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Ochsner Health System Formulary

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Medications listed are available on OH EPIC Formulary, unless otherwise noted.
Not all formulary medications are available at each facility. Please refer to your local pharmacy for available inventory.

Ochsner Health

Ochsner Health System Formulary

Formulary Addition Request Questions or Suggestions?

Ambulatory

Please review each of these drugs carefully.

acetaminophen-hydrocodone	Oral Solution - Urgent Care, Women's Wellness
agalsidase beta	ID Infusion, Peds infusion
Al hydroxide/Mg hydroxide/simethicone	Oral Suspension - Dermatology, Urgent Care, Women's Wellness
albuterol-ipratropium	100-20mcg - Cardiology
alteplase	2mg - Gen Surgery
aluminum chloride hexahydrate topical	20% - Dermatology 35% - Dermatology
amiodarone	50mg/mL - Cardiology
amoxicillin-clavulanate	500mg-125mg Tablet - Urgent Care, Women's Wellness
anifrolumab	Ambulatory, Outpatient Infusion
atropine	0.1mg/mL - Cardiology, Dermatology, Urgent Care, Women's Wellness 0.1mg/mL Preservative Free - Dermatology, Urgent Care
avacincaptad pegol	Ophthalmology clinic
bacitracin topical	500u/gm - ENT, Gen Surgery, Urgent Care, Women's Wellness
bacitracin/HC/neomycin/polymyxin B topical	ENT
bacitracin/neomycin/polymyxin B topical	Cardiology, Gen Surgery
benoxinate-fluorescein ophthalmic	Flurox - Urgent Care, Women's Wellness
benralizumab	OMC Allergy Clinic, OMC Pulmonology Clinic
benzathine penicillin-procaine penicillin	1.2mmu/2mL - ENT, Urgent Care, Women's Wellness
benzocaine/butamben/tetracaine topical	14%-2%-2% - ENT
benzoin topical	ENT, Gen Surgery
betamethasone	Cardiology, Dermatology, ENT, Urgent Care, Women's Wellness
bevacizumab	ENT-NOM
bimatoprost ophthalmic	Durysta is restricted to Ophthalmology
brolucizumab ophthalmic	Ophthalmology
BUPivacaine	0.25% - Dermatology, Urgent Care, Women's Wellness 0.50% - Internal Medicine
BUPivacaine-epinephrine	0.25%-1:200,000 Soln - Gen Surgery
cabotegravir	Ambulatory clinic Outpatient infusion suites
calcium chloride	Cardiology
capsaicin topical	8 % patch: Neurology, Pain Management, Endocrinology, Podiatry
carbamide peroxide otic	6.5% - Urgent Care, Women's Wellness
cefTAZidime	Restriction: Ophthalmology
cefTRIAXone	250mg - Dermatology, Urgent Care, Women's Wellness 500mg - Dermatology, ENT, Urgent Care, Women's Wellness 1gm - Dermatology, ENT, Internal Medicine, Urgent Care, Urology, Women's Wellness
ciprofloxacin	500mg Tablet - Urgent Care, Urology, Women's Wellness
ciprofloxacin-dexamethasone otic	0.3%-0.1% - ENT
clindamycin	150mg/mL - Injection - Dermatology, Urgent Care, Women's Wellness
cloNIDine	0.1mg - Dermatology, Urgent Care, Women's Wellness
collagenase clostridium histolyticum	Orthopedic Clinic, Urology Clinic
collagenase topical	250u/gm Ointment - Gen surgery, Urgent Care
cyanocobalamin	1000mcg/mL - Cardiology, Dermatology, ENT, Gen Surgery, Internal Medicine, Urgent Care, Women's Wellness
cyclopentolate/ketor/PE/propar/tropi oph	Ambulatory Clinic, Ophthalmology
cyclopentolate/PE/tropicamide ophthalmic	Ambulatory Clinic, Ophthalmology
degarelix	Urology
dexamethasone	4mg/mL - Dermatology, ENT, Urgent Care, Women's Wellness 10mg/mL - Dermatology, ENT, Urgent Care, Women's Wellness
dexamethasone ophthalmic	BRMH - Ozurdex (0.7 mg intraocular implant) is restricted to Ambulatory Ophthalmology Ozurdex (0.7 mg intravitreal) is restricted to Ophthalmology Clinics and Procedure Areas
dexamethasone/neomycin/polymyxin B ophthalmic	Suspension - Urgent Care, Women's Wellness Ointment - Urgent Care, Women's Wellness
