national specialty formularyperform-pport02.inetuhosted.net/sites/default/files/2015... · 2015. 7....
TRANSCRIPT
1 Updated 6/2015
Drug Notes
Antihistamine Drugs
Ethanolamine Derivatives
dimenhydrinate injection solution soln
First Generation Antihistamines
dimenhydrinate injection solution soln
Anti-Infective Agents
Amebicides
Metro I.V. (metronidazole in NaCl (iso-os)) pgbk
Aminoglycosides
amikacin injection solution 1,000 mg/4 mL, 500 mg/2 mL soln
Bethkis nebu gentamicin in NaCl (iso-osm) intravenous piggyback 100 mg/100 mL, 100 mg/50 mL, 80 mg/100 mL, 80 mg/50 mL
pgbk
gentamicin in NaCl (iso-osm) intravenous piggyback 120 mg/100 mL, 60 mg/50 mL, 70 mg/50 mL, 90 mg/100 mL
pgbk
gentamicin injection soln gentamicin sulfate (ped) (PF) soln gentamicin sulfate (PF) soln streptomycin intramuscular solr Tobi nebu Tobi Podhaler inhalation capsule cap Tobi Podhaler inhalation capsule, w/inhalation device CpDv
tobramycin in 0.9 % NaCl pgbk tobramycin sulfate injection recon soln solr tobramycin sulfate injection solution soln
Aminopenicillins
ampicillin sodium solr Unasyn injection (ampicillin-sulbactam) solr
Antimycobacterials, Miscellaneous
National Specialty Formulary
2 Updated 6/2015
Drug Notes dapsone tab
Antiprotozoals, Miscellaneous
dapsone tab Metro I.V. (metronidazole in NaCl (iso-os)) pgbk Nebupent solr Pentam solr
Antituberculosis Agents
amikacin injection solution 1,000 mg/4 mL, 500 mg/2 mL soln
Avelox in NaCl (iso-osmotic) pgbk Capastat solr Cipro in D5W intravenous piggyback (ciprofloxacin in 5 % dextrose) 400 mg/200 mL pgbk
ciprofloxacin in 5 % dextrose intravenous piggyback 200 mg/100 mL pgbk
ciprofloxacin lactate soln Levaquin in 5 % dextrose pgbk levofloxacin intravenous soln Rifadin intravenous (rifampin) solr streptomycin intramuscular solr
Antivirals, Miscellaneous
foscarnet soln
Azoles
fluconazole in dextrose(iso-o) intravenous piggyback 200 mg/100 mL pgbk
fluconazole in dextrose(iso-o) intravenous piggyback 400 mg/200 mL pgbk
fluconazole in NaCl (iso-osm) intravenous piggyback 100 mg/50 mL pgbk
fluconazole in NaCl (iso-osm) intravenous piggyback 200 mg/100 mL, 400 mg/200 mL pgbk
Vfend IV soln
Carbapenems
Doribax solr Invanz solr Merrem (meropenem) solr Primaxin IV solr
Cephamycins
3 Updated 6/2015
Drug Notes cefotetan solr cefotetan in dextrose, iso-osm pgbk cefoxitin solr cefoxitin in dextrose, iso-osm pgbk Mefoxin in dextrose (iso-osm) pgbk
Cyclic Lipopeptides
Cubicin solr
Echinocandins
Cancidas solr Eraxis(Water Diluent) solr Mycamine solr
Extended-Spectrum Penicillins
piperacillin-tazobactam intravenous recon soln 2.25 gram, 3.375 gram, 4.5 gram solr
Timentin intravenous piggyback pgbk Timentin intravenous recon soln solr Zosyn solr Zosyn in dextrose (iso-osm) pgbk
Fifth Generation Cephalosporins
Teflaro intravenous recon soln 400 mg solr
First Generation Cephalosporins
cefazolin in dextrose (iso-os) intravenous piggyback 1 gram/50 mL, 2 gram/50 mL pgbk
cefazolin injection recon soln 1 gram, 10 gram, 500 mg solr
cefazolin injection recon soln 100 gram, 20 gram, 300 g solr
cefazolin intravenous solr
Fourth Generation Cephalosporins
cefepime solr cefepime in dextrose 5 % pgbk cefepime in dextrose,iso-osm pgbk Maxipime intravenous solr
Glycopeptides
Dalvance soln Orbactiv solr
4 Updated 6/2015
Drug Notes vancomycin in D5W intravenous piggyback 1 gram/200 mL pgbk
vancomycin in D5W intravenous piggyback 500 mg/100 mL pgbk
vancomycin in dextrose iso-osm pgbk vancomycin intravenous recon soln 1,000 mg, 10 gram, 5 gram, 500 mg solr
vancomycin intravenous recon soln 750 mg solr Vibativ intravenous recon soln 750 mg solr
Glycylcyclines
Tygacil solr
Hcv Polymerase Inhibitors
Harvoni tab Sovaldi tab Viekira Pak DsPk
Hcv Protease Inhibitors
Incivek tab Olysio cap Victrelis cap Viekira Pak DsPk
Hcv Replication Complex Inhibitors
Harvoni tab Viekira Pak DsPk
Hiv Entry And Fusion Inhibitors
Fuzeon subcutaneous kit kit Fuzeon subcutaneous recon soln solr
Hiv Nucleoside & Nucleotide Rt Inhibitor
Epivir HBV oral solution soln Epivir HBV oral tablet tab
Hiv Protease Inhibitors
Viekira Pak DsPk
Interferons
Alferon N soln Infergen soln Intron A injection recon soln solr Intron A injection solution soln
5 Updated 6/2015
Drug Notes Pegasys ProClick pnij Pegasys subcutaneous solution soln Pegasys subcutaneous syringe syrg PegIntron kit PegIntron Redipen pnkt Sylatron 4-Pack subcutaneous kit 200 mcg, 300 mcg kit
Sylatron subcutaneous kit 200 mcg, 300 mcg kit Sylatron subcutaneous kit 600 mcg kit
