedin	Table 1
macitentan	Table 2R
mavacamten	Table 2H
mechlorethamine	Table 1
mechlorethamine topical	Table 1
medroxyPROGESTERone	Table 2R
megestrol	Table 2H
melphalan	Table 1
menotropins	Table 2R
mercaptopurine	Table 1
methIMAzole	Table 2H
methotrexate	Table 1
methylergonovine	Table 2R
methylTESTOSTERone	Table 2R
midostaurin	Table 2H
miglustat	Table 2R
miltefosine	Table 2R
mipomersen	Table 2H
mirvetuximab soravtansine-gynx	Table 1
miSOPROStol	Table 2R
mitoMYcin	Table 1
mitoMYcin ophthalmic	Table 1
mitoXANTRONE	Table 1
mobocertinib	Table 1
momelotinib	Table 2R
mycophenolate mofetil	Table 1
mycophenolic acid	Table 2H
nelarabine	Table 1
neratinib	Table 2H
nevirapine	Table 2H
nifurtimox	Table 2H
nilotinib	Table 2R
niraparib	Table 1
nirogacestat	Table 2R
norethindrone	Table 2H
olaparib	Table 2H
oliceridine	Table 2R
olutasidenib	Table 2H
omacetaxine	Table 1
osimertinib	Table 2R
ospemifene	Table 2H
oteseconazole	Table 2R
oxaliplatin	Table 1
OXcarbazepine	Table 2H
oxytocin	Table 2R
ozanimod	Table 2R
PACLitaxel	Table 1
PACLitaxel protein-bound	Table 1
pacritinib	Table 2R
pafolacianine	Table 2R
palifermin	Table 2H
pamidronate	Table 2R
panobinostat	Table 1
PARoxetine	Table 2R
pasireotide	Table 2R
patisiran	Table 2R
PAZOPanib	Table 2R
PEMEtrexed	Table 1
Pemigatinib	Table 2H
pentostatin	Table 1
Pexidartinib	Table 2H
phenoxybenzamine	Table 2H
phentermine-topiramate	Table 2R (topiramate)
phenytoin	Table 2H
pirtobrutinib	Table 1
plerixafor	Table 2R
polatuzumab vedotin-piiq	Table 1
pomalidomide	Table 1
PONATinib	Table 2H
PRALAtrexate	Table 1
pralsetinib	Table 2H
prasterone	Table: 2R
pretomanid	Table 2R
procarbazine	Table 1
progesterone	Table 2H
progesterone topical	Table 2H
propylthiouracil	Table 2H
quizartinib	Table 2H
raloxifene	Table 2H
rasagiline	Table 2H
regorafenib	Table 2R
relugolix	Table 2R
remdesivir	Table 2H
ribavirin	Table 2R
ribociclib	Table 2H
riociguat	Table 2R
ripretinib	Table 2H
ritlecitinib	Table 2H
romiDEPsin	Table 1
ropeginterferon alfa-2b-njft	Table: 2R
rucaparib	Table 1
sacituzumab govitecan	Table 1
selinexor	Table 2H
selpercatinib	Table 2R
selumetinib	Table 2R
sirolimus	Table 2H
sonidegib	Table 2R
SORAfenib	Table 2R
spironolactone	Table 2H
spironolactone-hydroCHLOROthiazide	Table 2H (spironolactone)
stiripentol	Table 2R
SUNItinib	Table 2H
tacrolimus	Table 2H
tacrolimus topical	Table 2H
Tafamidis	Table 2R
Tagraxofusp-erzs	Table 2H
talazoparib	Table 1
tamoxifen	Table 1
tazemetostat	Table 2R
temazepam	Table 2R
temozolomide	Table 1
temsirolimus	Table 1
teniposide	Table 1
Tepotinib	Table 2R
teriflunomide	Table 2H
testosterone	Table 2R
thalidomide	Table 1
thiotepa	Table 1
tipiracil-trifluridine	Table 1
tisotumab vedotin	Table 1
tofacitinib	Table 2H
topiramate	Table 2R
topotecan	Table 1
toremifene	Table 2R
trabectedin	Table 1
trametinib	Table 2H
tretinoin	Table 2R
trifluridine ophthalmic	Table 1
trilaciclib	Table 2R
triptorelin	Table 2R
tucatinib	Table 2H
Umbralisib	Table 1
vadadustat	Table 2R
valGANciclovir	Table 1
valproic acid	Table 2R
valrubicin	Table 1
vandetanib	Table 1
vemurafenib	Table 2R
venetoclax	Table 2R
vericiguat	Table 2R
vigabatrin	Table 2R
vinBLAStine	Table 1
vinCRIStine	Table 1
vinCRIStine liposome	Table 1
vinorelbine	Table 1
vismodegib	Table 2R
Voclosporin	Table 1
voriconazole	Table 2R
vorinostat	Table 1
warfarin	Table 2R
zanubrutinib	Table 1
zidovudine	Table 2H
ziprasidone	Table 2R
ziv-aflibercept	Table 2R
zoledronic acid	Table 2R
zonisamide	Table 2R
zuranolone	Table 2R

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