Transcription
Generic Drug Prescribed or CLASSWADLEY REGIONAL MEDICAL CENTERTHERAPEUTIC INTERCHANGE LISTTHERAPEUTIC GROUP SORT2/8/2017Brand Drug PrescribedFormulary InterchangeANTIFUNGALSEraxisCancidasMycafungin dose per indicationMycafungin dose per indicationAmpicillin lin PO (same dose and frequency)Zosyn, pharmacy to doseCefadroxil 1 gm Q12HCefadroxil 1 gm Q24HCefadroxil 500mg Q12HCefadroxil 500mg Q24HDuricefDuricefDuricefDuricefCephalexin 1 gm Q6HCephalexin 500mg Q6HCephalexin 500mg Q6HCephalexin 250mg Q6HCefaclor 250mg Q8HCefaclor 500mg Q8HCefaclor CD 375mgCefaclor CD 500mgCefaclor SuspCefprozil 250mg PO Q8-12HCefprozil 500mg PO Q12HCefprozil 500mg PO Q24HCefuroxime SuspCeclorCeclorCeclor CDCeclor CDCeclorCefzilCefzilCefzilCeftinCefuroxime 250mg Q12HCefuroxime 500mg Q12HCefuroxime 250mgCefuroxime 500mgCefprozil SuspCefuroxime 250mg PO Q12HCefuroxime 500mg PO Q12HCefuroxime 250mg PO Q12HCefprozil SuspCefditoren 200mg Q12HCefditoren 400mg Q12HCefpodoximeCeftibuten 400mg PO Q24HSpectracefSpectracefVantinCedaxCefdinir 300mg Q12HCefdinir 300mg Q12HCefdinir, pharmacy to doseCefdinir 300mg PO vanzPrimaxinMeropenem, pharmacy to doseMeropenem, pharmacy to doseMeropenem, pharmacy to doseCiprofloxacin IV or POMoxifloxacin IV or POCiproAveloxLevaquin, pharmacy to doseLevaquin, pharmacy to doseFeosolFerrets, Ferrocite, HemocyteFerrimin 150Ferro-SequelsSlow FENovaFerrum 50Ferrex 150, Nu-IronVenoferVenoferVenoferEI elemental ironFerrous Sulfate 325 mg ( 65mg EI)Ferrous Sulfate 650 mg ( 130 mg EI)Ferrous Sulfate 650 mg ( 130 mg EI)Ferrous Sulfate 325 mg ( 65 mg EI)Ferrous Sulfate 325 mg ( 65 mg EI)Ferrous Sulfate 325 mg ( 65 mg EI)Ferrous Sulfate 650 mg ( 130 mg EI)Ferrlecit 62.5mg IVPB (for up to 16 doses)Ferrlecit 125mg IVPB (for up to 8 doses)Do Not LOOD FORMULATION AND COAGULATIONCarbonyl Iron 45 mg ( 45mg EI)Ferrous Fumarate 325 mg ( 106 mg EI)Ferrous Fumarate 456 mg ( 150 mg EI)Ferrous Fumarate 160 mg ( 50 mg EI)Ferrous Sulfate Exsiccated 142 mg ( 45 mg EI)Polysaccharide Iron Complex 50 mg ( 50 mg EI)Polysaccharide Iron Complex 150 mg ( 150 mg EI)Iron Sucrose 50-100 mgIron Sucrose 200 mgIron Sucrose 300 mg or more
Generic Drug Prescribed or CLASSFilgrastimWADLEY REGIONAL MEDICAL CENTERTHERAPEUTIC INTERCHANGE LISTTHERAPEUTIC GROUP SORT2/8/2017Brand Drug PrescribedFormulary InterchangeGranix (peg-filgrastim) same doseNeupogenCARDIOVASCULARBenazepril 5 mgBenazepril 10 mgBenazepril 20 mgBenazepril 40 mgFosinopril 10 mgFosinopril 20 mgFosinopril 40 mgMoexipril 7.5 mgMoexipril 15 mgPerindopril 2 mgPerindopril 4 mgPerindopril 8 mgQuinapril 5 mgQuinapril 10 mgQuinapril 20 mgQuinapril 40 mgTrandolopril 