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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

Non-formulary

Please review each of these drugs carefully.

abacavir-dolutegravir-lamiVUDine	AIDS Drugs Formulary
abacavir-lamiVUDine	AIDS Drugs Formulary
abacavir-lamiVUDine-zidovudine	AIDS/HIV Drugs Formulary
abaloparatide	Miscellaneous Programs
abciximab	Miscellaneous Programs
abemaciclib
abiraterone	Anti-Neoplastic Formulary
abrocitinib	Miscellaneous Formulary
acalabrutinib
acetaminophen-HYDROcodone
acetaminophen-oxyCODONE
acetaminophen-pentazocine	Narcotic - Oral
acetic acid-aluminum acetate otic	Otic Product Formulary
acetylcysteine
aclidinium-formoterol	Anticholinergics and combinations inhalers formulary
acyclovir
acyclovir-hydrocortisone topical	Miscellaneous Program Formulary
adalimumab	Miscellaneous Programs
adapalene-benzoyl peroxide topical
Aducanumab
afamelanotide	Miscellaneous Formulary
afatinib	Anti-Neoplastic Formulary
aflibercept ophthalmic	VEGF Inhibitors for Macular Degeneration Formulary
alatrofloxacin	Quinolones Formulary
albiglutide	Miscellaneous Programs
albuterol
albuterol-budesonide	Corticosteroid and Corticosteroid/Beta Agonists, Inhaled Formulary
albuterol-ipratropium
alcaftadine ophthalmic
alclometasone topical	Corticosteroid (Topical) Formulary
alectinib	Anti-Neoplastic Formulary
alemtuzumab	Lemtrada --> Non-Formulary
alendronate-cholecalciferol	Bisphosphonates Formulary
alirocumab	Miscellaneous Programs
aliskiren-amLODIPine	Calcium Channel Blocker (Dihydropyridine) Formulary
aliskiren-amLODIPine-hydroCHLOROthiazide	Miscellaneous Programs
aliskiren-hydroCHLOROthiazide	Miscellaneous Programs
aliskiren-valsartan
alogliptin-metFORMIN	Miscellaneous Program Formulary
alogliptin-pioglitazone	Miscellaneous Programs
Alpelisib	Anti-Neoplastic Formulary
ALPRAZolam
altretamine	Anti-Neoplastic Formulary
aluminum hydroxide
aluminum hydroxide-magnesium hydroxide
amantadine	Miscellaneous Programs
ambrisentan	Miscellaneous Programs
amifampridine	Not stocked
amikacin liposome
amino acids-electrolytes-dextrose-lipids	Miscellaneous Programs
aminolevulinic acid topical	Miscellaneous Programs
amLODIPine-atorvaSTATin	HMG CoA Reductase Inhibitor Formulary
amlodipine-celecoxib	Calcium Channel Blocker Formulary
amLODIPine-hydroCHLOROthiazide-valsartan	Miscellaneous Programs
amLODIPine-olmesartan	ARB Combination Products Formulary
amLODIPine-valsartan	Miscellaneous Programs
amoxapine
amoxicillin	Miscellaneous Programs
amoxicillin-clarithromycin-lansoprazole	Proton Pump Inhibitors Formulary
amoxicillin-clarithromycin-omeprazole
amoxicillin-clavulanate
amphetamine	Miscellaneous Programs
amphetamine sulfate	Miscellaneous Programs
amphetamine-dextroamphetamine	Miscellaneous Programs
amphotericin B cholesteryl sulfate	Amphotericin B Formulary
amphotericin B lipid complex	Amphotericin B Formulary
amprenavir	AIDS Drugs Formulary
anacaulase topical	Miscellaneous formulary
angiotensin II
anidulafungin	Echinocandin Formulary
Ansuvimab-zykl	Miscellaneous Formulary
anthralin topical
anthrax vaccine absorbed, adjuvanted	Vaccine Formulary
antihemophilic factor (obsolete)
antipyrine-benzocaine otic	Otic Product Formulary
apalutamide
apomorphine
Apraclonidine Ophthalmic	Miscellaneous Formulary
ARIPiprazole
Asciminib	Anti-Neoplastic Formulary
asenapine	Psychiatric Drug Formulary
asfotase alfa	Miscellaneous Program Formulary
aspirin
aspirin-omeprazole	Proton Pump Inhibitors Formulary
aspirin-pentazocine	Narcotic - Oral
aspirin-pravastatin	HMG-CoA Reducatase Inhibitors (Statins) Formulary
atazanavir-cobicistat	AIDS Drugs Formulary
atogepant	Miscellaneous Formulary
atropine/hyoscyamine/PB/scopolamine	Hyoscyamine Product Formulary
avanafil	Miscellaneous Programs
Avapritinib	Anti-Neoplastic Formulary
avatrombopag
axicabtagene ciloleucel
axitinib	Anti-Neoplastic Formulary
Axona	Miscellaneous Programs
azaCITIDine	Anti-Neoplastic Formulary
azelaic acid topical
azelastine nasal
azelastine ophthalmic	Ophthalmic Antihistamine/Mast Cell Stabilizer Formulary
azelastine-fluticasone nasal
azilsartan-chlorTHALidone	Angiotensin II Receptor Antagonist/Hydrochlorothiazide Formulary
aZITHromycin
AZTreonam	Miscellaneous Programs
bacitracin-polymyxin B topical
baloxavir marboxil
balsalazide
bamlanivimab	Miscellaneous Programs
bamlanivimab-etesevimab	Miscellaneous Programs Not Currently Authorized for Use
beclomethasone	Corticosteroid (Inhaled) Formulary
bedaquiline	Miscellaneous Programs