dicyclomine	20mg Tablet - Dermatology, Urgent Care, Women's Wellness
digoxin	0.25mg/mL, 2mL - Cardiology, Urgent Care, Women's Wellness
dimethyl sulfoxide	Urology
diphenhydrAMINE	12.5mg/5mL Oral Liquid - Dermatology, Urgent Care, Women's Wellness 25mg/10mL Oral Liquid - Cardiology, ENT, Gen Surgery, Urgent Care, Women's Wellness 25 mg Tablet - Dermatology, Gen Surgery, Urgent Care, Women's Wellness; 50mg Capsule - Dermatology, Urgent Care, Women's Wellness 50mg/mL Injection - Cardiology, Dermatology, ENT, Gen Surgery, Urgent Care, Women's Wellness
diphenylcyclopropenone	For application in Dermatology Clinics treating patients with alopecia areata and warts.
diphtheria/pertussis,acel/tetanus/polio	BRMH - Ambulatory
diphtheria/tetanus/pertussis (DTaP) ped	Boostrix - Dermatology, Urgent Care, Women's Wellness Family Practice, Peds, Adult Primary Care, Urgent Care, Injection Room NOM
docusate	Oral Liquid - Dermatology, Urgent Care, Women's Wellness
efgartigimod alfa	Outpatient Infusion, Home Infusion
EPINEPHrine	0.1mg/mL - Urgent Care, Women's Wellness 0.15mg/0.3mL Syringe - Cardilolgy, Dermatology, ENT, Gen Surgery, Internal Medicine, Ugent Care, Women's Wellness 0.3mg/0.3mL Syringe - Cardiology, ENT, Gen Surgery, Internal Medicine, Urgent Care, Women's Wellness 1mg/1mL Epinephrine/Adrenaline - Dermatology, ENT, Urgent Care, Urgent Care, Women's Wellness
epinephrine-LIDOcaine	1:100,000-1% - Dermatology, ENT, Gen Surgery, Urgent Care, Women's Wellness 1:200,000-1% PF - Dermatology 1:100,000-2% - Gen Surgery, Urology
erythromycin ophthalmic	Dermatolgy, Urgent Care, Women's Wellness
esmolol	10mg/mL - Cardiology
estradiol	5mg/mL (Depo Estradiol) - Women's Wellness 20mg/mL (Delestrogen) - Women's Wellness valerate 40 mg/mL - ObGyn
famotidine	20mg Tablet - Urgent Care, Women's Wellness
fluocinolone ophthalmic	Yutiq and Retisert Intravitreal are estricted to Ophthalmology and Procedure Areas
fluorescein	Ophthalmology BRMH - Ophthalmology Clinic - IV Fluorscein 1 gram to be used orally
fluorescein ophthalmic	Flu-Glo 1% - Dermatology, Urgent Care, Women's Wellness
fluorouracil ophthalmic	Restricted to Ophthalmology Clinics and Procedural Areas
furosemide	10mg/mL Inj - Cardiology, Dermatology, Urgent Care, Women's Wellness 20mg Tablet - Urgent Care, Women's Wellness
gentamicin	40mg/mL Injection - Urology
gentamicin ophthalmic	0.3% - ENT, Urgent Care, Women's Wellness
gentian violet topical	1% - ENT
glucagon	1mg Kit - Cardiology, Dermatology, ENT, Gen Surgery, Urgent Care, Women's Wellness
glucose	4gm Chewable - Cardiology, ENT, Gen Surgery, Internal Medicine, Urology 50% Injection - Cardiology, Dermatology, Urgent Care, Women's Wellness 40% Gel - Dermatology, Urgent Care, Women's Wellness 25% (10 mL) - Orthopedic
haemophilus b conjugate (PRP-T) vaccine	Family Practice, Internal Medicine, Pediatrics, Urgent Care, Injection Room NOM
heparin	10,000units/mL injection - Urology
heparin flush	BMT - 100 unit Syringe
hepatitis A adult vaccine	1440units/mL - Dermatology, Internal Medicine, Urgent Care, Women's Wellness
hepatitis A pediatric vaccine	Peds
hepatitis B adult vaccine	10mcg/mL - Urgent Care, Women's Wellness 20mcg/0.5mL - Urgent Care, Women's Wellness 20mcg/mL - Dermatology, Internal Medicine, Urgent Care, Women's Wellness
hepatitis B pediatric vaccine	5mcg/0.5mL - Urgent Care, Women's Wellness 10mcg/0.5mL - Urgent Care Family Practice, Internal Medicine, OB/GYN, Pediatrics, Adult Primary Care, Urgent Care, Injection Room NOM
human papillomavirus vaccine	Family Practice, Internal Medicine, OB/GYN, Pediatrics, Adult Primary Care, Urgent Care