1 mgTrandolopril 2 mgTrandolopril 4 rilAccuprilAccuprilMavikMavikMavikLisinopril 5 mgLisinopril 10 mgLisinopril 20 mgLisinopril 40 mgLisinopril 10 mgLisinopril 20 mgLisinopril 40 mgLisinopril 10 mgLisinopril 20 mgLisinopril 5 mgLisinopril 10 mgLisinopril 20 mgLisinopril 5 mgLisinopril 10 mgLisinopril 20 mgLisinopril 40 mgLisinopril 10 mgLisinopril 20 mgLisinopril 40 mgCandesartan 4 mgCandesartan 8 mgCandesartan 16 mgCandesartan 32 mgEprosartan 400 mgEprosartan 600 mgEprosartan 800 mgIrbesartan 75 mgIrbesartan 150 mgIrbesartan 300 mgOlmesartan 5 mgOlmesartan 10 mgOlmesartan 20 mgTelmisartan 20 mgTelmisartan 40 mgTelmisartan 80 mgValsartan 40 mgValsartan 80 mgValsartan 160 mgValsartan 320 cardisMicardisDiovanDiovanDiovanDiovanLosartan 25 mgLosartan 50 mgLosartan 100 mgLosartan 100 mgLosartan 25 mgLosartan 50 mgLosartan 100 mgLosartan 25 mgLosartan 50 mgLosartan 100 mgLosartan 25 mgLosartan 50 mgLosartan 100 mgLosartan 25 mgLosartan 50 mgLosartan 100 mgLosartan 25 mgLosartan 50 mgLosartan 100 mgLosartan 100 mgFluvastatin 20 mg (Low intensity)Fluvastatin 40 mg (Low intensity)Fluvastatin 80 mg (Moderate intensity)Lovastatin 10 mg (Low intensity)Lovastatin 20 mg (Low intensity)Lovastatin 40 mg (Moderate ravastatin 10 mg (Low intensity)Pravastatin 20 mg (Low intensity)Pravastatin 40 mg (Moderate intensity)Pravastatin 10 mg (Low intensity)Pravastatin 20 mg (Low intensity)Pravastatin 40 mg (Moderate intensity)
WADLEY REGIONAL MEDICAL CENTERTHERAPEUTIC INTERCHANGE LISTTHERAPEUTIC GROUP SORT2/8/2017Generic Drug Prescribed or CLASSBrand Drug PrescribedFormulary InterchangeLovastatin 80 mg (Moderate intensity)Pravastatin 80 mg (Moderate intensity)MevacorPitavastatin 1 mg (Low intensity)Pravastatin 20 mg (Low intensity)LivaloPitavastatin 2 mg (Moderate intensity)Pravastatin 40 mg (Moderate intensity)LivaloPitavastatin 4 mg (Moderate intensity)Pravastatin 80 mg (Moderate intensity)LivaloRosuvastatin 5 mg (Moderate intensity)Atorvastatin 10 mg (Moderate intensity)CrestorRosuvastatin 10 mg (Moderate intensity)Atorvastatin 20 mg (Moderate intensity)CrestorRosuvastatin 20 mg (High intensity)Atorvastatin 40 mg (High intensity)CrestorRosuvastatin 40 mg (High intensity)Atorvastatin 80 mg (High intensity)CrestorSimvastatin 10 mg (Low intensity)Atorvastatin 5 mg (Low intensity)ZocorSimvastatin 20 mg (Moderate intensity)Atorvastatin 10 mg (Moderate intensity)ZocorSimvastatin 40 mg (Moderate intensity)Atorvastatin 20 mg (Moderate intensity)ZocorSimvastatin 80 mg (High intensity)Atorvastatin 40 mg (High intensity)ZocorEzetimibe and Simvastatin 10/10mg (Moderate intensity)Atorvastatin 10 mg (Moderate intensity)VytorinEzetimibe