belantamab mafodotin-blmf	Anti-Neoplastic Formulary
belimumab
belumosudil	Anti-Neoplastic Formulary
belzutifan	Anti-Neoplastic
bempedoic acid	Miscellaneous Programs
bempedoic acid-ezetimibe	Miscellaneous Programs
bendroflumethiazide	Thiazide Diuretics Formulary
bendroflumethiazide-nadolol
Benzhydrocodone-acetaminophen	Narcotic - Oral Formulary
benznidazole
benzocaine otic	Otic Product Formulary
benzocaine topical
benzocaine-menthol topical	Lozenges, Anesthetic Formulary
benzoyl peroxide topical
benzyl alcohol topical	Pediculosis Agents Formulary
bepotastine ophthalmic	Ophthalmic Antihistamines/Mast Cell Stabilizers Formulary
beractant	Neonatal Lung Surfactants Formulary
besifloxacin ophthalmic	Ophthalmic Quinolone Formulary
betamethasone topical
betamethasone-calcipotriene topical	Miscellaneous Program Formulary
betrixaban
bimatoprost topical ophthalmic	Ophthalmic Prostaglandin Analogs-Drops Formulary
bismuth subsalicylate
bismuth subsalicylate-metroNIDAZOLE-tetracycline	Proton Pump Inhibitors Formulary
bisoprolol-hydroCHLOROthiazide	Thiazide Diuretics Formulary
boric acid otic	Otic Product Formulary
bosentan	Miscellaneous Programs
bosutinib	Anti-Neoplastic Formulary
bremelanotide	Miscellaneous Programs
brexpiprazole	Antipsychotic Formulary
brexucabtagene autoleucel	Anti-Neoplastic Formulary
brigatinib	Anti-Neoplastic Formulary
brimonidine ophthalmic
brimonidine topical	Miscellaneous Programs
brimonidine-timolol ophthalmic	Miscellaneous Programs
brodalumab	Miscellaneous Programs
brolucizumab-dbll	VEGF Inhibitors for Macular Degeneration Formulary
bromfenac ophthalmic	Ophthalmic NSAIDs Formulary
bromocriptine
budesonide/glycopyrrolate/formoterol
bupivacaine liposome	Miscellaneous Program Formulary
buprenorphine	Buprenorphine SL / Mucosal / Buccal / Film / Implant Formulary
buprenorphine-nalOXone
buPROPion
buPROPion-naltrexone	Miscellaneous Programs
cabotegravir-rilpivirine	AIDS Drugs Formulary
cabozantinib	Anti-Neoplastic Formulary
calcifediol
calcitonin
calcitriol topical	Miscellaneous Programs
calcium acetate
calcium carbonate
calcium carbonate-sodium fluoride
calcium citrate	Calcium-Oral Formulary
calcium gluconate	Calcium-Oral Formulary
calcium lactate
calfactant	Neonatal Lung Surfactants Formulary
canagliflozin-metFORMIN	Miscellaneous Program Formulary
canakinumab	Miscellaneous Programs
cannabidiol	Miscellaneous Programs
cantharidin	Miscellaneous Formulary
capmatinib	Anti-Neoplastic Formulary
capsaicin topical
captopril-hydroCHLOROthiazide	ACE Inhibitor Combinations Formulary
carBAMazepine
carbamide peroxide otic
carbidopa-levodopa
carbonyl iron	Iron - Oral and IV Formulary
carteolol	Beta Blocker (Oral) Formulary
carvedilol
casimersen
casirivimab/imdevimab	Miscellaneous Programs Not Currently Authorized for Use
cefaclor	Cephalosporin (Second-Third Generation Oral) Formulary
cefditoren	Cephalosporins, (Oral Second/Third Generation) Formulary
cefixime	Cephalosporin (Second-Third Generation Oral) Formulary
cefoperazone	Cephalosporin (Third Generation Injectable) Formulary
cefprozil	Cephalosporin (Second-Third Generation Oral) Formulary
ceftibuten	Cephalosporins, (Oral Second/Third Generation) Formulary
ceftizoxime	Cephalosporins, 3rd Generation (Injectable)
celecoxib-tramadol	Narcotic - Oral Formulary
Cenegermin	Miscellaneous Formulary
cephalexin
cephradine	Cephalosporins, (First Generation) Formulary
ceritinib	Anti-Neoplastic Formulary
cerliponase alfa	Miscellaneous Programs
cetirizine ophthalmic	Ophthalmic Antihistamine/Mast Cell Stabilizer Formulary
cetirizine-pseudoephedrine	Antihistamine (Non-Sedating) Formulary
chikungunya vaccine, live (cvx 317)	Vaccine Formulary
chlophedianol-pseudoephedrine	Antitussive Liquid Combinations/Non-narcotic
chlorothiazide
chloroxylenol-pramoxine-zinc acetate otic	Otic Product Formulary
chlorpheniramine
chlorpheniramine-HYDROcodone-PSE	Miscellaneous Program Formulary
chlorproMAZINE
chlorTHALidone
chlorTHALidone-cloNIDine
chlorzoxazone
cholera vaccine, live	Vaccine Formulary
cholic acid	Miscellaneous Programs
chondroitin-glucosamine
ciclesonide	Corticosteroid (Inhaled) Formulary
ciclesonide nasal	Corticosteroids, Intra-Nasal Formulary
ciclopirox topical
ciprofloxacin-hydrocortisone otic	Otic Product Formulary
cladribine	(Mavenclad --> non-stocked)
clindamycin-tretinoin topical	Miscellaneous Programs
cloBAZam	Miscellaneous Programs
clocortolone topical	Corticosteroid (Topical) Formulary
coagulation factor Xa recombinant, inactivated-zhzo
