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Following is a P and T Committee update (from the November 28th meeting). Starting date for specific programs is 4 December 2017, unless otherwise noted. Please let me know if you have any questions or comments. Don’t forget to check the “New Drug Monitoring Spotlight” section of the website, which provides important monitoring information about newly approved drugs. Also, attached is the updated version of the “Not Stocked, Not Ordered” drug list with the new additions highlighted in red.
Below is the memo with links to the drug monographs, protocols, and formulary documents. Click to access the full P&T packet for this month, or here to access the P&T packet archive.
|
Drug or Drug Class |
Formulary Decision |
Comments |
| lixisenatide (Adlyxin) | Non-Formulary |
Initiation should be deferred until after hospital discharge. Inpatients may use their own supply. If a GLP-1 agonist is required, liraglutide is an alternative currently on formulary. |
| insulin glargine-lixisenatide (Soliqua) | Non-Formulary | Soliqua is a fixed dose of insulin glargine and lixisenatide. Initiation should be deferred until after hospital discharge. Inpatients may use their own supply. |
| insulin degludec-liraglutide (Xultophy) | Non-Formulary | Xultophy is a fixed dose of insulin degludec and liraglutide. Initiation should be deferred until after hospital discharge. Inpatients may use their own supply. |
| guselkumab (Tremfya) | Non-Formulary | Initiation should be deferred until after hospital discharge. Inpatients may use their own supply. |
| dupilumab (Dupixent) | Non-Formulary | Initiation should be deferred until after hospital discharge. Inpatients may use their own supply. |
| edaravone (Radicava) | Non-Formulary | Patient candidate pool is small and clinical benefits are limited. Current literature does not support use of this agent. |
| gadobenate dimeglumine (Multihance) | Formulary, Restricted | Restricted to use by radiology in selected cardiac procedures. |
| atropine-pralidoxime (DuoDote) | Reclassified as Formulary, Restricted | Temporary formulary status for the shelf-life of the stock received at no cost to the facility (2-3 years). After current stock expires, DuoDote will return to Non-Formulary status with a the individual components dispensed separately. |
| After Hours Remote Order Verification -- Madison Hospital | Non-Formulary | Between the hours of 22:30-06:30 on Monday-Friday, and 20:00-0800 on Saturday and Sunday, pharmacists at Huntsville Hospital Main will provide verification and telephone support pharmaceutical services for patients at Madison Hospital. |