Medications Requiring Filters

Medications Requiring Filters  
A Medication Preparation Filter Administration Filter
abatacept (Orencia) Not required. Use an infusion set with a 0.2 to 1.2 micron filter.
abciximab (ReoPro) Draw up bolus doses through a 0.2 micron syringe filter or 5 micron filter needle. For an infusion, use a 0.2 or 0.22 inline filter.
  Abelcet - see amphotericin B lipid complex
agalsidase Beta (Fabrazyme) Not required. Use a 0.2 micron inline filter.
  Albuked - see albumin 5% and 25%
albumin 5% and 25% (Albuked, Albuminar, AlbuRx, Albutein, Kedbumin, Plasbumin) Product information does not indicate a filter is required Product information does not indicate a filter is required
albumin 5% and 25% (Buminate, Flexbumin,Not required.) Use a 0.15 micron or smaller administration set.  
  Albuminar - see albumin 5% and 25%
  AlbuRx - see albumin 5% and 25%
  Albutein - see albumin 5% and 25%
alglucosidase alpha (Myozyme) Not required. Use a 0.2 micron inline filter.
  Alphanate - see antihemophilic Factor/Von Willebrand Factor Complex
  AlphaNine SD - see factor IX, human
  AmBisome - see amphotericin B liposome
amiodarone (Cordarone) Not required. Use a 0.22 micron inline filter.
amphotericin B (Fungizone) Not required. May be administered without loss of potency through a 1 micron or greater inline filter.
amphotericin B lipid complex (Abelcet) Do not use a filter needle to remove from the vial. Use the 5 micron filter needle supplied with the vial to transfer withdrawn contents to an IV bag. Each filter needle may be used for up to four 100 mL vials. Do NOT use an inline filter.
amphotericin B liposomal (AmBisome) Do not use a filter needle to withdraw reconstituted AmBisome from the vial. Use the 5 micron filter needle supplied with the vial to transfer withdrawn contents to IV bag. Use one filter needle per vial. Use a 1 micron or greater inline filter.
andexanet alfa (Andexxa) Not required. For IV infusion, use of a 0.2 or 0.22 micron in-line polyethersulfone or equivalent low protein-binding filter is required.
antihemophilic Factor/Von Willebrand Factor Complex (Alphanate) Use the Mix2Vialc adapter for reconstitution. If more than one vial is required, use a new Mix2Vial adapter for each vial. Not required.
anti-inhibitor coagulant complex (Feiba NF) Use the BAXJECT IIc Hi-Flow needleless transfer device during preparation. Not required.
anti-thymocyte globulin, equine (Atgam) Not required. Use a 0.2 to 1 micron inline filter.
anti-thymocyte globulin, rabbit (Thymoglobulin) Not required. Use a 0.22 micron inline filter.
  Arzerra - see OFATUmumab
  Atgam - see anti-thymocyte globulin, equine
B Medication Preparation Filter Administration Filter
  BeneFIX - see factor IX complex, recombinant
  Buminate - see albumin 5% and 25%
C Medication Preparation Filter Administration Filter
cabazitaxel (Jevtana) Not required. Use a 0.22 micron inline filter.
cetuximab (Erbitux) Not required. Use a 0.22 micron inline filter.
cladribine (Leustatin) cladribine and bacteriostatic 0.9% sodium chloride should both be filtered through a 0.22 micron syringe filter when preparing 7-day infusions. Filters are not required for preparation of single daily doses. Not required.
clofarabine (Clolar) Use a 0.2 micron syringe filter. Not required.
  Clolar - see clofarabine
  Cordarone - see amiodarone
  CytoGam - see cytomegalovirus immune globulin IV, human
cytomegalovirus immune globulin IV, human (CytoGam) Not required. Use a 0.2 to 15 micron inline filter.
D Medication Preparation Filter Administration Filter
  Dilantin - see phenytoin sodium
E Medication Preparation Filter Administration Filter
epoprostenol (Flolan) Not required. Use a 0.22 micron inline filter.
  Erbitux - see cetuximab
etoposide (Toposar) Not required. May be administered without loss of potency through a 0.22 micron inline filter.
F Medication Preparation Filter Administration Filter
  Fabrazyme - see agalsidase Beta
factor IX complex, human (Profilnine) Use the filter provided by the manufacturer. Not required.
factor IX complex, recombinant (BeneFIX) Use the vial adapter reconstitution device,with builtin filter) provided by the manufacturer. Not required.
factor IX, human (AlphaNine SD) Use the Mix2Vialc adapter for reconstitution. If more than one vial is required, use a new Mix2Vial adapter for each vial. Not required.
factor IX, recombinant, albumin fusion protein,rIX-FP (Idelvion) Use the Mix2Vialc adapter for reconstitution. If more than one vial is required, use a new Mix2Vial adapter for each vial. Not required.
factor VIIa, recombinant (NovoSeven RT) Use the 25 micron filter provided with the prefilled diluent syringe. Not required.
factor VIII product, human (Humate-P) Use the Mix2Vialc filter transfer set provided with Humate-P or a double-ended needle and vented filter spike. Not required.
factor VIII product, human (Koate-DVI) After reconstituting, use the filter needle provided to draw into a syringe. Not required.