Lincomycins
Cleocin in 5 % dextrose pgbk Cleocin injection (clindamycin phosphate) soln Cleocin intravenous solution (clindamycin phosphate) 900 mg/6 mL soln
clindamycin phosphate intravenous solution 300 mg/2 mL, 600 mg/4 mL soln
Lincocin soln
Monobactams
Azactam (aztreonam) solr Azactam in dextrose (iso-osm) pgbk Cayston nebu
Monoclonal Antibodies
Synagis soln
Natural Penicillins
penicillin G pot in dextrose pgbk penicillin G procaine syrg penicillin G sodium solr Pfizerpen-G (penicillin G potassium) solr
Nucleosides And Nucleotides
acyclovir sodium intravenous recon soln solr acyclovir sodium intravenous solution soln Baraclude oral solution soln Copegus (ribavirin) tab Cytovene solr entecavir tab Hepsera tab
6 Updated 6/2015
Drug Notes Moderiba Dose Pack oral tablets,dose pack 200 mg (7)- 400 mg (7), 600 mg (7)- 400 mg (7), 600 mg (7)- 600 mg (7)
DsPk
REBETOL oral capsule (ribavirin) cap REBETOL oral solution soln RibaPak Dose Pack oral tablets,dose pack 200 mg (28)- 400 mg (28), 400 mg (7)- 400 mg (7) DsPk
RibaPak Dose Pack oral tablets,dose pack 400-400 mg (28)-mg (28), 600-400 mg (28)-mg (28), 600-600 mg (28)-mg (28)
DsPk
Ribasphere oral tablet 400 mg, 600 mg tab Tyzeka tab Valcyte oral recon soln solr Valcyte oral tablet tab Virazole solr Vistide soln
Oxazolidinones
Sivextro intravenous solr Sivextro oral tab Zyvox intravenous solp
Penicillinase-Resistant Penicillins
nafcillin in dextrose iso-osm intravenous piggyback 1 gram/50 mL pgbk
nafcillin in dextrose iso-osm intravenous piggyback 2 gram/100 mL pgbk
nafcillin injection solr nafcillin intravenous solr oxacillin in dextrose(iso-osm) pgbk oxacillin injection solr oxacillin intravenous solr
Polyenes
Abelcet susp AmBisome susr Amphotec susr amphotericin B solr
Polymyxins
Coly-Mycin M Parenteral (colistin (colistimethate Na)) solr
polymyxin B sulfate solr
7 Updated 6/2015
Drug Notes
Quinolones
Avelox in NaCl (iso-osmotic) pgbk Cipro in D5W intravenous piggyback (ciprofloxacin in 5 % dextrose) 400 mg/200 mL pgbk
ciprofloxacin in 5 % dextrose intravenous piggyback 200 mg/100 mL pgbk
ciprofloxacin lactate soln Levaquin in 5 % dextrose pgbk levofloxacin intravenous soln
Rifamycins
Rifadin intravenous (rifampin) solr
Second Generation Cephalosporins
cefotetan solr cefotetan in dextrose, iso-osm pgbk cefoxitin solr cefoxitin in dextrose, iso-osm pgbk cefuroxime sodium injection recon soln 1.5 gram solr cefuroxime sodium injection recon soln 75 gram, 750 mg solr
cefuroxime sodium intravenous solr cefuroxime-dextrose (iso-osm) pgbk Mefoxin in dextrose (iso-osm) pgbk Zinacef intravenous recon soln 1.5 gram, 750 mg solr
Streptogramins
Synercid solr
Sulfonamides (Systemic)
sulfamethoxazole-trimethoprim intravenous soln
Tetracyclines
Avidoxy DK kit doxycycline hyclate intravenous solr Minocin intravenous solr
Third Generation Cephalosporins
ceftazidime solr ceftazidime in D5W pgbk ceftriaxone in dextrose,iso-os pgbk ceftriaxone injection recon soln 10 gram, 2 gram, 250 mg solr
8 Updated 6/2015
Drug Notes ceftriaxone intravenous piggyback pgbk ceftriaxone intravenous recon soln solr Claforan injection (cefotaxime) solr Claforan intravenous recon soln solr Fortaz in dextrose 5 % pgbk Fortaz injection recon soln 500 mg solr Rocephin injection recon soln (ceftriaxone) 1 gram, 500 mg solr
TAZICEF intravenous solr
Antineoplastic Agents
Antineoplastic Agents
Abraxane susr Adcetris solr Adriamycin intravenous recon soln solr Adriamycin intravenous solution (doxorubicin) soln Adriamycin PFS (doxorubicin) soln Adrucil (fluorouracil) soln Afinitor Disperz tbsu Afinitor oral tablet 10 mg, 2.5 mg, 5 mg tab Afinitor oral tablet 7.5 mg tab Alferon N soln Alimta solr Alkeran intravenous (melphalan HCl) solr Alkeran oral tab Aromasin (exemestane) tab Arranon soln Arzerra intravenous solution 1,000 mg/50 mL soln Arzerra intravenous solution 100 mg/5 mL soln Avastin soln Beleodaq solr Bexxar 131 Iodine soln Bexxar Therapeutic soln BiCNU solr bleomycin solr Blincyto kit Bosulif tab Busulfex soln
9 Updated 6/2015
Drug Notes Camptosar (irinotecan) soln capecitabine tab Caprelsa tab carboplatin intravenous solution soln cisplatin soln cladribine soln Clolar soln Cometriq cap cyclophosphamide intravenous solr Cyramza soln cytarabine soln cytarabine (PF) injection recon soln solr cytarabine (PF) injection solution soln dacarbazine solr Dacogen solr dactinomycin solr daunorubicin intravenous recon soln solr daunorubicin intravenous solution soln DepoCyt (PF) susp Docefrez solr docetaxel intravenous solution 10 mg/mL, 140 mg/7 mL (20 mg/mL), 20 mg/2 mL (Final) soln