and Simvastatin 10/20mg (High intensity) VytorinAtorvastatin 20 mg (Moderate intensity)Ezetimibe and Simvastatin 10/40mg (High intensity) VytorinAtorvastatin 40 mg (High intensity)Ezetimibe and Simvastatin 10/80mg (High intensity) VytorinAtorvastatin 80 mg (High intensity)Omega-3 Acid Ethyl EstersLovazaFish Oil 1000 mgColestipol 5 gm packetColestidCholestyramine (Questran) 4 gm packetCarvedilol CR 10 mg QDCarvedilol CR 20 mg QDCarvedilol CR 40 mg QDCarvedilol CR 80 mg QDCoreg CRCoreg CRCoreg CRCoreg CRCarvedilol 3.125 mg BIDCarvedilol 6.25 mg BIDCarvedilol 12.5 mg BIDCarvedilol 25 mg BIDChlorothiazide 250 mg tabletChlorothiazide 500 mg tabletMethyclothiazide 2.5 mgMethyclothiazide 5 mgTrichlormethiazide 1 mgTrichlormethiazide 2 mgTorsemide 20 mg injectionDiurilDiurilDemadexHydrochlorothiazide 25 mgHydrochlorothiazide 50 mgHydrochlorothiazide 12.5 mgHydrochlorothiazide 25 mgHydrochlorothiazide 25 mgHydrochlorothiazide 50 mgFurosemide 40 mg injectionPrazosin 1 mg PO once dailyPrazosin 1 mg PO bid or tidPrazosin 2 mg PO bid or tidPrazosin 5 mg PO bidPrazosin 5 mg PO tidPrazosin 10 mg PO bidDoxazosin 1 mg PO once dailyDoxazosin 2 mg PO once dailyDoxazosin 4 mg PO once dailyDoxazosin 8 mg PO once dailyDoxazosin 12 mg PO once dailyDoxazosin 16 mg PO once aTerazosin 1 mg PO once dailyTerazosin 2 mg PO once dailyTerazosin 5 mg PO once dailyTerazosin 10 mg PO once dailyTerazosin 15 mg PO once dailyTerazosin 20 mg PO once dailyTerazosin 1 mg PO once dailyTerazosin 2 mg PO once dailyTerazosin 5 mg PO once dailyTerazosin 10 mg PO once dailyTerazosin 15 mg PO once dailyTerazosin 20 mg PO once dailyTylenol #2Lortab/Lorcet/Vicodin0.5 mg tablet of Tylenol #3Norco 5/325CNS AGENTSCodeine 15 mg/APAP 300 mgHydrocodone 5 mg/APAP [any] mg
Generic Drug Prescribed or CLASSHydrocodone 7.5 mg/APAP [any] mgHydrocodone 10 mg/APAP [any] mgMorphine long actingMorphine long actingOxycodone/APAP 10/650 mgOxycodone/APAP 2.5/325 mgOxycodone/APAP 7.5/500 mgOxycodone/ASA 5/325 mgWADLEY REGIONAL MEDICAL CENTERTHERAPEUTIC INTERCHANGE LISTTHERAPEUTIC GROUP SORT2/8/2017Brand Drug PrescribedFormulary InterchangeNorco 7.5/325Lortab/Lorcet/VicodinNorco 10/325Lortab/Lorcet/VicodinMS Contin every 12 hours; same TDDAvinzaMS Contin every 12 hours; same TDDKadianPercocet 10/325 mgPercocet 10/6500.5 tablet of Percocet 5/325 mgPercocet 2.5/3251.5 tablet of Percocet 5/325 mgPercocet 7.5/500Oxycodone 5 mg ASA 325 mgPercodanPropoxyphene/APAP N-100Darvocet N-100Tramadol/APAP 37.5/325 mgBupropion XL 150 mg QDBupropion XL 300 mg QDEscitalopram 5 mgEscitalopram 10 mgEscitalopram 20 mgWellbutrin XLWellbutrin XLLexaproLexaproLexaproBupropion