USP 800 Hazardous Drugs

USP <800> Hazardous Drugs 
Per Policy, these drugs have special handling requirements (any drug with an "AOR" is exempt from these requirements under normal circumstances).
A generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
   abacavir (Ziagen) PO Medium NotesFDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
  Abraxane - see PACLitaxel
  Adriamycin - see DOXOrubicin
  Adrucil - see fluorouracil
  Aldactone - see spironolactone
  Alimta - see PEMEtrexed
  Alkaban - see vinBLAStine
  Alkeran - see melphalan
  Alora - see estradiol
   anastrozole (Arimidex) PO High FDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
  Arava - see leflunomide
  Aredia - see pamidronate
  Arimidex - see anastrozole
  Aromasin - see exemestane
   arsenic trioxide (Trisenox) IV High No IARC-1NTP-1FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Avodart - see dutasteride
   azaCITIDine (Vidaza) IV/SQ High No IARC-2ANTP-2FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Azilect - see rasagiline
  AZT - see zidovudine
B generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
   bendamustine (Bendeka, Treanda) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Bendeka - see bendamustine
   bicalutamide (Casodex) PO High FDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
  BiCNU - see carmustine
  Blenoxane - see bleomycin
   bleomycin (Blenoxane) IV/IM/SQ High No IARC-2BFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   bortezomib (Velcade) IV/SQ High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
C generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
   cabazitaxel (Jevtana) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Camptosar - see irinotecan
   capecitabine (Xeloda) PO High No NotesFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
   carBAMazepine (TEGretol, Carbatrol) PO Medium NotesFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
  Carbatrol - see carBAMazepine
   CARBOplatin (Paraplatin) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   carfilzomib (Kyprolis) IV High No NotesFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   carmustine (BiCNU) IV High No IARC-2ANTP-2FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Casodex - see bicalutamide
  CellCept - see mycophenolate mofetil
  Cerebyx - see fosphenytoin
  Cervidil - see dinoprostone
   chloramphenicol (Chloromycetin) IV Medium No IARC-2ANTP-2FDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Chloromycetin - see chloramphenicol
   cidofovir (Vistide) IV Medium FDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   CISplatin (Platinol) IV High No IARC-2ANTP-2FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Climara - see estradiol
   clonazePAM (KlonoPIN) PO Low NotesFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
   colchicine (Colcrys, Mitigare) PO Low NotesFDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
  Colcrys - see colchicine
  Combivir - see zidovudine
  Cosmegen - see DACTINomycin
  Coumadin - see warfarin
   cyclophosphamide (Cytoxan) PO High No IARC-1NTP-1FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
   cyclophosphamide (Cytoxan) IV High No IARC-1NTP-1FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   cycloSPORINE (SandIMMUNE, Gengraf, Neoral) PO Medium IARC-1NTP-1FDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
   cycloSPORINE (SandIMMUNE, Gengraf, Neoral) IV Medium No IARC-1NTP-1FDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
   cytarabine (Cytosar, DepoCyt) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Cytosar - see cytarabine
  Cytotec - see miSOPROStol
  Cytovene - see ganciclovir
  Cytoxan - see cyclophosphamide
D generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
   dacarbazine (DTIC-Dome) IV High No NTP-2FDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Dacogen - see decitabine
   DACTINomycin (Cosmegen) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   decitabine (Dacogen) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Depacon - see valproate/valproic acid
  Depakene - see valproate/valproic acid
  DepoCyt - see cytarabine
  Depo-Provera - see medroxyPROGESTERone acetate
  Depo-Testosterone - see testosterone
   dexrazoxane (Totect, Zinecard) IV Medium No NotesFDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: ---
  Diflucan - see fluconazole
  Dilantin - see phenytoin
   dinoprostone (Cervidil, Prepidil, Prostin E2) Supp Low NotesFDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: Yes, (Oral Liquid or Tube Feeding)
• Closed System Transfer Device: ---
  Docefrez - see DOCEtaxel
   DOCEtaxel (Docefrez, Taxotere) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Doxil - see DOXOrubicin
   DOXOrubicin (Adriamycin, Doxil) IV High No IARC-2ANTP-2FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   dronedarone (Multaq) PO Low NotesFDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
  Droxia - see hydroxyurea
  DTIC-Dome - see dacarbazine
   dutasteride (Avodart) PO Low NotesFDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
E generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
  Eligard - see leuprolide
  Ellence - see epiRUBicin
  Eloxatin - see OXALIplatin
  Endometrin - see progesterone
   epiRUBicin (Ellence) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   eriBULin (Halaven) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   erlotinib (Tarceva) PO High FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
  Estrace - see estradiol
   estradiol (Alora, Climara, Estrace, Vivelle-Dot) PO/TOP Medium NotesFDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
   estradiol (Depot-Estradiol) IM Medium No NotesFDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: ---
   estrogen/ progesterone combinations (Premphase, Prempro) PO Medium IARC-1NTP-1FDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
   estrogens, conjugated (Cenestin, Enjuvia, Premarin) PO Medium NotesNTP-1FDA-X
Receiving • Gloves:
Pharmacy:
Preparation
• Gloves:
• Gown:
• Ventilated Engineering controls:
• Closed System Transfer Device:
Nursing:
Administration
• Gloves:
• Gown:
• Eye/face protection:
• Closed System Transfer Device:
   estrogens, conjugated (Premarin) IV Medium NotesFDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: ---
   estrogens, esterified (Menest) Medium NotesNTP-1FDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
   etoposide (Toposar, Vepesid) PO High No IARC-1FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
   etoposide (Toposar, Vepesid) IV High No IARC-1FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Evista - see raloxifene
  Evomela - see melphalan
   exemestane (Aromasin) PO High FDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
F generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
  Faslodex - see fulvestrant
  Femara - see letrozole
   finasteride (Propecia, Proscar) PO Low NotesFDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
   floxuridine (FUDR) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   fluconazole (Diflucan) IV Low NotesFDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: ---
   fluconazole (Diflucan) PO Low NotesFDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
  Fludara - see fludarabine
   fludarabine (Fludara) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   fluorouracil (Adrucil) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   fosphenytoin (Cerebyx) IV Medium NotesFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  FUDR - see floxuridine
   fulvestrant (Faslodex) IM High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: ---
G generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
   ganciclovir (Cytovene) IV Medium FDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: ---
   gemcitabine (Gemzar, Infugem) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Gemzar - see gemcitabine
  Gengraf - see cycloSPORINE
  Geodon - see ziprasidone
H generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
  Halaven - see eriBULin
  Hycamtin - see topotecan
  Hydrea - see hydroxyurea
   hydroxyurea (Droxia, Hydrea, Siklos) PO High NotesFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
I generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
  Ifex - see ifosfamide
   ifosfamide (Ifex) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Infugem - see gemcitabine
   irinotecan (Camptosar, Onivyde) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   ixabepilone (Ixempra) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Ixempra - see ixabepilone
J generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
  Jantoven - see warfarin
  Jevtana - see cabazitaxel
K generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
  KlonoPIN - see clonazePAM
  Kyprolis - see carfilzomib
L generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
   leflunomide (Arava) PO Medium NotesFDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
   letrozole (Femara) PO High FDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
   leuprolide (Eligard, Lupron) IM/SQ High No FDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: ---
  Lupron - see leuprolide
M generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
  Matulane - see procarbazine
   medroxyPROGESTERone (Depo-Provera) IM Medium IARC-2BFDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: ---
   medroxyPROGESTERone (Provera) PO Medium IARC-2BFDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
  Megace - see megestrol
   megestrol (Megace) PO High NotesFDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
   melphalan (Alkeran, Evomela) PO High No IARC-1NTP-1FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
  Menest - see estrogens, esterified
   mercaptopurine (Purinethol, Purixan) PO High FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
  Methergine - see methylergonovine
   methIMAzole (Tapazole) PO Medium NotesFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yess
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
   methotrexate (Rheumatrex, Trexall) PO High FDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