coal tar topical
cobicistat-darunavir	AIDS Drugs Formulary
cobicistat-elvitegravir-emtricitabine-tenofovir disoproxil fumarate	HIV/AIDS Drugs Formulary
cobimetinib	Anti-Neoplastic Formulary
codeine polistirex-chlorpheniramine polistirex	Narcotic Liquids
colchicine-probenecid	Miscellaneous Formulary
colistin-HC-neomycin-thonzonium otic	Otic Product Formulary
collagenase clostridium histolyticum	Miscellaneous Programs
conivaptan	Miscellaneous Programs
conjugated estrogens
cortisone	Miscellaneous Program Formulary
crisaborole topical	Miscellaneous Programs
crizotinib	Anti-Neoplastic Formulary
crofelemer	Miscellaneous Programs
cromolyn ophthalmic	Ophthalmic Antihistamines/Mast Cell Stabilizers Formulary
crotalidae immune f(ab)2(equine)
cycloSPORINE ophthalmic	Miscellaneous Formulary
cysteamine ophthalmic solution	Miscellaneous Formulary
dabrafenib	Anti-Neoplastic Formulary
daclatasvir	Miscellaneous Programs
daclizumab	Miscellaneous Programs
dacomitinib
dalfampridine	Miscellaneous Programs
dapagliflozin-metFORMIN	Miscellaneous Program Formulary
dapagliflozin-sAXagliptin	Miscellaneous Programs
dapagliflozin-sAXagliptin-metFORMIN	Miscellaneous Programs
darolutamide	Anti-Neoplastic Formulary
dasabuvir-ombitasvir-paritaprevir-ritonavir	Miscellaneous Programs
dasatinib	Anti-Neoplastic Formulary
dasiglucagon	Miscellaneous Formulary
decitabine-cedazuridine	Anti-Neoplastic Formulary
deferasirox	Miscellaneous Programs
defibrotide	Drug will not be supplied by the hospital. Anti-Neoplastic Formulary
deflazacort	Miscellaneous Programs
delafloxacin
delavirdine	AIDS Drugs Formulary
Dengue tetravalent vaccine, live	Vaccine formulary
deoxycholic acid	Micellaneous Programs
dermatophagoides farinae-dermatophagoides pteronyssinus
desloratadine
desloratadine-pseudoephedrine
desmopressin
desoximetasone topical
deutetrabenazine	Miscellaneous Programs
dexamethasone intraocular
dextranomer-sodium hyaluronate	Miscellaneous Programs
dextromethorphan-Bupropion ER	Anti-Depressant
dezocine	Narcotic Agonist/Antagonist Injection Formulary
dibucaine topical	Hemorrhoid Products Formulary
dichlorphenamide	Miscellaneous Programs
diclofenac
diclofenac ophthalmic	Ophthalmic NSAIDs Formulary
diclofenac-miSOPROStol
diflunisal	NSAID Formulary
difluprednate ophthalmic	Miscellaneous Programs
dihydroergotamine	Miscellaneous Programs
dimethyl fumarate	Miscellaneous Programs
dinutuximab	Anti-Neoplastic Formulary
diphth-haemophilus-pertussis-tetanus-polio	Vaccine formulary
diphtheria-pertussis,acel-tetanus-polio	Vaccine formulary
diroximel fumarate	Miscellaneous Programs
docusate
docusate-senna
dolasetron
dolutegravir-lamivudine
dolutegravir-rilpivirine
domperidone	Miscellaneous Program Formulary
donepezil
doravirine-lamiVUDine-tenofovir disoproxil fumarate
doxepin
doxepin topical	Miscellaneous Formulary
DOXYcycline
DOXYcycline-salicylic acid topical	Miscellaneous Programs
doxylamine-pyridoxine	Miscellaneous Programs
dronabinol
droperidol	Miscellaneous Programs
drospirenone-estradiol
droxidopa	Miscellaneous Programs
dulaglutide	Miscellaneous Programs
dupilumab	Miscellaneous Programs
dutasteride-tamsulosin
duvelisib
Ebola Zaire vaccine	Vaccine formulary
econazole topical	Antifungal - Topical
edaravone	Miscellaneous Programs
edetate disodium
edrophonium	Miscellaneous Programs
efalizumab	Miscellaneous Programs
efavirenz-emtricitabine-tenofovir disoproxil fumarate	AIDS Drugs Formulary
efavirenz-lamiVUDine-tenofovir disoproxil fumarate
efgartigimod alfa	Miscellaneous
efinaconazole topical	Antifungals (Topical) Formulary
elacestrant	Anti-Neoplastic Formulary
elbasvir-grazoprevir	Miscellaneous Programs
elexacaftor-tezacaftor-ivacaftor	Miscellaneous Programs
eliglustat	Miscellaneous Programs
elivaldogene autotemcel	Miscellaneous Formulary
eltrombopag	Miscellaneous Programs
elvitegravir
emedastine ophthalmic	Ophthalmic Antihistamines/Mast Cell Stabilizers Formulary
empagliflozin-linaGLIPtin	Miscellaneous Programs
empagliflozin-metFORMIN	Miscellaneous Programs
emtricitabine-rilpivirine-tenofovir alafenamide	AIDS Drugs Formulary
emtricitabine-rilpivirine-tenofovir disoproxil fumarate	AIDS Drugs Formulary
emtricitabine-tenofovir alafenamide	AIDS Drugs Formulary
emtricitabine-tenofovir disoproxil fumarate	AIDS Drugs Formulary
enasidenib	Anti-Neoplastic Formulary
Encorafenib	Anti-Neoplastic Drug Formulary
enfuvirtide	Miscellaneous Programs
enoxacin	Quinolones Formulary
entrectinib	not stocked.