docetaxel intravenous solution 160 mg/16 mL (10 mg/mL), 160 mg/8 mL (20 mg/mL), 20 mg/2 mL (10 mg/mL), 80 mg/8 mL (10 mg/mL), 80 mg/8 mL (Final)
soln
Doxil susp Eligard syrg Ellence (epirubicin) soln Eloxatin (oxaliplatin) soln Elspar solr epirubicin intravenous recon soln 50 mg solr Erbitux soln Erivedge cap Erwinaze solr Etopophos solr etoposide oral cap Farydak cap
10 Updated 6/2015
Drug Notes Faslodex syrg Firmagon solr floxuridine solr fludarabine intravenous recon soln solr fludarabine intravenous solution soln fluorouracil intravenous soln Folotyn soln Gazyva soln gemcitabine intravenous recon soln solr gemcitabine intravenous solution soln Gemzar (gemcitabine) solr Gilotrif tab Gleevec tab Gliadel Wafer wafr Halaven soln Herceptin solr Hexalen cap Hycamtin intravenous (topotecan) solr Hycamtin oral cap Ibrance cap Iclusig tab Idamycin PFS (idarubicin) soln Ifex (ifosfamide) solr ifosfamide intravenous solution soln ifosfamide-mesna intravenous kit 1-1 gram kit Imbruvica cap Inlyta tab Intron A injection recon soln solr Intron A injection solution soln Istodax solr Ixempra solr Jakafi tab Jevtana soln Kadcyla solr Keytruda intravenous recon soln solr Keytruda intravenous solution soln Kyprolis solr
11 Updated 6/2015
Drug Notes Lenvima cap Leukeran tab leuprolide kit lomustine cap Lupaneta Pack (1 month) KtST Lupaneta Pack (3 month) KtST Lupron Depot sykt Lupron Depot (3 Month) sykt Lupron Depot (4 Month) sykt Lupron Depot (6 Month) sykt Lupron Depot-Ped kit Lupron Depot-Ped (3 Month) intramuscular syringe kit 11.25 mg sykt
Lupron Depot-Ped (3 Month) intramuscular syringe kit 30 mg sykt
Lynparza cap Lysodren tab Marqibo kit Matulane cap Mekinist tab methotrexate sodium (PF) injection recon soln solr methotrexate sodium (PF) injection solution soln methotrexate sodium injection soln mitomycin solr mitoxantrone conc Mustargen solr Myleran tab Navelbine (vinorelbine) soln Nexavar tab Nilandron tab Nipent (pentostatin) solr Oncaspar soln Ontak soln Opdivo soln Otrexup (PF) subcutaneous auto-injector 10 mg/0.4 mL atIn
oxaliplatin intravenous recon soln solr paclitaxel conc
12 Updated 6/2015
Drug Notes Perjeta soln Photofrin solr Pomalyst cap Proleukin solr Revlimid oral capsule 10 mg, 15 mg, 2.5 mg, 25 mg, 5 mg cap
Revlimid oral capsule 20 mg cap Rituxan conc Soltamox soln Sprycel tab Stivarga tab Supprelin LA kit Sutent cap Sylatron 4-Pack subcutaneous kit 200 mcg, 300 mcg kit
Sylatron subcutaneous kit 200 mcg, 300 mcg kit Sylatron subcutaneous kit 600 mcg kit Sylvant solr Synribo solr Tabloid tab Tafinlar cap Tarceva tab Targretin oral cap Tasigna cap Taxotere intravenous solution (docetaxel) 20 mg/mL (1 mL), 80 mg/4 mL (20 mg/mL) soln
Temodar intravenous solr Temodar oral cap teniposide soln thiotepa solr Toposar (etoposide) soln topotecan intravenous solution soln Torisel solr Treanda intravenous recon soln solr Treanda intravenous solution soln Trelstar Depot susr Trelstar intramuscular suspension for reconstitution susr
13 Updated 6/2015
Drug Notes Trelstar intramuscular syringe syrg Trelstar LA susr tretinoin (chemotherapy) cap Trexall tab Trisenox soln Tykerb tab Valstar soln Vantas kit Vectibix soln Velcade solr Vidaza solr vinblastine intravenous recon soln solr vinblastine intravenous solution soln Vincasar PFS (vincristine) soln Votrient tab Xalkori cap Xtandi cap Yervoy soln Zaltrap soln Zanosar solr Zelboraf tab Zevalin (Y-90) kit Zoladex impl Zolinza cap Zydelig tab Zykadia cap Zytiga tab
Autonomic Drugs
Centrally Acting Skeletal Muscle Relaxnt
Robaxin injection soln
Direct-Acting Skeletal Muscle Relaxants
Revonto solr
Gaba-Derivative Skeletal Muscle Relaxant
Gablofen intrathecal solution soln Gablofen intrathecal syringe syrg
14 Updated 6/2015
Drug Notes Lioresal soln
Neuromuscular Blocking Agents
atracurium soln cisatracurium soln pancuronium soln Quelicin injection solution soln rocuronium intravenous solution soln vecuronium bromide solr
Skeletal Muscle Relaxants, Miscellaneous
Botox solr Botox Cosmetic intramuscular solr Dysport solr Myobloc soln orphenadrine citrate injection soln Xeomin solr
Blood Derivatives
Blood Derivatives
albumin, human 25 % solp
Blood Formation,Coagulation & Thrombosis
Direct Factor Xa Inhibitors
Arixtra (fondaparinux) syrg
Direct Thrombin Inhibitors
Angiomax solr
Hematopoietic Agents