SR (Wellbutrin SR) 150 mg QDBupropion SR (Wellbutrin SR) 150 mg BIDCitalopram 10 mg (Celexa)Citalopram 20 mg (Celexa)Citalopram 40 mg (Celexa)Almotriptan 6.25-12.5 mgEletriptan 20 mgEletriptan 40 mgFrovatriptan 2.5 mgNaratriptan 1-2.5 mgAxertRelpaxRelpaxFrovaAmergeSumatriptan 50 mgSumatriptan 25 mgSumatriptan 50 mgSumatriptan 50 mgSumatriptan 50 mgAlprazolam XROxazepam 10 mgOxazepam 15 mgOxazepam 30 mgXanax XROxpramOxpramOxpramAlprazolam, same TDD divided BID or TIDLorazepam 0.5 mgLorazepam 1 mgLorazepam 2 mgQuetiapine XRSeroquel XRQuetiapine IR (TDD divided BID)Armodafinil 150mg (same frequency)NuvigilModafinil 200mg (same frequency)Estazolam 1mgEstazolam 2mgFlurazepam 15mg PO at bedtimeFlurazepam 30mg PO at bedtimeTriazolam 0.125mgTriazolam 0.25mgZolpidem CR 6.25 mgZolpidem CR 12.5 mgProsomProsomDalmaneDalmaneHalcionHalcionAmbien CRAmbien CRTemazepam 15mgTemazepam 30mgTemazepam (Restoril) 15mg PO at bedtimeTemazepam (Restoril) 30mg PO at bedtimeTemazepam 15mgTemazepam 30mgZolpidem 5 mgZolpidem 10 mgFLUIDS/ELECTROLYTES/NUTRITIONpotassium chloride powder for oral solution 25 mEq Klor-Conpotassium chloride powder for oral solution 40 mEq Klor-ConPotassium Chloride oral solution 20 mEqPotassium Chloride oral solution 40 mEqKlor-Con powder for oral solution 20 mEqKlor-Con powder for oral solution 40 mEqKlor-Con powder for oral solution 20 mEqKlor-Con powder for oral solution 40 mEqGASTROINTESTINALAlosetron POLotronexOndansetron 4 mg IV q4-6h prn N/V
Generic Drug Prescribed or CLASSDolasetron PODolasetron IVGranisetron IV/POPalonosetron 2.5 mg IVWADLEY REGIONAL MEDICAL CENTERTHERAPEUTIC INTERCHANGE LISTTHERAPEUTIC GROUP SORT2/8/2017Brand Drug PrescribedFormulary InterchangeOndansetron 4 mgAnzemetOndansetron 4 mg IV Q6H PRN N/VAnzemetOndansetron 4 mg IV Q6H PRN N/VKytrilOndansetron 4 mg IV Q6H PRN N/VAloxiZenpep 5,000Zenpep 5,000Zenpep 10,000Zenpep 10,000 x 2Zenpep 10,000 x 3Zenpep 5,000Zenpep 5,000Zenpep 10,000Zenpep 10,000 x 2Zenpep 10,000 x 2Zenpep 5,000Zenpep 10,000Zenpep 10,000 x 2Zenpep 10,000Zenpep 10,000 X 2Zenpep 10,000 x 2Zenpep 10,000Zenpep 10,000 x 2Creon 3,000Creon 6,000Creon 12,000Creon 24,000Creon 36,000Ku-Zyme HPPancreaze 4,200Pancreaze 10,500Pancreaze 16,800Pancreaze 21,000Pancrelipase 5,000Pertzye 8,000Pertzye 16,000Ultresa 13,800Ultresa 20,700Ultresa 23,000Viokace 10,440Viokace 20,880Cimetidine 400 mg HSCimetidine 800-1600 mg TDDNizatidine 150 mgNizatidine 300 mgRanitidine 150 mgRanitidine 300 mgTagametTagametAxidAxidZantacZantacFamotidine 20 mg HSFamotidine 20 mg BIDFamotidine 20 mgFamotidine 40 mgFamotidine 20 mgFamotidine 40 mgDexlansoprazole ALL STRENGTHSEsomeprazole