enzalutamide	Anti-Neoplastic Formulary
epinastine ophthalmic	Ophthalmic Antihistamines/Mast Cell Stabilizers Formulary
EPINEPHrine	Miscellaneous Programs Formulary
epoprostenol
eptinezumab-jjmr	Miscellaneous Formulary
erenumab-aooe
ergocalciferol
ergotamine-caffeine	Ergotamine Derivatives Formulary
ertugliflozin-metFORMIN
ertugliflozin-SITagliptin
erythromycin topical
Esketamine	Anti-Depressant
esomeprazole
estradiol-levonorgestrel	Estrogen Patch Formulary
estramustine	Anti-Neoplastic Formulary
estropipate	Estrogen Formulary
etanercept	Miscellaneous Programs
ethanol topical	Miscellaneous Formulary
ethinyl estradiol-levonorgestrel
etidronate	Bisphosphonates Formulary
etranacogene dezaparvovec-drlb	Miscellaneous Formulary
everolimus
evolocumab	Miscellaneous Programs
exagamglogene autotemcel	Anti-Neoplastic Formulary
ezetimibe-atorvaSTATin	HMG CoA Reductase Inhibitor Formulary
famotidine-ibuprofen	Miscellaneous Program Formulary
faricimab-svoa	VEGF Inhibitors for Macular Degeneration Formulary
Fecal microbiota spores, live-brpk	Miscellaneous Formulary
fecal microbiota, live-jslm	Miscellaneous Formulary
fedratinib	non stocked
fenfluramine	Miscellaneous Formulary
fenofibrate
fenofibric acid	Miscellaneous Programs Fenofibrate/Fibric Acid Agents Formulary
fenoldopam	Miscellaneous Program Formulary
ferric pyrophosphate	Miscellaneous Programs
ferrous fumarate-iron polysaccharide	Iron - Oral and IV Formulary
fexofenadine	Antihistamines (non-sedating) Formulary
fexofenadine-pseudoephedrine	Antihistamine (Non-Sedating) Formulary
finerenone	Miscellaneous Formulary
flibanserin	Miscellaneous Programs
fludarabine	Anti-Neoplastic Formulary
flunisolide	Corticosteroid (Inhaled) Formulary
flunisolide nasal	Intra-Nasal Steroids Formulary
fluocinolone ophthalmic	Rarely Used Drugs and Expensive (RUDE)
fluocinonide topical
FLUoxetine-OLANZapine	Antidepressants
flurazepam	Benzodiazepine-Related Hypnotic Formulary
fluticasone
fluticasone topical	Corticosteroid (Topical) Formulary
fluticasone-umeclidinium-vilanterol
fluticasone-vilanterol	Corticosteroids - Inhaled
formoterol	Long Acting Beta Agonist Formulary Miscellaneous Program Formulary
fosdenopterin	Miscellaneous Formulary
fospropofol	Miscellaneous Programs
fostamatinib
fostemsavir	AIDS Drugs Formulary
fremanezumab
fruquintinib	Anti-Neoplastic Formulary
furosemide
galcanezumab
galsulfase	Miscellaneous Programs
gatifloxacin	Quinolone Formulary
gatifloxacin ophthalmic	Ophthalmic Quinolones Formulary
gefitinib	Anti-Neoplastic Formulary
gemifloxacin	Quinolone Formulary
gentamicin topical
gilteritinib
glasdegib
glatiramer
glecaprevir-pibrentasvir	Miscellaneous Programs
glimepiride-pioglitazone	Miscellaneous Program Formulary
glimepiride-rosiglitazone	Miscellaneous Programs
glipiZIDE-metFORMIN
glucagon
glucosamine
glutamine
glyBURIDE-metFORMIN	Miscellaneous Formulary
glycerin ophthalmic
glycerin otic	Otic Product Formulary
glycopyrrolate	Anticholinergic and Combinations Inhalers
glycopyrrolate topical
glycopyrrolate-formoterol	Anticholinergic and Combinations Inhalers
granisetron
grepafloxacin	Quinolones Formulary
guaiFENesin
guselkumab	Miscellaneous Programs
halazepam	Benzodiazepine Formulary
halcinonide topical	Corticosteroid - Topical