Aranesp (in polysorbate) injection solution soln Aranesp (in polysorbate) injection syringe syrg Epogen injection solution 10,000 unit/mL, 2,000 unit/mL, 20,000 unit/2 mL, 20,000 unit/mL, 3,000 unit/mL, 4,000 unit/mL
soln
Granix syrg Leukine injection recon soln solr Mircera syrg Mozobil soln Neulasta subcutaneous syringe syrg
15 Updated 6/2015
Drug Notes Neulasta subcutaneous syringe, w/ wearable injector syin
Neumega solr Neupogen injection solution soln Neupogen injection syringe syrg Nplate solr Omontys soln Procrit soln Promacta tab
Hemostatics
Advate solr Alphanate intravenous recon soln 1,000 (400 vWF) unit/10 mL, 1,500 (600 vWF) unit/10 mL, 250 (100 vWF) unit/5 mL, 500 (200 vWF) unit/5 mL
solr
Alphanate intravenous recon soln 2,000 (800 vWF) unit/10 mL solr
AlphaNine SD solr Alprolix solr aminocaproic acid intravenous soln Bebulin VH solr BeneFIX kit Corifact kit Eloctate solr Helixate FS solr Hemofil M High solr Hemofil M Low solr Hemofil M Mid solr Hemofil M Super High solr Humate-P intravenous kit 1,000-2,400 unit kit Humate-P intravenous kit 250-600 unit, 500-1,200 unit kit
Kcentra intravenous kit 500 unit (400-620 unit) kit Koate-DVI intravenous recon soln solr Kogenate FS intravenous recon soln 1,000 (+/-) unit, 2,000 (+/-) unit, 250 (+/-) unit, 3,000 (+/-) unit
solr
Kogenate FS intravenous recon soln 500 (+/-) unit solr Monoclate-P kit
16 Updated 6/2015
Drug Notes Mononine kit Novoeight solr Novoseven RT solr Profilnine intravenous recon soln 1,000 (+/-) unit, 1,500 (+/-) unit, 500 (+/-) unit solr
Recombinate solr RiaSTAP solr Rixubis solr tranexamic acid intravenous soln Wilate intravenous kit 1,000-1,000 unit, 500-500 unit kit
Xyntha kit Xyntha Solofuse sykt
Heparins
enoxaparin subcutaneous solution soln enoxaparin subcutaneous syringe syrg Fragmin subcutaneous solution soln Fragmin subcutaneous syringe syrg Hep Flush-10 (PF) soln heparin (porcine) in 5 % dex solp heparin (porcine) in NaCl (PF) intravenous parenteral solution 1,000 unit/500 mL, 2,000 unit/1,000 mL
solp
heparin (porcine) injection cartridge crtg heparin (porcine) injection solution soln Heparin Flush kit heparin flush(porcine)-0.9NaCl kit Heparin Lock soln heparin lock flush intravenous solution soln heparin lock flush intravenous syringe syrg Heparin LockFlush(Porcine)(PF) intravenous syringe 10 unit/mL syrg
heparin(porcine) in 0.45% NaCl intravenous parenteral solution 12,500 unit/250 mL, 25,000 unit/250 mL, 25,000 unit/500 mL
solp
heparin, porcine (PF) injection solution soln heparin, porcine (PF) injection syringe syrg heparin, porcine (PF) intravenous solution 100 unit/mL (1 mL) soln
17 Updated 6/2015
Drug Notes heparin, porcine (PF) intravenous solution 25,000 unit/10 mL soln
heparin, porcine (PF) intravenous syringe 1 unit/mL syrg
Iron Preparations
Dexferrum soln Feraheme soln Ferrlecit soln Infed soln Injectafer soln Venofer intravenous solution 100 mg/5 mL iron, 50 mg/2.5 mL iron soln
Venofer intravenous solution 200 mg/10 mL iron soln
Platelet-Aggregation Inhibitors
Integrilin soln
Thrombolytic Agents
Activase intravenous recon soln 100 mg solr Activase intravenous recon soln 50 mg solr Cathflo Activase solr Retavase kit TNKase kit
Cardiovascular Drugs
Antiarrhythmic Agents
adenosine intravenous solution soln
Antiarrhythmics, Miscellaneous
magnesium sulfate in D5W intravenous piggyback 1 gram/100 mL pgbk
magnesium sulfate in water intravenous parenteral solution solp
magnesium sulfate in water intravenous piggyback pgbk
magnesium sulfate injection solution soln magnesium sulfate injection syringe syrg
Antilipemic Agents, Miscellaneous
Juxtapid oral capsule 10 mg, 20 mg, 5 mg cap Kynamro syrg
Cardiotonic Agents
milrinone soln
18 Updated 6/2015
Drug Notes
Class Ib Antiarrhythmics
phenytoin sodium intravenous solution soln phenytoin sodium intravenous syringe syrg
Class Iv Antiarrhythmics
adenosine intravenous solution soln
Phosphodiesterase Type 5 Inhibitors
Adcirca tab Revatio intravenous soln Revatio oral suspension for reconstitution susr sildenafil tab
Vasodilating Agents, Miscellaneous
Adempas tab Flolan (epoprostenol (glycine)) solr Letairis tab Opsumit tab Orenitram TbER Remodulin soln Tracleer tab Tyvaso nebu Tyvaso Institutional Start Kit nebu Tyvaso Refill Kit nebu Tyvaso Starter Kit nebu Veletri intravenous recon soln 0.5 mg solr Veletri intravenous recon soln 1.5 mg solr Ventavis nebu
Cellular Therapy
Cellular Therapy
Provenge susp
Central Nervous System Agents
Analgesics And Antipyretics, Misc.
