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

  • For pharmacy use only:

Non-Formulary Approval Worksheet

Non-Formulary Process SOP

New Drug Approval Process SOP

FMOLHS P&T

 

Market P&T

 

FMOLHS P&T - 2022

February

(System P&T)

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

January

(System P&T)

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


Pharmacy Phone Numbers
Our Lady of the Lake Regional Medical Center
225-765-4434
Our Lady of the Lake Children’s Hospital
225-374-1380
Our Lady of the Lake Ascension Hospital
225-647-5057
Our Lady of the Lake Assumption Community Hospital
985-369-4290
Our Lady of Angels Hospital
985-730-6789
Our Lady of Lourdes Hospital
337-470-2866
Our Lady of Lourdes Women and Children’s
337-470-5070
Our Lady of Lourdes Heart Hospital
337-470-1080
St. Dominic Jackson Memorial Hospital
601-200-6000
St. Francis Medical Center
318-966-3461