factor VIII product, human (Monoclate-P) Use the 5 micron vented filter spike for reconstitution or the 5 micron filter needle to withdraw the reconstituted solution. Not required.
factor VIII product, recombinant (Helixate-FS) Use the Mix2Vialc adapter for reconstitution. If more than one vial is required, use a new Mix2Vial adapter for each vial. Not required.
factor VIII product, recombinant (Recombinate) Use the BAXJECT IIc Hi-Flow needleless transfer device during preparation. Not required.
fat emulsion (Intralipids) Not required. IMH:1.2 micron filter required, will be sent from pharmacy with each bag.
  Feiba NF - see anti-inhibitor coagulant complex
  Flexbumin - see albumin 5% and 25%
  Flolan - see epoprostenol
  Fungizone - see amphotericin B
H Medication Preparation Filter Administration Filter
  Helixate-FS - see factor VIII product, recombinant
  Humate-P - see factor VIII product, human
I Medication Preparation Filter Administration Filter
ibritumomab tiuxetan (Zevalin) Not required. Use a 0.22 micron inline filter.
  Idelvion - see factor IX, recombinant, albumin fusion protein,rIX-FP)
inFLIXimab (Remicade) Not required. Use up to a 1.2 micron inline filter. IMH: 0.2 micron
  Intralipids - see fat emulsion
ipilimumab (Yervoy) Not required. Use a 0.2 to 1.2 micron inline filter.
ixabepilone (Ixempra) Not required. Use a 0.2 to 1.2 micron inline filter.
J Medication Preparation Filter Administration Filter
  Jevtana - see cabazitaxel
K Medication Preparation Filter Administration Filter
  Kcentra - see prothrombin complex concentrate, human
  Kedbumin - see albumin 5% and 25%
  Keytruda - see pembrolizumab
  Koate-DVI - see factor VIII product, human
L Medication Preparation Filter Administration Filter
  Leustatin - see cladribine
  Lucentis - see ranibizumab
M Medication Preparation Filter Administration Filter
mannitol Filters are not required during preparation. If crystals are present, consider warming mannitol up to 158°F to redissolve crystals, with agitation. Ensure solution cools to room temperature prior to administration. Use a 0.2 micron inline filter, especially for infusions of 15% or more. Filter sizes may vary among institutions (e.g., 0.2 micron, 5 micron). Consult institution-specific recommendations.
methacholine (Provocholine) Not required. When transferring solution from a vial or syringe to nebulizer, use a sterile 0.22 micron filter.
  Monoclate-P - see factor VIII product, human
  Myozyme - see alglucosidase alpha
N Medication Preparation Filter Administration Filter
  Nexterone - see amiodarone
  NovoSeven RT - see factor VIIa, recombinant
O Medication Preparation Filter Administration Filter
OFATUmumab (Arzerra) Not required. Use the administration set, including an inline filter, provided by the manufacturer.
  Orencia - see abatacept
P Medication Preparation Filter Administration Filter
PACLitaxel (Taxol) Not required Use an inline filter not greater than 0.22 microns.
panitumumab (Vectibix) Not required. Use a 0.2 or 0.22 micron inline filter.
pembrolizumab (Keytruda) Not required. Use a 0.2 to 5 micron inline or add-on filter.
phenytoin sodium (Dilantin) Not required. Use a 0.22 to 0.55 micron inline filter. IMH: For IV infusions, use a 0.22 micron in-line filter.
  Plasbumin - see albumin 5% and 25%
  Profilnine - see factor IX complex, human
prothrombin complex concentrate, human (Kcentra) Use the Mix2Vialc adapter for reconstitution. If more than one vial is required, use a new Mix2Vial adapter for each vial. Not required.
  Provocholine - see methacholine
R Medication Preparation Filter Administration Filter
ranibizumab (Lucentis) Use a 5 micron filter needle to draw up contents of vial. Do not use filter needle for administration.
  Recombinate - see factor VIII product, recombinant
  Remicade - see inFLIXimab
  ReoPro - see abciximab
T Medication Preparation Filter Administration Filter
  Taxol - see PACLitaxel
temsirolimus (Torisel) Not required. Use an inline filter not greater than 5 microns. Alternatively, a 0.2 to 5 micron add-on filter can be used. Do not use an inline and add-on filter together.
thiotepa (Thioplex) In order to eliminate haze, filter through a 0.22 micron filter prior to administration. Not required.
  Thymoglobulin - see anti-thymocyte globulin, rabbit
  Toposar - see etoposide
  Torisel - see temsirolimus
TPN Not required. IMH: Use a 0.22 micron inline filter (stocked in storeroom).
V Medication Preparation Filter Administration Filter
  Vectibix - see panitumumab
Y Medication Preparation Filter Administration Filter
  Yervoy - see ipilimumab
Z Medication Preparation Filter Administration Filter
  Zevalin - see ibritumomab tiuxetan
ziv-Afibercept (Zaltrap) Not required. Use a 0.2 micron polyethersulfone filter. Do not use nylon or polyvinylidene filters.
last updated: 04/19/2020

Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556



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