IV or POPantoprazole 40 mg IV QDLansoprazole ALL STRENGTHSOmeprazole ALL STRENGTHSOmeprazole/Sodium Bicarb ALL STRENGTHSRabeprazole 20 mgDexilant/KapidexNexiumProtonix IVPrevacidPrilosecZegeridAciphexPantoprazole 40mgPantoprazole 40 mg same routeFamotidine 20 mg IV BIDPantoprazole 40 mgPantoprazole 40 mgPantoprazole 40mgPantoprazole 40 mgMethylcellulose 5-15 mL or 2 gm packetCitrucelPsyllium (Metamucil) 3.4 gmMesalamine 400 mg tabletMesalamine HD 800 mg tabletAsacolAsacol HDMesalamine 400 mg capsule (Delzicol)Mesalamine 400 mg capsule x 2 (Delzicol)Probiotics (any)acidophilus, saccharomycesFloranex (granules or tablets)ClarinexClarinexAllegraCetirizine 5 mgCetirizine 10 mgCetirizine 5 mg QDRESPIRATORYDesloratidine 2.5 mgDesloratidine 5 mgFexofenadine 30 mg QD or BID (or age 2-11)
Generic Drug Prescribed or CLASSFexofenadine 60 mg BID or 180 mg QDFexofenadine/PseudoephedrineLevocetirizine 2.5 mgLevocetirizine 5 mgLoratidine (tablet or liquid)Loratidine/PseudoephedrineWADLEY REGIONAL MEDICAL CENTERTHERAPEUTIC INTERCHANGE LISTTHERAPEUTIC GROUP SORT2/8/2017Brand Drug PrescribedFormulary InterchangeCetirizine 10 mg QDAllegraCetirizine/PseudoephedrineAllegra DCetirizine 5 mgXyzalCetirizine 10 mgXyzalCetirizine (same strength)ClaritinCetirizine/Pseudoephedrine (same strength)Claritin DAminophylline IV (theophylline dose divided by0.8)Theophylline IVTheophyllineAlbuterol HFAAlbuterol TabletsArformoterol TartrateFormoterol Fumerate BIDIpratropium/AlbuterolIsoproterenol 1-2 puffs q 4 hoursLevalbuterol HFAMetaproterenol 2-3 puffs Q4-6HMetaproterenol neb 2.5 mL Q6HSalmeterol 50 mcg inhaler (1 inh omistCombiventIsuprelXopenex HFAAlupentAlupentSerevent DiskusAlbuterol 2.5 mg/3 ml nebulizedAlbuterol Liquid, same doseAlbuterol 2.5 mg Q6HAlbuterol 2.5 mg a 6 hoursIpratropium/Albuterol (Duoneb) NebulizedAlbuterol (Ventolin) 1-2 puffs q 12 hoursLevalbuterol 1.25 mg/3 ml nebulizedAlbuterol 2 puffs QID or Q6HAlbuterol neb 2.5 mg/0.5 mL Q6HAlbuterol 2.5 mg QIDBeclomethasone 40 mcg Inhaler (1-2 inh BID)Beclomethasone 80 mcg Inhaler (2 inh BID)Budesonide 90 mcg Inhaler (2 inh BID)Budesonide 180 mcg Inhaler (2 inh BID)Fluticasone HFA 44 mcg (2 inh BID)Flutacasone HFA 110 mcg (2 inh BID)Fluticasone HFA 220 mcg (2 inh BID)Fluticasone DPI 50 mcg (2 inh BID)Fluticasone DPI 100 mcg (2 inh BID)Fluticasone DPI 250 mcg (2 inh BID)Mometasone 110 mcg Inhaler (1 inh BID)Mometasone 220 mcg Inhaler (1-2 inh BID)QvarQvarPulmicort FlexhalerPulmicort FlexhalerFlovent HFAFlovent HFAFlovent HFAFlovent DiskusFlovent DiskusFlovent DiskusAsmanexAsmanexBudesonide 0.25 mg neb BIDBudesonide 0.5 mg neb BIDBudesonide 0.25 mg neb BIDBudesonide 