The following is a list of all criteria-based drugs on the inpatient formulary at University of Kentucky Hospital or agents cited in guidelines and pathways approved by the Pharmacy and Therapeutics Committee.  Select a drug for more detailed information about its specific restrictions.

ACETYLCYSTEINE
ACETYLCYSTEINE 20%
ACETYLCYSTEINE IV
ACYCLOVIR SODIUM
ALBUMIN
AMIKACIN SULFATE
AMPHOTERICIN B
AMPHOTERICIN B LIPID*AMBISOME
AMPICILLIN ADD-VANTAGE
AMPICILLIN SODIUM
AMPICILLIN/SULBACTAM
ANTIVENIN, CROTALIDAE
ARGATROBAN
AZTREONAM
BIVALIRUDIN
BuPROPion SR
CALCIUM CHLORIDE 10%
CALCIUM GLUCONATE
CALCIUM GLUCONATE 10%
CARBAMAZEPINE
CARBAMAZEPINE XR
CEFAZOLIN
CEFEPIME HCL
CEFTRIAXONE SODIUM
CLINDAMYCIN 600MG IV
CLINDAMYCIN 900MG IV
CLINDAMYCIN HCL
COLISTIMETHATE SODIUM
CYCLOSPORINE
CYCLOSPORINE (GENGRAF)
CYCLOSPORINE (NEORAL)
DAPSONE
DAPTOMYCIN
DEXAMETHASONE
DIGOXIN
DIGOXIN IMMUNE FAB
DIVALPROEX (ER) SODIUM
DIVALPROEX SODIUM
DORIPENEM
DOXYCYCLINE HYCLATE
DROTRECOGIN ALFA (ACTIVATED)
ENOXAPARIN SODIUM
EPOPROSTENOL NA
ETHYL ALCOHOL
FACTOR VIIA,RECOMB(BHK CELLS)
FILGRASTIM
FLUCONAZOLE
FLUCONAZOLE/NSS PREMIX
FOMEPIZOLE
FONDAPARINUX SODIUM
FOSPHENYTOIN SODIUM
GENTAMICIN SULFATE
GENTAMICIN/NSS PREMIX
HEPARIN 25,000 UNITS/500ML
HEPARIN SODIUM
INSULIN ASP PRT/INSULIN ASPART
INSULIN ASPART
INSULIN GLARGINE
INSULIN HUMAN LISPRO
INSULIN HUMAN NPH
INSULIN HUMAN REGULAR
IRINOTECAN HCL
ITRACONAZOLE
LEVOFLOXACIN
LEVOFLOXACIN/D5W PREMIX
LIDOCAINE
LIDOCAINE 2GM/250ML PREMIX
LINEZOLID
LINEZOLID PREMIX
LITHIUM CARBONATE
LITHIUM CARBONATE ER
LITHIUM CITRATE
MAGNESIUM SULFATE 50%
MEPERIDINE (PYXIS) 25-50MG SYR
MEPERIDINE HCL
MEROPENEM
METHOTREXATE SODIUM
METHOTREXATE SODIUM *PF*
METOCLOPRAMIDE HCL
METRONIDAZOLE
METRONIDAZOLE/NSS PREMIX
N-ACETYL-L-CYSTEINE
NAFCILLIN SODIUM
NESIRITIDE
NICOTINE
OPRELVEKIN
PALIVIZUMAB
PEGASPARAGINASE
PENICILLIN G BENZATHINE
PENICILLIN G POTASSIUM
PENICILLIN G PROCAINE
PENICILLIN G SODIUM
PENICILLIN GK PREMIX
PENTAMIDINE ISETHIONATE
PENTOBARBITAL SODIUM
PHENOBARBITAL
PHENOBARBITAL SODIUM
PHENYTOIN
PHENYTOIN SODIUM
PHENYTOIN SODIUM EXTENDED
PHYTONADIONE
PHYTONADIONE 1MG
PIPERACILLIN/TAZABACTAM VIAL
PIPERACILLIN/TAZOBACTAM
PIPERACILLIN/TAZOBACTAM PREMIX
POTASSIUM CHLORIDE
POTASSIUM CHLORIDE PREMIX
POTASSIUM PHOSPHATE
PRIMIDONE
PROCAINAMIDE
PROCAINAMIDE HCL
PROCAINAMIDE HCL SA
PROCHLORPERAZINE EDISYLATE
PROCHLORPERAZINE MALEATE
PROMETHAZINE HCL
PROPOFOL
QUINIDINE SULFATE
QUINIDINE SULFATE SA
QUINUPRISTIN/DALFOPRISTIN
RIBAVIRIN
RITUXIMAB
SARGRAMOSTIM
SODIUM PHOSPHATE
SUCROSE SOLUTION
SULFAMETHOXAZOLE/TRIMETHOPRIM
TACROLIMUS ANHYDROUS
THEOPHYLLINE ANHYDROUS
TOBRAMYCIN SULFATE
TOBRAMYCIN SULFATE *PF*
TREPROSTINIL SODIUM
VALGANCICLOVIR HYDROCHLORIDE
VALPROATE SODIUM
VALPROIC ACID
VANCOMYCIN
VANCOMYCIN 1GM VIAL
VANCOMYCIN HCL
VORICONAZOLE
WARFARIN SODIUM

 

 

 

 

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