halobetasol topical	Corticosteroid (Topical) Formulary
haloprogin topical	Antifungals (Topical) Formulary
heme iron polypeptide-iron polysaccharide	Iron - Oral and IV Formulary
hepatitis A-hepatitis B vaccine	Vaccine formulary
histrelin	Miscellaneous Program Formulary
human papillomavirus vaccine	Vaccine formulary
hyaluronan	Hyaluronidase Knee Injection
hydrALAZINE-isosorbide dinitrate
hydroCHLOROthiazide-methyldopa
hydroCHLOROthiazide-metoprolol	Miscellaneous Program Formulary
hydroCHLOROthiazide-propranolol
HYDROcodone	Narcotic-Oral Formulary
HYDROcodone-guaiFENesin	Guaifenesin & DM/Codeine Combination Formulary
HYDROcodone-pseudoephedrine	Miscellaneous Program Formulary
hydrocortisone	Miscellaneous Programs
hydrocortisone-lidocaine topical	Hemorrhoid Product Formulary
hydrocortisone-salicylic acid-sulfur topical	Corticosteroid - Topical
hydroflumethiazide	Thiazide Diuretics Formulary
hydrogen peroxide topical
hydroxyethyl starch	Miscellaneous Programs
HYDROXYprogesterone	Miscellaneous Programs
ibalizumab-uiyk
ibandronate
ibrexafungerp	Miscellaneous Formulary
ibrutinib	Anti-Neoplastic Formulary
icatibant	Miscellaneous Programs
icosapent	Miscellaneous Program Formulary
idecabtagene vicleucel	Anti-Neoplastic
idelalisib	Anti-Neoplastic Formulary
imipenem-cilastatin-relebactam	Carbapenem Formulary
imipramine
imiquimod topical
indacaterol	Long Acting Beta Agonist Formulary
indacaterol-glycopyrrolate	Anticholinergic and Combinations Inhalers
indinavir	AIDS Drugs Formulary
Infigratinib	Anti-Neoplastic
influenza virus vaccine, live	CDC Recommendation 2016-2017
ingenol topical	Miscellaneous Programs
Inotersen	not stocked
insulin aspart	Insulin Formulary
insulin aspart-insulin aspart protamine	Insulin Formulary
insulin degludec-liraglutide	Insulin Formulary
insulin glargine-lixisenatide	Insulin Formulary
insulin glulisine	Insulin Formulary
insulin inhaled	Insulin Formulary
insulin lispro
interferon beta-1b	Miscellaneous Programs
iobenguane I-131	non stocked
ioxaglate
isocarboxazide	Antidepressants
isosorbide mononitrate
ISOtretinoin	Miscellaneous Program Formulary
isradipine
istradefylline	Miscellaneous Programs
ivacaftor	Miscellaneous Programs
ivacaftor-lumacaftor	Miscellaneous Programs
ivermectin topical	Miscellaneous Programs Pediculosis Agents Formulary
ivosidenib
ixazomib	Anti-Neoplastic Formulary
ixekizumab	Miscellaneous Programs
Japanese encephalitis virus vaccine (inactivated)	Vaccine formulary
lactitol	Laxative - General Formulary
lamiVUDine-tenofovir disoproxil fumarate
lamiVUDine-zidovudine	AIDS Drugs Formulary
lapatinib	Anti-Neoplastic Formulary
laronidase	Miscellaneous Programs
larotrectinib
ledipasvir-sofosbuvir	Miscellaneous Program Formulary
lemborexant	Miscellaneous Programs
lenacapavir	AIDS Drugs Formulary
lenalidomide	Non-stocked, Not-Ordered drugs
leniolisib	Miscellaneous Formulary
lenvatinib	Anti-Neoplastic Formulary
letermovir
levETIRAcetam	Miscellaneous Programs
levocabastine ophthalmic	Ophthalmic Antihistamines/Mast Cell Stabilizers Formulary
levocetirizine	Antihistamines (non-sedating) Formulary
levodopa	Miscellaneous Programs
levoFLOXacin ophthalmic	Ophthalmic Quinolones Formulary
levoketoconazole	Miscellaneous Formulary
levothyroxine	Tirosint-Sol --> all strengths.