Horizant oral tablet extended release 600 mg TbER Prialt soln
Anticonvulsants, Miscellaneous
Horizant oral tablet extended release 600 mg TbER Keppra intravenous (levetiracetam) soln levetiracetam in NaCl (iso-os) pgbk
19 Updated 6/2015
Drug Notes magnesium chloride injection soln magnesium sulfate in D5W intravenous piggyback 1 gram/100 mL pgbk
magnesium sulfate in water intravenous parenteral solution solp
magnesium sulfate in water intravenous piggyback pgbk
magnesium sulfate injection solution soln magnesium sulfate injection syringe syrg Sabril oral powder in packet pwpk Sabril oral tablet tab valproate sodium soln Vimpat intravenous soln
Antimanic Agents
valproate sodium soln
Antimigraine Agents, Miscellaneous
valproate sodium soln
Anxiolytics, Sedatives & Hypnotics,Misc.
Hetlioz cap
Atypical Antipsychotics
Abilify intramuscular soln Abilify Maintena intramuscular suspension,extended rel recon serr
Geodon intramuscular solr Invega Sustenna syrg olanzapine intramuscular solr Risperdal Consta syrg Zyprexa Relprevv susr
Central Nervous System Agents, Misc.
riluzole tab Xenazine tab Xyrem soln
Hydantoins
fosphenytoin soln phenytoin sodium intravenous solution soln phenytoin sodium intravenous syringe syrg
20 Updated 6/2015
Drug Notes
Nonergot-Deriv.Dopamine Receptor Agonist
APOKYN crtg
Opiate Agonists
alfentanil soln fentanyl citrate (PF) injection soln sufentanil citrate soln Ultiva solr
Opiate Antagonists
Vivitrol serr
Devices
Devices
Euflexxa syrg Gel-One syrg Hyalgan intra-articular solution soln Hyalgan intra-articular syringe syrg Monovisc syrg ORTHOVISC syrg Solesta glim Supartz syrg Synvisc syrg Synvisc-One syrg
Diagnostic Agents
Adrenocortical Insufficiency
Acthar H.P. gel Acthrel solr Cortrosyn (cosyntropin) solr cosyntropin intravenous soln
Gallbladder Function
Kinevac solr
Thyroid Function
Thyrogen solr
Electrolytic, Caloric, And Water Balance
Ammonia Detoxicants
AMMONUL soln
21 Updated 6/2015
Drug Notes Carbaglu TbDP
Caloric Agents
Aminosyn 10 % solp Aminosyn 3.5 % solp Aminosyn 7 % solp Aminosyn 7 % with electrolytes solp Aminosyn 8.5 % solp Aminosyn II 10 % solp Aminosyn II 15 % solp Aminosyn II 7 % solp Aminosyn II 8.5 % solp Aminosyn II 8.5 %-electrolytes solp Aminosyn M 3.5 % solp Aminosyn-PF 10 % solp Aminosyn-PF 7 % (sulfite-free) solp Aminosyn-RF 5.2 % solp Clinimix 5%/D15W Sulfite Free solp Clinimix 5%/D25W sulfite-free solp Clinimix 2.75%/D5W Sulfit Free solp Clinimix 4.25%/D10W Sulf Free solp Clinimix 4.25%/D5W Sulfit Free solp Clinimix 4.25%-D20W sulf-free solp Clinimix 4.25%-D25W sulf-free solp Clinimix 5%-D20W(sulfite-free) solp Clinimix E 2.75%/D10W Sul Free solp Clinimix E 2.75%/D5W Sulf Free solp Clinimix E 4.25%/D10W Sul Free solp Clinimix E 4.25%/D25W Sul Free solp Clinimix E 4.25%/D5W Sulf Free solp Clinimix E 5%/D15W Sulfit Free solp Clinimix E 5%/D20W Sulfit Free solp Clinimix E 5%/D25W Sulfit Free solp Clinisol SF 15 % solp cysteine (L-cysteine) intravenous solution soln D10 % & 0.45 % sodium chloride solp D2.5 %-0.45 % sodium chloride solp D5 % and 0.9 % sodium chloride solp
22 Updated 6/2015
Drug Notes D5 %-0.45 % sodium chloride solp dextrose 10 % and 0.2 % NaCl solp dextrose 10 % in water (D10W) intravenous parenteral solution solp
dextrose 10 % in water (D10W) intravenous solution soln
dextrose 2.5 % in water(D2.5W) solp dextrose 20 % in water (D20W) solp dextrose 25 % in water (D25W) syrg dextrose 30 % in water (D30W) solp dextrose 40 % in water (D40W) solp dextrose 5 % in water (D5W) intravenous parenteral solution solp
dextrose 5 % in water (D5W) intravenous piggyback pgbk
dextrose 5%-0.2 % sod chloride solp dextrose 5%-0.3 % sod.chloride solp dextrose 50 % in water (D50W) intravenous parenteral solution solp
dextrose 50 % in water (D50W) intravenous syringe syrg
dextrose 70 % in water (D70W) solp Freamine HBC 6.9 % solp Freamine III 10 % solp Hepatasol 8 % solp Intralipid intravenous emulsion 20 %, 30 % emul Liposyn II emul Liposyn III emul Liquigen emul Nephramine 5.4 % solp Premasol 10 % solp Premasol 6 % solp Procalamine 3% solp Prosol 20 % solp Travasol 10 % solp TrophAmine 10 % solp Trophamine 6% solp
