Drug Line Extension/Deletion Request
Rpharmy Memorial Formulary and Informatics Subcommittee
Department of Pharmacy
Chair: Pharma Fairy, PharmD, MS, BCPS
Email: lpaxton@rpharmy.com
Use this form to request the addition or deletion of a dosage form or strength to a pre-existing drug on the Rpharmy Memorial Hospital Formulary of Accepted Drugs