lidocaine ophthalmic	Miscellaneous Programs
lidocaine topical	Miscellaneous Formulary
lidocaine-tetracaine topical
linaGLIPtin-metFORMIN	Miscellaneous Programs
lisocabtagene maraleucel	Anti-Neoplastic Formulary
lixisenatide	Miscellaneous Programs
lodoxamide ophthalmic	Ophthalmic Antihistamines/Mast Cell Stabilizers Formulary
lomefloxacin	Quinolones Formulary
lomitapide	Miscellaneous Programs
lomustine
lonapegsomatropin-tcgd	Miscellaneous Formulary
LORazepam
lorcaserin	Miscellaneous Programs
lorlatinib
loteprednol ophthalmic	Miscellaneous Program Formulary
loteprednol-tobramycin ophthalmic	Miscellaneous Program Formulary
lovastatin-niacin	HMG-CoA Reductase Inhibitors (Statins) Formulary
lovotibeglogene autotemcel	Anti-Neoplastic Formulary
lucinactant	Neonatal Lung Surfactants Formulary
luliconazole topical	Antifungals (Topical) Formulary
Luspatercept-aamt	Miscellaneous Programs
lutetium Lu-177 vivipotide tetraxetan	Anti-Neoplastic Formulary
m-cresyl acetate otic	Otic Product Formulary
mafenide topical
magic mouthwash	Oncology Mouthwash Formulary
Magic Mouthwash with Nystatin	Oncology Mouthwash Formulary
magnesium amino acids chelate	Magnesium Oral Supplement Formulary
magnesium chloride	Magnesium Oral Supplement Formulary
magnesium lactate	Magnesium Oral Supplement Formulary
malathion topical	Pediculosis Agents Formulary
maralixibat	Miscellaneous Formulary
Maribavir	Miscellaneous Formulary
mavacamten	Miscellaneous Formulary
measles-mumps-rubella-varicella virus vaccine	Miscellaneous Programs
mecasermin	Miscellaneous Programs
mecasermin rinfabate	Miscellaneous Programs
mechlorethamine topical	Anti-Neoplastic Formulary
meloxicam	Anjeso
melphalan
memantine-donepezil	Miscellaneous Programs
meningococcal groups a, b, c, w, and y vaccine	Vaccine Formulary
menotropins	Miscellaneous Program Formulary
meperidine	Narcotic - Oral Formulary
mesoridazine	Psychiatric Formulary
metFORMIN-pioglitazone	Miscellaneous Program Formulary
metFORMIN-repaglinide	Miscellaneous Programs
metFORMIN-rosiglitazone	Miscellaneous Programs
metFORMIN-SITagliptin	Miscellaneous Programs
methyclothiazide	Thiazide Diuretics Formulary
miconazole
miconazole topical
miconazole-zinc oxide topical	Miscellaneous Program Formulary
miglitol	Miscellaneous Programs
miglustat	Rarely Used Drugs and Expensive (RUDE)
miltefosine	Miscellaneous Programs
minocycline	Antibiotics (Topical) Formulary
mipomersen	Miscellaneous Programs
mitoMYcin	Miscellaneous Programs
mobocertinib	Miscellaneous
Molnupiravir	Miscellaneous
momelotinib	Anti-Neoplastic Formulary
mometasone topical	Corticosteroid (Topical) Formulary
montelukast
morphine liposomal
morphine-naltrexone	Narcotic - Oral
nabilone	Miscellaneous Program Formulary
naftifine topical	Antifungals (Topical) Formulary
naldemedine	Miscellaneous Formulary
nalmefene	Miscellaneous Formulary
nalOXone	Naloxone Nasal
nalOXone-oxyCODONE	Narcotic-Oral Formulary
naproxen-esomeprazole	Naproxen Formulary Miscellaneous Programs
naproxen-SUMAtriptan	Miscellaneous Programs
nebivolol-valsartan	Miscellaneous Programs
nepafenac ophthalmic	Ophthalmic NSAIDs Formulary
neratinib	Anti-Neoplastic Formulary
netupitant-palonosetron	Antiemetics: Serotonin Receptor Antagonists (5-HT3) Formulary
niacin
niacin-simvastatin	HMG CoA Reductase Inhibitor Formulary
niacinamide
nifurtimox	Miscellaneous Programs
nilotinib	Anti-Neoplastic Formulary
nintedanib	Miscellaneous Programs
niraparib	Anti-Neoplastic Formulary
nirogacestat	Anti-Neoplastic Formulary
nitrofurazone topical
nusinersen	Miscellaneous Programs
nystatin	Miscellaneous Formulary
obeticholic acid	Miscellaneous Programs
odevixibat	Miscellaneous Formulary
ofatumumab
ofloxacin ophthalmic	Ophthalmic Quinolones Formulary
olaparib	Anti-Neoplastic Formulary
oliceridine	Miscellaneous Programs
olmesartan-amLODIPine-hydroCHLOROthiazide	Angiotensin Receptor Blocker/Hydrochlorothiazide Formulary
olodaterol	Long Acting Beta-Agonists
olopatadine nasal	Miscellaneous Programs
olsalazine	Mesalamine Products Formulary
olutasidenib	Anti-Neoplastic Formulary
omacetaxine	Anti-Neoplastic Formulary
omadacycline
omaveloxolone	Miscellaneous
ombitasvir-paritaprevir-ritonavir	Miscellaneous Programs
omega-3 polyunsaturated fatty acids
omeprazole-amoxicillin-rifabutin	proton pump inhibitors
omeprazole-sodium bicarbonate	Proton Pump Inhibitors Formulary
opium tincture	Narcotic Liquids
orlistat	Miscellaneous Programs
osilodrostat	Miscellaneous
osimertinib	Anti-Neoplastic Formulary
ospemifene	Miscellaneous Programs
oteseconazole	Miscellaneous Formulary
oxiconazole topical	Topical Antifungal Formulary
oxyCODONE-ibuprofen	Narcotic - Oral
oxyCODONE-naltrexone	Narcotic - Oral
oxymetazoline topical	Miscellaneous Programs
oxyMORphone	Narcotic - Oral Oral oxyMORphone interchange was updated to oxyCODONE from morphine in May 2017.