Replacement Preparations
23 Updated 6/2015
Drug Notes electrolyte-48 in D5W solp Hyperlyte CR soln Ionosol-B in D5W solp Ionosol-MB in D5W solp Isolyte M in 5 % dextrose solp Isolyte S pH 7.4 solp Isolyte-P in 5 % dextrose solp Isolyte-S solp lactated ringers intravenous solp Normosol-R solp Normosol-R in 5 % dextrose solp Normosol-R pH 7.4 solp Nutrilyte soln Nutrilyte II soln Plasma-Lyte 148 solp Plasma-Lyte A solp Plasma-Lyte-56 in 5 % dextrose solp ringers intravenous solp TPN Electrolytes soln TPN Electrolytes II soln
Vasopressin Antagonists
Samsca tab Vaprisol soln
Enzymes
Enzymes
Activase intravenous recon soln 100 mg solr Activase intravenous recon soln 50 mg solr Adagen soln Aldurazyme soln Cathflo Activase solr Cerezyme intravenous recon soln 400 unit solr Elaprase soln Elelyso solr Elitek solr Fabrazyme solr Lumizyme solr Myozyme solr
24 Updated 6/2015
Drug Notes Naglazyme soln Pulmozyme soln Sucraid soln Vimizim soln Voraxaze solr VPRIV solr Xiaflex solr
Eye, Ear, Nose And Throat (Eent) Preps.
Corticosteroids (Eent)
Iluvien impl Ozurdex impl Retisert impl Triesence (PF) susp
Eent Drugs, Miscellaneous
Cystaran drop Eylea soln Jetrea (PF) soln Lucentis soln Macugen syrg Visudyne solr
Gastrointestinal Drugs
5-Ht3 Receptor Antagonists
Aloxi soln Anzemet intravenous solution 100 mg/5 mL, 20 mg/mL soln
Anzemet intravenous solution 12.5 mg/0.625 mL soln granisetron (PF) soln granisetron HCl intravenous soln ondansetron HCl (PF) injection solution soln ondansetron HCl (PF) injection syringe syrg Zofran (as hydrochloride) intravenous (ondansetron HCl) soln
Antiemetics, Miscellaneous
Emend intravenous recon soln 150 mg solr
Antihistamines (Gi Drugs)
dimenhydrinate injection solution soln
25 Updated 6/2015
Drug Notes trimethobenzamide intramuscular solution soln
Gi Drugs, Miscellaneous
Cimzia sykt Cimzia Powder for Reconst kit Entyvio solr Gattex 30-Vial kit Gattex One-Vial kit Humira sykt Humira Crohn's Dis Start Pck pnkt Humira Ped Crohn's Starter Pk sykt Humira Pen pnkt Humira Psoriasis Starter Pack pnkt Remicade solr
Histamine H2-Antagonists
famotidine (PF) soln famotidine (PF)-NaCl (iso-os) pgbk famotidine intravenous soln ranitidine HCl injection solution 25 mg/mL soln Zantac injection solution (ranitidine HCl) 50 mg/2 mL (25 mg/mL) soln
Heavy Metal Antagonists
Heavy Metal Antagonists
Bal in Oil soln Ca-DTPA soln Desferal (deferoxamine) solr Exjade TbDP Ferriprox tab Galzin cap Jadenu tab Syprine cap Zn-DTPA soln
Hormones And Synthetic Substitutes
Adrenals
A-Hydrocort solr A-Methapred injection recon soln 125 mg/2 mL, 40 mg/mL solr
Aristospan Intra-Articular susp
26 Updated 6/2015
Drug Notes Aristospan Intralesional susp betamethasone acet,sod phos susp Depo-Medrol (methylprednisolone acetate) susp dexamethasone sodium phos (PF) soln dexamethasone sodium phosphate injection soln Solu-Cortef (PF) solr Solu-Medrol (PF) solr Solu-Medrol intravenous recon soln (methylprednisolone sodium succ) 1,000 mg solr
Solu-Medrol intravenous recon soln 2 gram solr Solu-Medrol intravenous recon soln 500 mg solr
Androgens
Aveed soln Testopel pllt testosterone cypionate oil testosterone enanthate oil
Estrogens
estradiol valerate oil
Gonadotropins
Eligard syrg leuprolide kit Lupaneta Pack (1 month) KtST Lupaneta Pack (3 month) KtST Lupron Depot sykt Lupron Depot (3 Month) sykt Lupron Depot (4 Month) sykt Lupron Depot (6 Month) sykt Lupron Depot-Ped kit Lupron Depot-Ped (3 Month) intramuscular syringe kit 11.25 mg sykt
Lupron Depot-Ped (3 Month) intramuscular syringe kit 30 mg sykt
Supprelin LA kit Synarel spry Vantas kit Zoladex impl
Parathyroid
27 Updated 6/2015
Drug Notes Forteo pnij Miacalcin injection soln
Pituitary
Acthar H.P. gel Genotropin crtg Genotropin MiniQuick syrg Humatrope injection cartridge crtg Humatrope injection recon soln solr Norditropin FlexPro subcutaneous pen injector 10 mg/1.5 mL (6.7 mg/mL), 15 mg/1.5 mL (10 mg/mL), 5 mg/1.5 mL (3.3 mg/mL)
