Approved Hospital Formulary
QR Code
Approved Hospital Formulary

Restricted Drugs

Please review each of these drugs carefully.
abatacept
adalimumab
ado-trastuzumab
albiglutide
alendronate
alvimopan
aminolevulinic acid
amphotericin B
amphotericin B lipid complex
atezolizumab
avelumab
belimumab
benralizumab
bevacizumab
bevacizumab-awwb
bevacizumab-bvzr
blinatumomab
brentuximab vedotin
brivaracetam
bupivacaine liposomal
C1 Inhibitor, Human
caplacizumab-yhdp
carfilzomib
ceftaroline
ceftazidime
ceftolozane-tazobactam
cemiplimab-rwlc
certolizumab
cetuximab
ciprofloxacin
cisatracurium
cobicistat/darunavir/emtricitabine/tenof
collagenase topical
dalfopristin-quinupristin
DAPTOmycin
daratumumab
darbepoetin alfa
denosumab
digoxin immune FAB
dronedarone
droperidol
durvalumab
eculizumab
empagliflozin
epoetin alfa
eptinezumab
eriBULin
ertapenem
ethacrynic acid
etidronate
exenatide
ferumoxytol
fexofenadine
fidaxomicin
fulvestrant
gemtuzumab
golimumab
goserelin
granisetron
ibandronate
ibuprofen IV
immune globulin intravenous
inFLIXimab
ipilimumab
isavuconazonium
ixabepilone
leuprolide
levalbuterol
levothyroxine
linaclotide
linezolid
liraglutide
lubiprostone
lurasidone
lurbinectedin
meperidine
mepolizumab
meropenem
methylnaltrexone
micafungin
moxifloxacin
naloxegol
natalizumab
necitumumab
nitazoxanide
nitrofurantoin
nivolumab
obinutuzumab
ocrelizumab
octreotide
ofatumumab
omalizumab
oritavancin
PACLitaxel protein-bound
paliperidone XR
palonosetron
panitumumab
pegfilgrastim
pembrolizumab
pentamidine
peramivir
pertuzumab
polidocanol
pramlintide
prasugrel
qual
ramucirumab
risedronate
riTUXimab
rituximab-abbs
rituximab-pvvr
roflumilast
sacubitril-valsartan
selegiline
simvastatin
sugammadex
temsirolimus
tigecycline
Tocilizumab
tolvaptan
trastuzumab
trastuzumab-anns
varicella-zoster vaccine live
vedolizumab
venetoclax
voriconazole
zaleplon
zoledronic acid

Pharmacy Phone Numbers
Memorial Pharmacy (Glenwood) 423-495-8380
Memorial Hixson Pharmacy 423-495-7137
Stat 423-495-7470
Outpatient 423-495-8981
Chemo 423-495-7475
Surgery 423-495-8779

This site is intended for the staff of Memorial Health Care System.
While others may view accessible pages, Memorial Health Care System makes no warranty, express or implied,
as to the use of this information outside of Memorial Health Care System.