oxytetracycline	Tetracyclines Formulary
ozanimod	Miscellaneous Formulary
ozenoxacin topical
pacritinib	Anti-Neoplastic
palbociclib	Anti-Neoplastic Formulary
paliperidone	Antipsychotics
panobinostat	Anti-Neoplastic Formulary
parathyroid hormone	Miscellaneous Programs
pasireotide	Miscellaneous Programs
patisiran	Miscellaneous Programs
PAZOPanib	Anti-Neoplastic Formulary
pegaptanib ophthalmic	VEGF Inhibitors for Macular Degeneration Formulary
pegcetacoplan	Miscellaneous Formulary
peginterferon alfa-2a	Miscellaneous Program Formulary
peginterferon alfa-2b	Miscellaneous Program Formulary
pegvaliase	Miscellaneous Programs
pegvisomant	Miscellaneous Programs
Pemigatinib	Anti-Neoplastic Formulary
pemirolast ophthalmic	Ophthalmic Antihistamines/Mast Cell Stabilizers Formulary
pentazocine	Narcotic Agonist/Antagonist Injection Formulary
perindopril-amLODIPine	ACE Inhibitor Formulary
Pexidartinib	Anti-Neoplastic Forumlary
phenol topical
phenoxybenzamine	Alpha-Blockers Formulary
phentermine-topiramate	Miscellaneous Program Formulary
pilocarpine ophthalmic	Miscellaneous Formulary
piperonyl butoxide-pyrethrins topical	Shampoo (Medicated) Formulary Pediculosis Agents Formulary
pirbuterol	Miscellaneous Program Formulary
pirfenidone	Miscellaneous Formulary Programs
pirtobrutinib	Anti-Neoplastic Formulary
pitolisant	Miscellaneous Programs
plazomicin
poly-L-lactic acid	Rarely Used Drugs and Expensive (RUDE)
polycarbophil
polythiazide	Thiazide Diuretics Formulary
pomalidomide	Anti-Neoplastic Formulary
PONATinib	Anti-Neoplastic Formulary
posaconazole	Miscellaneous Program Formulary
povidone-tetrahydrozoline ophthalmic	Ophthalmic Decongestant/Antihistamine Formulary
pralsetinib	Anti-Neoplastic Formulary
praziquantel
pretomanid	not stocked
procarbazine
progesterone
promazine	Psychiatric Formulary
promethazine-phenylephrine-codeine	Codeine is not to be used in children < 18 years old or in breastfeeding mothers. Contact MD for alternative therapy. Combination Formulary
protriptyline	Antidepressants
prucalopride	Miscellaneous Formulary
pyrithione zinc topical	Shampoo - Medicated Formulary
quazepam	Benzodiazepine-Related Hypnotic Formulary
quizartinib	Anti-Neoplastic Formulary
racepinephrine	Miscellaneous Programs
ragweed pollen allergen extract	Miscellaneous Programs
raltegravir
raNITIdine	H2 - Receptor Blocker Formulary
ravulizumab	Ultomiris --> Restricted to outpatient hematologists using patient assistance program.
regorafenib	Oncology Formulary
Relugolix	Anti-Neoplastic Formulary
retapamulin topical	Miscellaneous Programs
reteplase
revefenacin
ribociclib	Anti-Neoplastic Formulary
rifamycin
rilonacept	Rarely Used Drugs and Expensive (RUDE)
riluzole
rimegepant	Miscellaneous Programs
ripretinib	Anti-Neoplastic Formulary
risankizumab
risedronate	Bisphosphonates Formulary
risperiDONE
ritlecitinib	Miscellaneous Formulary
rolapitant
ropeginterferon alfa-2b-njft	Miscellaneous Formulary
rosiglitazone	Miscellaneous Programs
rosuvastatin-ezetimibe	HMG CoA Reductase Inhibitor Formulary
rotavirus vaccine	Vaccine formulary
rucaparib	Drug will not be supplied by the hospital. Anti-Neoplastic Formulary
ruxolitinib	Anti-Neoplastic Formulary Miscellaneous Formulary
sacrosidase
safinamide
salicylic acid-urea topical
salmeterol	Long Acting Beta Agonist Formulary
sapropterin	Rarely Used Drugs and Expensive (RUDE)
sAXagliptin-metFORMIN	Miscellaneous Program Formulary
sebelipase alfa	Miscellaneous Programs
secukinumab	Miscellaneous Programs
selenium sulfide topical
selexipag	Miscellaneous Programs
selinexor	Anti-Neoplastic Formulary
selpercatinib	Anti-Neoplastic Formulary
selumetinib	Anti-Neoplastic Formulary
semaglutide	Miscellaneous Formulary
serdexmethylphenidate/ dexmethylphenidate	Methylphenidates and Derivatives Formulary
sertaconazole topical	Topical Antifungal Formulary
setmelanotide	Miscellaneous Formulary
simeprevir	Miscellaneous Programs
sinecatechins topical
siponimod	Miscellaneous Programs
sipuleucel-T	Miscellaneous Programs
SITagliptin-simvastatin	Statin Formulary
smallpox and monkeypox vaccine, live, non-replicating	Vaccine formulary
sodium hyaluronate topical	Miscellaneous Program Formulary
sodium nitrite-sodium thiosulfate
sodium oxybate	Miscellaneous Programs
sodium phenylbutyrate-taurursodiol	Miscellaneous Formulary
sodium picosulfate-magnesium oxide-citric acid
sofosbuvir	Miscellaneous Programs
sofosbuvir-velpatasvir	Miscellaneous Programs
sofosbuvir-velpatasvir-voxilaprevir	Miscellaneous Programs
solriamfetol	Miscellaneous Programs
somapacitan	Miscellaneous Formulary
somatrogon	Miscellaneous Formulary
somatropin	Miscellaneous Programs
sonidegib	Anti-Neoplastic Formulary
SORAfenib	Rarely Used Drugs and Expensive (RUDE)
Sotagliflozin	Miscellaneous Formulary
sotalol
sotorasib	Miscellaneous
sparfloxacin	Quinolones Formulary
spironolactone-hydroCHLOROthiazide
steven-Test	AIDS Drugs Formulary
stiripentol	Miscellaneous Programs
sulconazole topical	Antifungals (Topical) Formulary
sulfacetamide sodium topical	Shampoo - Medicated Formulary
sulfacetamide sodium-sulfur topical
sulfacetamide sodium-sulfur-urea topical
sulfur hexafluoride lipid-type A microspheres	Miscellaneous Programs
SUMAtriptan	Triptan Interchange Formulary
SUNItinib	Oncology Formulary
Sweet Vernal, Orchard, Perennial Rye, Timothy, Kentucky Blue Grass Mixed Pollen	Miscellaneous Programs
tacrolimus	Miscellaneous Formulary
Tagraxofusp-erzs	Not stocked.