pnij
Norditropin Nordiflex pnij Nutropin AQ Nuspin crtg Nutropin AQ subcutaneous cartridge crtg Nutropin AQ subcutaneous solution soln Nutropin subcutaneous recon soln 10 mg solr Omnitrope subcutaneous cartridge crtg Omnitrope subcutaneous recon soln solr Saizen solr Saizen click.easy crtg Serostim subcutaneous recon soln 4 mg, 5 mg, 6 mg solr
Tev-Tropin solr Zorbtive solr
Progestins
Lupaneta Pack (1 month) KtST Lupaneta Pack (3 month) KtST Makena oil progesterone oil
Somatostatin Agonists
octreotide acetate injection syringe syrg Sandostatin (octreotide acetate) soln Sandostatin LAR Depot intramuscular kit kit Sandostatin LAR Depot intramuscular suspension,extended rel recon serr
Signifor LAR susr Signifor subcutaneous solution 0.3 mg/mL (1 mL) soln
28 Updated 6/2015
Drug Notes Signifor subcutaneous solution 0.6 mg/mL (1 mL), 0.9 mg/mL (1 mL) soln
Somatuline Depot syrg
Somatotropin Agonists
Egrifta solr Increlex soln
Somatotropin Antagonists
Somavert solr
Miscellaneous Therapeutic Agents
Alcohol Deterrents
Vivitrol serr
Antidotes
Bal in Oil soln Calcium Folinate (leucovorin) soln Desferal (deferoxamine) solr Fusilev solr leucovorin calcium injection recon soln solr leucovorin calcium injection solution soln leucovorin calcium oral tab magnesium sulfate in D5W intravenous piggyback 1 gram/100 mL pgbk
magnesium sulfate in water intravenous parenteral solution solp
magnesium sulfate in water intravenous piggyback pgbk
magnesium sulfate injection solution soln magnesium sulfate injection syringe syrg Nithiodote soln sodium thiosulfate intravenous solution 1 gram/10 mL (100 mg/mL), 12.5 gram/50 mL (250 mg/mL) soln
Voraxaze solr
Antigout Agents
Krystexxa soln
Bone Resorption Inhibitors
Ganite soln ibandronate intravenous solution soln ibandronate intravenous syringe syrg
29 Updated 6/2015
Drug Notes Miacalcin injection soln pamidronate intravenous recon soln solr pamidronate intravenous solution soln Prolia syrg Reclast soln Xgeva soln zoledronic acid intravenous recon soln solr zoledronic acid-mannitol-water intravenous piggyback 4 mg/100 mL pgbk
Zometa soln
Complement Inhibitors
Berinert intravenous kit kit Cinryze solr Firazyr syrg Kalbitor soln Ruconest solr Soliris soln
Disease-Modifying Antirheumatic Agents
Actemra intravenous soln azathioprine sodium solr Cimzia sykt Cimzia Powder for Reconst kit Enbrel subcutaneous recon soln solr Enbrel subcutaneous syringe syrg Enbrel SureClick pnij Humira sykt Humira Crohn's Dis Start Pck pnkt Humira Ped Crohn's Starter Pk sykt Humira Pen pnkt Humira Psoriasis Starter Pack pnkt Kineret syrg methotrexate sodium (PF) injection recon soln solr methotrexate sodium (PF) injection solution soln methotrexate sodium injection soln Orencia syrg Orencia (with maltose) solr
30 Updated 6/2015
Drug Notes Otezla tab Otezla Starter oral tablets,dose pack 10 mg (4)-20 mg (4)-30 mg(19) DsPk
Otrexup (PF) subcutaneous auto-injector 10 mg/0.4 mL atIn
Remicade solr Sandimmune intravenous (cyclosporine) soln Simponi ARIA soln Simponi subcutaneous pen injector pnij Simponi subcutaneous syringe syrg Trexall tab Xeljanz tab
Immunomodulatory Agents
Actemra intravenous soln Actimmune soln Aubagio tab Avonex (with albumin) kit Avonex intramuscular pen injector pnij Avonex intramuscular pen injector kit pnkt Avonex intramuscular syringe syrg Avonex intramuscular syringe kit sykt azathioprine sodium solr Betaseron subcutaneous kit kit Cimzia sykt Cimzia Powder for Reconst kit Copaxone subcutaneous syringe syrg Enbrel subcutaneous recon soln solr Enbrel subcutaneous syringe syrg Enbrel SureClick pnij Entyvio solr Extavia subcutaneous kit kit Extavia subcutaneous recon soln solr Gilenya cap Humira sykt Humira Crohn's Dis Start Pck pnkt Humira Ped Crohn's Starter Pk sykt Humira Pen pnkt
31 Updated 6/2015
