FMOLHS Pharmacy & Therapeutics
P&T Policy
Forms:
- Please use the following form to request a medication addition to the formulary. All forms may be emailed to Emily.Johnston@fmolhs.org
FMOLHS Formulary Addition Request Form
- The following form should be used for outpatient non-formulary requests ONLY
FMOLHS Non-Formulary Request Form
Non-Formulary Approval Worksheet
Non-Formulary Process SOP
New Drug Approval Process SOP
FMOLHS P&T
Market P&T
FMOLHS P&T - 2022
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February
(System P&T)
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Kcentra will remain formulary with the following fixed dosing strategy
- Warfarin related life-threatening bleeding-1500 units
- Anti-Xa related life-threatening bleeding-2000 units
Idarucizumab (Praxbind) added to system formulary
- Each market to determine formulary status
Andexanet alfa (Andexxa) reviewed and NOT approved for formulary addition
Drug Class Reviews
- Antidepressants - no autosubstitutions
- Calcium Channel Blockers-restrictions removed from clevidipine
- Benzodiazepines
- Diuretics, Thiazides
- Beta Blocker therapeutic substitution approval-Bisoprolol to metoprolol
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January
(System P&T)
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Oxacillin added to formulary, nafcillin removed from formulary.
Meropenem dose buttons added in Epic
Drug classes reviewed:
- Bone Resorption Inhibitors
- P2Y12 Inhibitors
Calcitonin restriction criteria discussed and approved
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