0.5 mg neb BIDBudesonide 0.25 mg neb BIDBudesonide 0.5 mg neb BIDBudesonide 0.5 mg neb BIDBudesonide 0.25 mg neb BIDBudesonide 0.5 mg neb BIDBudesonide 0.5 mg neb BIDBudesonide 0.25 mg neb BIDBudesonide 0.5 mg neb BIDBudesonide/Formoterol 80/4.5 (2 inh BID)SymbicortBudesonide/Formoterol 160/4.5 (2 inh BID)SymbidortFluticasone/Salmeterol HFA 45/21Advair HFA 45/21Fluticasone/Salmeterol HFA 115/21Advair HFA 115/21Fluticasone/Salmeterol HFA 230/21Advair HFA 230/21Fluticasone/Salmeterol 100/50 1 inh BIDAdvair DiskusFluticasone/Salmeterol 250/50 1 inh BIDAdvair DiskusFluticasone/Salmeterol 500/50 1 inh BIDAdvair DiskusBudesonide 0.25 mg neb BID Albuterol 2.5 mgneb QIDBudesonide 0.5 mg neb BID Albuterol 2.5 mgneb QIDBudesonide 0.25 mg neb BID Albuterol 2.5 mgneb QIDBudesonide 0.5mg neb BID Albuterol 2.5mgneb QIDBudesonide 0.5mg neb BID Albuterol 2.5mgneb QIDBudesonide 0.25 mg neb BID Albuterol 2.5 mgneb QIDBudesonide 0.5 mg neb BID Albuterol 2.5 mgneb QIDBudesonide 0.5 mg neb BID Albuterol 2.5 mgneb QID
Generic Drug Prescribed or CLASSFluticasone/Vilanterol 100/25 1 inh QDMometasone/Formoterol 100/5 (2 inh BID)Mometasone/Formoterol 200/5 (2 inh BID)WADLEY REGIONAL MEDICAL CENTERTHERAPEUTIC INTERCHANGE LISTTHERAPEUTIC GROUP SORT2/8/2017Brand Drug PrescribedFormulary InterchangeBudesonide 0.5 mg neb BID Albuterol 2.5 mgneb QIDBreo ElliptaBudesonide 0.5 mg BID Albuterol 2.5 mg QIDDuleraBudesonide 0.5 mg BID Albuterol 2.5 mg QIDDuleraBeclomethasone Nasal SprayFlunisolide Nasal Solution 0.025%Mometasone Nasal SprayTriamcinolone Acetonide 55 mcg sprayBeconase AQNasonexNasocort AQFluticasone 1 spray in both nostrils BIDFluticasone 1 spray in both nostrils BIDFluticasone 1 spray in both nostrils BIDFluticasone 1 spray in both nostrils BIDZafirlukast 20 mg twice dailyZileuton 600 mg PO four times dailyAccolateZyfloMontelukast (Singulair) 10 mg PO every eveningMontelukast 10 mg PO every eveningBetaxolol 0.5% 1-2 drops BIDBimatoprostBrimonidine 0.1% and 0.15%Betoptic S 0.5%LumiganAlphagan PBrimonidine 0.2% Timolol 0.5% 1 drop BIDBrinzolamide 1%Carteolol 1 drop bidCombiganAzopt 1%OcupressCiprofloxacin/dexamethasone OTICCiprodex OTICCiprofloxacin/hydrocortisone OTICGatifloxacin Eye DropFlurbiprofenLevobunolol 0.5% 1-2 drops daily - BIDMetipranolol 1 drop bidMoxifloxacinPrednisolone Sodium Phosphatetimolol gel 0.25% 1 drop dailytimolol gel 0.5% 1 drop dailyUnoprostone 1 drop bidCipro HCZymarOcufenBetaganOptipranololVigamoxInflamase ForteTimoptic-XETimoptic-XEResculaTimolol (Timoptic) 0.5% 1 drop BIDLatanoprost (Xalatan) same frequencyBrimonidine 0.2%Brimonidine 0.2% 1 drop BID Timolol 0.5% 1drop BIDDorzolamide 