Page 35 - Christiana Care Focus January 2018
P. 35
FORMULARY UPDATE | NOVEMBER 2017
FORMULARY ADDITIONS
Treatment of opioid dependence in patients who have achieved and sustained a prolonged clinical stability on low to moderate doses buprenorphine for 3 months or longer with no need for supplemental dosing or adjustments
Treatment of several types of cancer
A parenteral nutrition product that is prescribed for neonates at Christiana Care
Treatment of carcinoid syndrome & gastroenteropancreatic neuroendocrine tumors
Treatment of prostate cancer
Treatment of adult patients with newly diagnosed FLT3 mutation-positive acute myeloid leukemia
• Contraception
• Heavy menstrual bleeding
Treatment of anxiety
Treatment of some gastrointestinal disorders
Treatment of schizophrenia & bipolar disorder
Adjunct for the prevention and treatment of wound sepsis in patients with second- and third-degree burns
Treatment of Crohn’s disease, plaque psoriasis, psoriatic arthritis
• Availability limited to Christiana Care Behavioral Health Clinic
• Ordered as requested
•Prescribing limited to hematologists & oncologists
• Special handling precautions
Line-item extension
• Prescribing limited to hematologists & oncologists
• Special handling precautions
Availability limited to Christiana Care Surgicenters
Line-item extension
Line-item extension
Line-item extension
Line-item extension
Line-item extension
PHARMACY SERVICES
Medication – Generic/Brand Name
Buprenorphine Subdermal Implant (Probuphine)
Docetaxel Injection
Fish Oil & Plant-Based IV Lipid Emulsion (SMOFlipid)
Lanreotide Acetate Depot Injection (Somatuline)
Leuprolide Acetate Depot Injection (Lupron)
Midostaurin (Rydapt)
Levonorgestrel-Releasing Intrauterine Device (Mirena)
Lorazepam Solution
Ranitidine Tablet
Risperidone Long-Acting Injection (Risperdal Consta)
Silver Sulfadiazine Cream
Ustekinumab Injection
Strength/Size
74.2 mg
160 mg/8mL vial
20% 100 mL Flex Container
60 mg, 90 mg & 120 mg , 30 mg/0.1 mL or 24 mg /0.1 mL
45 mg kit
25 mg
Oral Capsule
52 mg
20 mcg/24 hr
2 mg/mL 30 mL bottle
75 mg
12.5 mg & 25 mg
1% 25 gm tube
130 mg/26 mL
Use/Indication Comment
CHRISTIANA CARE COMPLIANCE HOTLINE
Christiana Care’s Compliance Hotline can be used to report a violation of any regulation, law or legal requirement as it relates to billing or documentation, 24 hours a day, 7 days a week. Callers may remain anonymous. The toll-free number is: 877-REPORT-0 (877-737-6780).
To learn more about Corporate Compliance, review the Corporate Compliance Policy online or contact Christine Babenko at 302-623-4693.
JANUARY 2018 FOCUS • 35
