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Following is a P and T Committee update (from the March 22nd meeting). Starting date for specific programs is 28 March 2016, 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 |
| alectinib (Alecnesa) | Non-formulary, not stocked. | Patient to use home supply. |
| daratumumab (Darzalex) | Formulary, restricted to oncology. |
Defer infusion to outpatient setting if possible.
|
| meningococcal type-B Vaccine (Bexsero) | Formulary, restricted to post-splenectomy and outpatients. | To be added to post-splenectomy protocol. |
| meningococcal type-B Vaccine (Trumenba) |
Formulary, restricted to latex-allergy patients either post-splenectomy or outpatient.
|
Use only in latex-allergic patients.
|
| formoterol (Foradil) | Product discontinuation. |
In Pediatrics, contact MD for use of steroid alone or combination drug. Adult options being investigated. |
| foscarnet (Foscavir) Update | Formulary, restricted to infectious disease. | Not routinely stocked. |
| amphetamine sulfate (Evekeo) |
Non-formulary, not stocked.
|
Interchange to generic Adderall. |
| albuterol Oral Formulary Update |
Vospire ER and other albuterol oral long-acting agents – Non-formulary, not stocked.
|
Interchange albuterol oral agents to same daily dose of albuterol IR 2 mg in divided doses. Albuterol IR 2 mg x 2 will also be used for the 4 mg dose. |
| captopril-HCTZ (Capozide) Update |
Reclassifed as non-formulary, not stocked.
|
Dispense each agent separately.
|
| nitroglycerin ER Capsules |
Reclassified as non-formulary, not stocked.
|
Interchange to isosorbide mononitrate SR. |
| bendamustine (Bendeka) |
Reformulation
|
Bendeka is a new formulation of bendamustine, replacing Treanda, administered in a lower-volume and shorter infusion. |
| asfotase alfa (Strensiq) | Non-formulary, not stocked. | Patients may use home supply |
| clonidine XR (Kapvay) Update |
Non-formulary, not stocked.
|
In pediatrics, contact MD to discuss use of IR clonidine or alternatives. If a pediatric patient is converted to IR, increased monitoring is recommended Patients may use home supply. |
| Antibiogram 2015 | Informational. |
Incidence of most multi-drug resistant organisms decreased slightly in 2015. The updated antibiogram will be published in the 2016 ORG. |
| ofloxacin Otic Drops (Floxin) Shortage | Automatic interchange approved. |
Interchange to ciprofloxacin 0.3% ophthalmic drops on a 1:1 dosage ratio and same dosing interval during shortage. Labeling reminders to avoid route confusion to be implemented. |
| Vitamin D2 Liquid |
Formulary, restricted to no substitution in pediatric patients.
|
Vitamin D2 (ergocalciferol) 8,000 units/mL will be stocked at HHWC.
|
| Formulary Policy Update | Updated policy revisions approved. |
Added terminology for new Joint Commission requirements.
|