Genesis Health
Approved Formulary
Hospital Homepage
Questions about the Formulary?
Click on this link to email us.
Formulary Addition Request
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Username:genesis
Password: latexinfo987
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Our Department Mission....Delivering Excellence and Trust in Pharmaceutical Care through a Culture of Precision.
Genesis Health
Approved Formulary
Hospital Homepage
Questions about the Formulary?
Click on this link to email us.
Formulary Addition Request
Latex-free Medications -
Username:genesis
Password: latexinfo987
Search by name
Additional search options
Search by class
Browse alphabetically
Select...
NUM
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
High Alert
Restricted
PALS Drug Administration Guidelines
Drug Administration Guidelines
Do Not Crush
Black Box Warning
Drug Waste
Webpage Links
GENESIS MEDICAL CENTER
FORMULARY ADDITION/DELETION REQUEST
Request for:
Addition
Deletion
*Generic Name:
*Trade Name(s):
Manufacturer's Name
*Dosage Forms and Strengths Desired (i.e., capsule):
*Intended Therapeutic Applications:
List Drug Risk/Error Potential:
*Reason(s) why this drug should be included on the Hospital Formulary:
Similar Products Currently on the formulary:
*Should other drug(s) listed above be replaced by this newly recommended medication?
Yes
No
If Yes, which one(s)?
Please list applicable controlled clinical drug studies supporting request:
*Requestor Name:
*Email address
Submit
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