Drug Notes Humira Psoriasis Starter Pack pnkt Intron A injection recon soln solr Intron A injection solution soln Kineret syrg Lemtrada soln methotrexate sodium (PF) injection recon soln solr methotrexate sodium (PF) injection solution soln methotrexate sodium injection soln Orencia syrg Orencia (with maltose) solr Otrexup (PF) subcutaneous auto-injector 10 mg/0.4 mL atIn
Plegridy subcutaneous pen injector pnij Plegridy subcutaneous syringe syrg Pomalyst cap Proleukin solr Rebif (with albumin) syrg Rebif Rebidose pnij Rebif Titration Pack syrg Revlimid oral capsule 10 mg, 15 mg, 2.5 mg, 25 mg, 5 mg cap
Revlimid oral capsule 20 mg cap Sandimmune intravenous (cyclosporine) soln Simponi ARIA soln Simponi subcutaneous pen injector pnij Simponi subcutaneous syringe syrg Tecfidera cpDR Thalomid cap Trexall tab Tysabri soln
Immunosuppressive Agents
Astagraf XL cp24 Atgam inj azathioprine sodium solr Benlysta solr CellCept Intravenous solr cyclophosphamide intravenous solr
32 Updated 6/2015
Drug Notes methotrexate sodium (PF) injection recon soln solr methotrexate sodium (PF) injection solution soln methotrexate sodium injection soln Nulojix solr Otrexup (PF) subcutaneous auto-injector 10 mg/0.4 mL atIn
Prograf intravenous soln Prograf oral cap Rapamune oral solution soln Rapamune oral tablet tab Sandimmune intravenous (cyclosporine) soln Simulect solr Thymoglobulin solr Trexall tab Zortress tab
Other Miscellaneous Therapeutic Agents
acetylcysteine solution soln Ampyra Tb12 Arcalyst solr Botox solr Botox Cosmetic intramuscular solr Carnitor Sugar-Free soln Cerdelga cap Cystadane powd Demser cap Dysport solr Ilaris (PF) solr Kuvan oral powder in packet pwpk Kuvan oral tablet,soluble TbSO levocarnitine (with sugar) soln levocarnitine intravenous soln levocarnitine oral tablet tab Myobloc soln Orfadin cap Panhematin solr Procysbi CDRS
33 Updated 6/2015
Drug Notes Remicade solr Thiola tab Xeomin solr Zavesca cap
Protective Agents
Ethyol (amifostine crystalline) solr Mesnex intravenous (mesna) soln Mesnex oral tab Zinecard (as HCl) (dexrazoxane HCl) solr
Radioactive Agents
Radioactive Agents
Xofigo soln
Respiratory Tract Agents
Cystic Fibrosis (Cftr) Potentiators
Kalydeco oral granules in packet grpk Kalydeco oral tablet tab
First Generation Antihist.(Respir Tract)
dimenhydrinate injection solution soln
Mucolytic Agents
acetylcysteine solution soln Pulmozyme soln
Respiratory Tract Agents, Miscellaneous
Aralast NP solr Esbriet cap Glassia soln Ofev cap Xolair solr Zemaira solr
Vasodilating Agents (Respiratory Tract) Adcirca tab Adempas tab Flolan (epoprostenol (glycine)) solr Letairis tab Opsumit tab Orenitram TbER
34 Updated 6/2015
Drug Notes Remodulin soln Revatio intravenous soln Revatio oral suspension for reconstitution susr sildenafil tab Tracleer tab Tyvaso nebu Tyvaso Institutional Start Kit nebu Tyvaso Refill Kit nebu Tyvaso Starter Kit nebu Veletri intravenous recon soln 0.5 mg solr Veletri intravenous recon soln 1.5 mg solr Ventavis nebu
Serums, Toxoids, And Vaccines
Serums
Carimune NF Nanofiltered solr CytoGam intravenous solution 50 mg/mL soln GamaSTAN S/D soln Gammagard Liquid soln Gammagard S/D solr Gammaplex soln Gamunex-C injection solution 1 gram/10 mL (10 %), 10 gram/100 mL (10 %), 2.5 gram/25 mL (10 %), 20 gram/200 mL (10 %), 5 gram/50 mL (10 %)
soln
HepaGam B soln Hizentra subcutaneous solution 1 gram/5 mL (20 %), 2 gram/10 mL (20 %), 4 gram/20 mL (20 %) soln
HyperHEP B S/D intramuscular solution soln HyperHEP B S/D intramuscular syringe syrg Hyperhep B S-D Neonatal syrg HyperRAB S/D (PF) soln HyperTET S/D (PF) syrg Hyqvia soln MICRhoGAM Ultra-Filtered PLUS syrg Nabi-HB soln Octagam soln Privigen soln RhoGAM Ultra-Filtered PLUS syrg
35 Updated 6/2015
Drug Notes Rhophylac syrg Varizig solr WinRho SDF soln
Vaccines
Theracys susr Tice BCG susr
Skin And Mucous Membrane Agents
Cell Stimulants And Proliferants
Kepivance solr
Pigmenting Agents
8-Mop cap Oxsoralen Ultra cap Uvadex soln
Skin And Mucous Membrane Agents, Misc.
acitretin cap Cosentyx syrg Cosentyx (2 Syringes) syrg Cosentyx Pen pnij Cosentyx Pen (2 Pens) pnij Stelara subcutaneous syringe syrg Targretin topical gel