hyaluronidase/pertuzumab/trastuzumab	Oncology/Outpatient, Infusion areas
hydrocortisone topical	1% Cream - ENT
hydrocortisone/neomycin/polymyxin B ophth	ENT
hydrocortisone/neomycin/polymyxin B otic	Solution - Urgent Care, Women's Wellness
hydrOXYzine	25mg Tablet - Dermatology, Urgent Care, Women's Wellness
ibuprofen	100mg/5mL Suspension - Dermatology, Urgent Care, Women's Wellness 200mg Tablet - Dermatology, ENT, Gen Surgery, Urgent Care, Women's Wellness
immune globulin intramuscular	Outpatient Infusion and Ambulatory Clinics
influenza virus vaccine	mdck cell derived trivalent, quadrivalent - All 3yrs older - Cardiology, Internal Medicine, Urgent Care, Women's Wellness High Dose - Cardiology, Internal Medicine Pediatric - Internal Medicine
insulin regular	Humulin R - Dermatology, Urgent Care, Women's Wellness
ipratropium	0.2mg/mL - Dermatology, Urgent Care, Women's Wellness
iron dextran	50mg/mL - Internal Medicine
ketorolac	30mg - Dermatology, Internal Medicine, ReHab, Urgent Care, Urology, Women's Wellness 60mg - Dermatology, Urgent Care, Women's Wellness
leuprolide	22.5mg - Urology 45mg (Eligard) - Urology Subcut. kit - ObGyn; Lurpon Depot - Urology
levalbuterol	1.25mg/3mL - Urgent Care, Women's Wellness 0.31 mg/3 mL, 1.25 mg/0.5mL - Family Practice, Internal Med, Peds, Pulmonary
LIDOcaine	1% INJ - Cardiology, Dermatology, ENT, Gen Surgery, Internal Med, Plastics, Urgent Care, Urology, Women's Wellness 2% INJ - Dermatology, ENT, Gen Surgery, Plastics, Urgent Care, Urology, Women's Wellness 4% INJ - ENT, Plastics
lidocaine topical	2% Gel - Dermatology, ENT, Plastics 4% Solution - Dermatology, Urgent Care, Women's Wellness 4% Cream - Dermatology 2% Viscous - Dermatology, Urgent Care, Women's Wellness
lidocaine-phenylephrine ophthalmic	Ambulatory Clinic, Ophthalmology
lidocaine-prilocaine topical	Cream - Dermatology, ENT
loperamide	2 mg Tablet/Capsule - Gen Surgery, Urgent Care, Women's Wellness
measles/mumps/rubella virus vaccine	Dermatology, Internal Medicine, Urgent Care, Urgent Care-OHC, Women's Wellness
medroxyPROGESTERone	104 mg/0.65 mL subcut. susp. - ObGyn
meningococcal conjugate vaccine	Family Practice, Internal Medicine, Pediatrics, Primary Care, Urgent Care, Injection Room NOM
meningococcal group B vaccine	Pediatric, Infectious Disease and Family Practice BRMH - Ambulatory
meperidine	50mg/mL, 1mL - Urgent Care, Women's Wellness
MEPIVAacaine	1%, 50mL - Urgent Care, Women's Wellness 2%, 50mL - Urgent Care, Women's Wellness
mepolizumab	OMC - Allergy Clinics BRMH - Ambulatory Pulmonary
methotrexate	25 mg/mL pres-free - Rheumatology
methylPREDNISolone	Acetate 40mg/mL - ENT Acetate 80mg/mL - Dermatology, ENT, Internal Medicine, ReHab, Urgent Care, Women's Wellness Sodium 40mg - Dermatology, Urgent Care, Women's Wellness Sodium 125mg - Dermatology, Urgent Care, Urology, Women's Wellness
metoclopramide	5mg/mL Inj - Cardiology
metoprolol	1mg/mL Inj - Cardiology
mupirocin topical	2% Ointment - Dermatology, ENT, Urgent Care, Women's Wellness 2% Cream - ENT
naloxone	0.4mg/mL - Dermatology, Urgent Care, Women's Wellness 1mg/mL Inj - Dermatology, Internal Medicine, Urgent Care, Women's Wellness
nitroglycerin	0.4mg Tab - Cardiology, Dermatology, ENT, Gen Surgery, Urgent Care, Women's Wellness 2% Ointment - Dermatology, ENT, Urgent Care, Women's Wellness 0.4mg/dose Spray - Cardiology
ocular lubricant	Natural Balance Tears - Urgent Care, Women's Wellness
onabotulinumtoxinA	50U D/S - Dermatology, ENT 100U D/S - Dermatology, ENT
ondansetron	2mg/1mL injection - Dermatology, Urgent Care, Women's Wellness 4mg ODT Tablet - Dermatology, Urgent Care, Women's Wellness 8mg ODT Tablet - Dermatology, Urgent Care, Women's Wellness