talazoparib
taliglucerase alfa	Miscellaneous Programs
talimogene laherparepvec	Anti-Neoplastic Formulary
tapinarof	Miscellaneous Formulary
tasimelteon	Miscellaneous Programs
tavaborole topical	Miscellaneous Program Formulary
tazemetostat	Anti-Neoplastic Formulary
tedizolid	Miscellaneous Program Formulary
teduglutide	Miscellaneous Programs
telaprevir	Miscellaneous Programs
telmisartan-amLODIPine	ARB Combination Products Formulary Miscellaneous Program Formulary
telotristat ethyl	Anti-Neoplastic Formulary
teniposide
Tepotinib	Anti-Neoplastic Formulary
teprotumumab	Miscellaneous Formulary
teriflunomide	Miscellaneous Programs
teriparatide	Miscellaneous Program Formulary
tesamorelin	AIDS Drugs Formulary
testosterone	Miscellaneous Formulary
tetrabenazine	Miscellaneous Program Formulary
tezacaftor-ivacaftor
thalidomide	Miscellaneous Program Formulary
Tick-borne Encephalitis Vaccine	Vaccine Formulary
tigecycline	Tetracyclines Formulary
timothy grass pollen allergen extract	Miscellaneous Programs
tinzaparin	Low Molecular Weight Heparin Formulary
tiotropium
tiotropium-olodaterol	Inhaled Short-Acting Medications-Noncorticosteroids Formulary
tipiracil-trifluridine	Anti-Neoplastic Formulary
tirbanibulin	Miscellaneous Formulary
tirofiban	Miscellaneous Programs
tirzepatide	Miscellaneous Formulary
tisagenlecleucel
tivozanib	Anti-Neoplastic Formulary
tixagevimab/cilgavimab	Miscellaneous Evusheld Criteria For Use
tofacitinib	Miscellaneous Programs
tofersen	Miscellaneous Program Formulary
TOLBUTamide	Miscellaneous Programs
tolnaftate topical	Topical Antifungal Formulary
tolvaptan
toremifene
tralokinumab-ldrm	Miscellaneous Program Formulary
trametinib	Anti-Neoplastic Formulary
trandolapril-verapamil
tranylcypromine	Antidepressants
trastuzumab and hyaluronidase-oysk
treprostinil	Miscellaneous Programs
trichlormethiazide	Thiazide Diuretics Formulary
trichophyton skin test
Trifarotene	Miscellaneous Formulary
triflupromazine	Psychiatric Drug Formulary
triheptanoin	Miscellaneous Formulary
trimipramine	Antidepressants
triptorelin
trovafloxacin	Quinolones Formulary
tucatinib	Anti-Neoplastic Formulary
Umbralisib	Anti-Neoplastic Formulary
umeclidinium	Anticholinergic and Combinations Inhalers
umeclidinium-vilanterol	Long-Acting Beta Agonists (LABAs) Formulary For PEDS call physician for alternative therapy.
urea topical	Emollients Lotions, Creams/Skin Protectant Formulary
valbenazine	Miscellaneous Programs
vandetanib	Anti-Neoplastic Formulary
vardenafil
varenicline nasal spray	Miscellaneous Formulary
velaglucerase alfa	Miscellaneous Program Formulary
vemurafenib	Anti-Neoplastic Formulary
venetoclax	Anti-Neoplastic Formulary
vericiguat	Miscellaneous Formulary
vibrating capsule	Miscellaneous Formulary
vigabatrin	Miscellaneous Programs
vilobelimab	Miscellaneous Program Formulary
viloxazine	Miscellaneous Formulary
viltolarsen	Miscellaneous Formulary
vinCRIStine liposome	Anti-Neoplastic Formulary
vismodegib	Anti-Neoplastic Formulary
Voclosporin	Miscellaneous Programs
vonoprazan	Proton Pump Inhibitors Formulary
vonoprazan-amoxicillin	Proton Pump Inhibitors Formulary
vonoprazan-amoxicillin-clarithromycin	Proton Pump Inhibitors Formulary
vosoritide	Miscellaneous Formulary
voxelotor	Not stocked.
zanubrutinib	Anti-Neoplastic Formulary
zavegepant	Miscellaneous Formulary
zileuton	Zyflo --> if NO SUB ordered, give same same daily dose of Zyflo CR divided into 2 daily doses.
zuranolone	Miscellaneous Formulary

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