   methotrexate (Otrexup, Rasuvo) IV High No FDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   methylergonovine (Methergine) PO Low NotesFDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
   methylergonovine (Methergine) IV/IM Low NotesFDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   miSOPROStol (Cytotec) PO Low FDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
  Mitigare - see colchicine
   mitoMYcin (Mitosol, Mutamycin) OPHTH High IARC-2BFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: Yes
• Closed System Transfer Device: ---
   mitoMYcin (Mutamycin) IV High No IARC-2BFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Mitosol - see mitoMYcin
   mitoXANTRONE (Novantrone) IV High No IARC-2BFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Multaq - see dronedarone
  Mutamycin - see mitoMYcin
   mycophenolate mofetil (CellCept) PO Medium NotesFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
   mycophenolate mofetil (CellCept) IV Medium No NotesFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: ---
   mycophenolic acid (Myfortic) PO Medium NotesFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
  Myfortic - see mycophenolic acid
N generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
  Navelbine - see vinORELBine
  Neoral - see cycloSPORINE
   nevirapine (Viramune) PO Medium No NotesFDA-B
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
  NexAVAR - see SORAfenib
  Nipent - see pentostatin
  Nolvadex - see tamoxifen
  Novantrone - see mitoXANTRONE
O generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
  Oncovin - see vinCRIStine
  Onivyde - see irinotecan
  Onxol - see PACLitaxel
  Otrexup - see methotrexate
   OXALIplatin (Eloxatin) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   OXcarbazepine (Oxtellar XR, Trileptal) PO Medium NotesFDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
  Oxtellar XR - see OXcarbazepine
   oxytocin (Pitocin) IV Low NotesFDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: ---
P generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
   PACLitaxel (Taxol, Abraxane, Onxol) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   pamidronate (Aredia) IV Low NotesFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: ---
  Paraplatin - see CARBOplatin
   PARoxetine (Paxil) PO Low NotesFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
  Paxil - see PARoxetine
   PEMEtrexed (Alimta) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   pentostatin (Nipent) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Perjeta - see pertuzumab
   pertuzumab (Perjeta) IV High No NotesFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Phenytek - see phenytoin
   phenytoin (Dilantin, Phenytek) IV Medium IARC-2BNTP-2FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   phenytoin (Dilantin, Phenytek) PO Medium IARC-2BNTP-2FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
  Pitocin - see oxytocin
  Platinol - see CISplatin
  Premarin - see estrogens, conjugated
  Premphase - see estrogen/ progesterone combinations
  Prempro - see estrogen/ progesterone combinations
  Prepidil - see dinoprostone
   procarbazine (Matulane) PO High No IARC-2ANTP-2FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
   progesterone (Endometrin, Prometrium) PO Medium IARC-2BNTP-2
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
   progestins PO Medium No FDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
  Prograf - see tacrolimus
  Prometrium - see progesterone
  Propecia - see finasteride
   propylthiouracil (PTU) PO Medium IARC-2BNTP-2FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
  Proscar - see finasteride
  Prostin E2 - see dinoprostone
  Provera - see medroxyPROGESTERone acetate
  PTU - see propylthiouracil
  Purinethol - see mercaptopurine
  Purixan - see mercaptopurine
R generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
   raloxifene (Evista) PO Medium NotesFDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
   rasagiline (Azilect) PO Medium No FDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
  Rasuvo - see methotrexate
  Reclast - see zoledronic acid
  Restoril - see temazepam
  Retrovir (AZT) - see zidovudine
  Rheumatrex - see methotrexate
  RisperDAL - see risperiDONE
   risperiDONE (RisperDAL) PO Medium No NotesFDA-C
Receiving • Gloves: ---
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: ---
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
S generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
  SandIMMUNE - see cycloSPORINE
  Siklos - see hydroxyurea
  Soltamox - see tamoxifen
   SORAfenib (NexAVAR) PO High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
   spironolactone (Aldactone) PO Medium NotesFDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
   streptozocin (Zanosar) IV High No IARC-2BNTP-2FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   SUNItinib (Sutent) PO High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
  Sutent - see SUNItinib
T generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