ophthalmic irrigation, extraocular	98.3% - Dermatology, Urgent Care, Women's Wellness
orphenadrine	30mg/mL - Urgent Care, Women's Wellness
oxymetazoline nasal	0.05% - ENT
palivizumab	Peds Pulmonary
parenteral nutrition solution	50%/Water - Cardiology
pegcetacoplan ophthalmic	Ophthalmology clinic
penicillin G benzathine	1.2mmu/2mL - ENT
phenylephrine nasal	1%, 15mL - Dermatology, ENT, Urgent Care, Women's Wellness
phenylephrine-tropicamide ophthalmic	Ambulatory Clinic, Ophthalmology
phenytoin	50 mg/mL - Cardiology
phytonadione	10mg/mL - Gen Surgery
polidocanol	Vascular Clinics
poliovirus vaccine, inactivated	Urgent Care Urgent Care, Urgent Care-OHC
prednisoLONE	15mg/5mL Oral Liquid - Dermatology, Urgent Care, Women's Wellness
predniSONE	5mg - Urgent Care, Women's Wellness 20mg - Dermatology, Urgent Care, Women's Wellness
prochlorperazine	5mg/mL Injection - Urgent Care
promethazine	25mg/mL Injection - Dermatology, Urgent Care, Women's Wellness 50mg/mL Injection - Urgent Care, Women's Wellness 12.5mg Tablet - Urgent Care
proparacaine ophthalmic	0.5% - Dermatology, ENT, Urgent Care, Women's Wellness
ravulizumab	Outpatient Infusion, Home Infusion
risperiDONE	RisperDAL Consta to Ambulatory Psychiatry
rotavirus vaccine	Family Practice,Internal Medicine, Pediatrics. Primary Care, Urgent Care
RSV vaccine, preF A-preF B, recombinant	Obstetrics & Gynecology
sacituzumab govitecan	Oncology/Outpatient, Infusion areas
SARS-CoV-2 (COVID-19) mRNA-LNP vaccine (cvx 312)	Clinic
SARS-CoV-2 NVX-CoV2373 vaccine, recomb (cvx 313)	Clinic
silver sulfADIAZINE topical	1% Cream - Dermatology, Gen Surgery, Urgent Care, Women's Wellness
sodium bicarbonate	8.4% - Cardiology, Dermatology, Plastics, Urgent Care, Women's Wellness
sodium chloride	0.9% Bacteriostatic - Dermatology, 0.9% PF - Cardiology, ENT, Gen Surgery, Plastics
sterile water	For Injection - ENT, Gen Surgery
sulfamethoxazole-trimethoprim	400mg-80mg Tablet - Urgent Care, Women's Wellness 800mg-160mg Tablet - Urology
testosterone	75 mg (Testopel-testosterone pellets) - Urology 200 mg/mL - Urology, Women' s Wellness
tetanus-diphth toxoids (Td) adult/adol	Dermatology, Internal Medicine, Urgent Care, Women's Wellness Tenivac - Urgent Care, Women's Wellness Family Practice, Pediatrics, Primary Care, Injection Room NOM
tetanus/diphth/pertuss (Tdap) adult/adol	Cardiology, Dermatology, Internal Medicine, Urgent Care, Women's Wellness
tetracaine ophthalmic	0.5% - Dermatology, Urgent Care, Women's Wellness
tezepelumab	Ambulatory clinic Infusion center
tisotumab vedotin	Outpatient infusion, home infusion
tobramycin	40mg/mL - ENT
tobramycin ophthalmic	0.3% - Dermatology, ENT, Urgent Care, Women's Wellness
triamcinolone	10mg/mL - Dermatology, ENT, Gen Surgery, Plastics 40mg/mL - Cardiology, Dermatology, ENT, Gen Surgery, Internal Medicine, Plastics, Urology Zilretta is available to the OMC Ortho/Sports Medicine Clinic. Zilretta is available to BR Orthopedic and Rheumatology Clinics
triamcinolone topical	0.1% Cream - Dermatology, ENT
trichloroacetic acid topical	ObGyn
triptorelin	Intramuscular - Urology
tuberculin purified protein derivative (PPD; TB skin test)	5TU/0.1mL - Dermatology, Internal Medicine, Urgent Care, Women's Wellness
vancomycin	BRMH - Ophthalmology Clinic
varicella virus vaccine	Urgent Care Family Practice, Internal Medicine, Pediatrics, Urgent Care, Injection Room NOM
varicella zoster immune globulin	Internal Medicine
vutrisiran	Ambulatory/ID Infusion
zoster vaccine live	Clinic Use Only
zoster vaccine, inactivated	Internal Medicine

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