2%Timolol 0.5% Solution 1 drop bidCiprofloxacin 0.3% OPTH dexamethasone 0.1%OPTHCiprofloxacin 0.3% OPTH dexamethasone 0.1%OPTHOfloxacin Eye DropDiclofenac OPTHTimolol 0.5% Solution 1 drop bidTimolol 0.5% Solution 1 drop bidOfloxacin Eye DropPrednisolone Acetate (Pred Forte)timolol 0.25% solution 2 drops twice dailytimolol 0.5% solution 2 drops twice dailyLatanoprost 1 drop at bedtimeOPTHALMIC/OTICTOPICALTopical corticosteroids may be freely interchanged to any product within the same potency class.(Ultra-High, High, Med-High, Medium, Low, Least)MISCCortisone 25 mgPrednisolone 5 mgTriamcinolone 4 mgCortone AcetateMillipredHydrocortisone 20 mgPrednisone 5 mgPrednisone 5 mgInsulin AspartInsulin Aspart Protamine and AspartInsulin GlulisineInsulin DetimirNovologNovolog 70/30ApidraLevemirInsulin Lispro (Humalog)Insulin Lispro Protamine Lispro (Humalog 75/25)Insulin Lispro (Humalog)Insulin Glargine (Lantus) same dose and
Generic Drug Prescribed or CLASSEstrogens (Esterified)Testosterone cyprionateKetoprofen 25 mgKetoprofen 50 mgKetoprofen 75 mgKetoprofen Extended Release 200 mg PO dailyNaproxen 220 mg PONaproxen Sodium 275 mg PONaproxen Controlled ReleaseNaproxen Sodium 550 mg PO dailyPiroxicam 10 mg PO dailyPiroxicam 20 mg PO dailyPiroxicam 40 mg PO daily or 20mg PO BIDSulindac 200 mg PO bidWADLEY REGIONAL MEDICAL CENTERTHERAPEUTIC INTERCHANGE LISTTHERAPEUTIC GROUP SORT2/8/2017Brand Drug PrescribedFormulary InterchangeEstrogens conjugated (Premarin) same doseMenestPatient med from aprox DS 550Ibuprofen 200 mgIbuprofen 400 mgIbuprofen 600 mgIbuprofen 800 mg qidNaproxen 250 mgNaproxen 250 mgNaproxen same TDD divided BID or TIDNaproxen 500 mgMeloxicam 7.5 mg dailyMeloxicam 7.5 mg dailyMeloxicam 15mg daily or 7.5 mg BIDSulindac 225 mg (1 and 1/2 of the 150 mgTolteridine 4mg PO once dailyDetrol LATolterodine 2 mg BIDBisphosphonates (osteoporosis maintenance)Fosamax/Actonel/BonivaHold while inpatient, resume on dischargeDimenhydrinate 25 mg PO q 4-6 hourDimenhydrinate 50 mg PO q 4-6 hourDramamineDramamineMeclizine (Antivert) 12.5 mg PO q 8 hourMeclizine (Antivert) 12.5 mg PO q 8 hourMultivitamin/Oral Liquid (Any)Cerovite LiquidVitamin B Complex w/ or w/out Iron, Vit C, FA (Any)Stresstabs/Maxaron/Niferex Nephro-viteHerbal Policy - Hold med while in hospitalVitamin A
THERAPEUTIC INTERCHANGE LIST THERAPEUTIC GROUP SORT 2/8/2017 Generic Drug Prescribed or CLASS Brand Drug Prescribed Formulary Interchange Hydrocodone 7.5 mg/APAP [any] mg Lortab/Lorcet/Vicodin Norco 7.5/325 Hydrocodone 10 mg/APAP [any] mg Lortab/Lorcet/Vicodin Norco 10/325 Morphine long acting Avinza MS Contin every 12 hours; same TDD