   tacrolimus (Prograf) PO Medium NotesFDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
   tamoxifen (Soltamox, Nolvadex) PO High IARC-1NTP-1FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
  Tapazole - see methIMAzole
  Tarceva - see erlotinib
  Taxol - see PACLitaxel
  Taxotere - see DOCEtaxel
  TEGretol - see carBAMazepine
   telavancin (Vibativ) IV Low No NotesFDA-C
Receiving • Gloves: ---
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: ---
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
   temazepam (Restoril) PO Low NotesFDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
   testosterone (Depo-Testosterone) IM Low NotesFDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: ---
   thalidomide (Thalomid) PO Medium No FDA-X
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
  Thalomid - see thalidomide
  Topamax - see topiramate
   topiramate (Topamax) PO Low FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
  Toposar - see etoposide
   topotecan (Hycamtin) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Totect - see dexrazoxane
  Treanda - see bendamustine
  Trexall - see methotrexate
  Trileptal - see OXcarbazepine
  Trisenox - see arsenic trioxide
V generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
  Valcyte - see valGANciclovir
   valGANciclovir (Valcyte) PO Medium FDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
   valproate/valproic acid (Depacon) IV Low NotesFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   valproate/valproic acid (Depacote, Depakene) PO Low NotesFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
  Velcade - see bortezomib
  Vepesid - see etoposide
  Vfend - see voriconazole
  Vibativ - see telavancin
  Vidaza - see azaCITIDine
   vinBLAStine (Velban, Alkaban) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   vinCRIStine (Oncovin) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   vinORELBine (Navelbine) IV High No FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Viramune - see nevirapine
  Vistide - see cidofovir
  Vivelle-Dot - see estradiol
   voriconazole (Vfend) IV Low FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   voriconazole (Vfend) PO Low FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
W generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
   warfarin (Coumadin, Jantoven) PO Low FDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules)
• Gown: ---
• Eye/face protection: ---
• Closed System Transfer Device: ---
X generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
  Xeloda - see capecitabine
Z generic (Brand)
Route
Risk Level AOR link Warnings
(hover over entry for details)
  Zaltrap - see ziv-aflibercept
  Zanosar - see streptozocin
  Ziagen - see abacavir
   zidovudine (Retrovir, Combivir (AZT)) PO Medium No IARC-2BFDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: ---
• Gown: ---
• Ventilated Engineering controls: ---
• Closed System Transfer Device: ---
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
   zidovudine (Retrovir) IV Medium No IARC-2BFDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
  Zinecard - see dexrazoxane
   ziprasidone (Geodon) PO Low NotesFDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
   ziprasidone (Geodon) IM Low NotesFDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: ---
   ziv-aflibercept (Zaltrap) IV High No NotesFDA-C
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: Yes
   zoledronic acid (Reclast, Zometa) IV Low NotesFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes, Class II bio-safety cabinet or compounding aseptic containment isolator
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Double
• Gown: Yes
• Eye/face protection: ---
• Closed System Transfer Device: ---
  Zometa - see zoledronic acid
  Zonegran - see zonisamide
   zonisamide (Zonegran) PO Low NotesFDA-D
Receiving • Gloves: Single
Pharmacy:
Preparation
• Gloves: Double
• Gown: Yes
• Ventilated Engineering controls: Yes
• Closed System Transfer Device: Yes
Nursing:
Administration
• Gloves: Single: (Intact Tablets or Capsules); Double: (Oral Liquid or Tube Feeding)
• Gown: Yes, (Oral Liquid or Tube Feeding)
• Eye/face protection: Yes, if potential vomit or spit up
• Closed System Transfer Device: ---
last updated: 05/17/2021
 References
 NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016
 National Toxicology Program (NTP)
 International Agency for Research on Cancer (IARC)

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



This site is intended for the staff of Iredell Memorial Hospital.
While others may view accessible pages, Iredell Memorial Hospital makes no warranty, express or implied,
as to the use of this information outside of Iredell Memorial Hospital.
The content of this policy and procedure document serves as guidance to the delivery of quality patient care.
Care providers are expected to exercise critical thinking and situational awareness skills,
and in specific situations to take such action as is necessary for the delivery of quality patient care.