P&T/MEC Approved Autosubstitution List
Analgesics
Propoxyphene Nap. 100mg/APAP 650 to Propoxyphene 65mg/APAP 650mg
Antacids
Gelusil to Mylanta
Maalox #1 Tablets to Maalox Suspension or Maalox #2 Tablets
Maalox Plus to Mylanta
Mylanta Tablets to Mylanta Suspension
Mylanta II Tablets to Mylanta Suspension or Maalox #2 Tablets
Riopan to Maalox TC
Antibiotics
Cefadroxil to Cephadrine or Cephalexin
Cephalexin to Cephadrine or unchanged
Daptomycin is restricted to use in microbiology proven gram-positive skin and skin structure infections resistant to vancomycin and linezolid or that have failed vancomycin/linezolid therapy, or for patients who are allergic or intolerant to vancomycin and linezolid.
Erythromycin IV to Azithromycin IV
Gentamicin to Tobramycin for documented pseudomonas aeruginosa
Linezolid is restricted to VRE
Meropenem to Imipenem/Cilastatin
Ticarcillin/Clavulanate to Piperacillin/Tazobactam
Trovafloxacin (removed from formulary, call the physician)
Vancomycin Capsules to “Vancomycin Oral Use Solution” From Injection
Anticoagulants & Blood Formation
Enoxaparin 40 mg qd to Heparin 5000 u Subcutaneous Q8H
Enoxaparin weight adjusted dosing (see SMS order screen)
Fondaparinux is non formulary call and convert to enoxaparin
Darbepoetin to Epoetin (see SMS order screen)
Antiemetics
Aloxi to Kytril for Inpatients
Antidiabetic Agents
Humalog Mix 75/25, Novolin 70/30 to Novolog Mix 70/30
Antihistamine
Acrivastine/Pseudoephedrine to Loratadine/Pseudoephedrine
Fexofenadine/Pseudoephedrine to Loratadine/Pseudoephedrine
Antineoplastics
Calcium Channel Blockers
Adalat CC to Nifedipine XL
Dietary Supplements
Amin-Aid Powder to Travasorb Renal Powder
Hepatic Acid Powder to Travasorb Hepatic Powder
Erythropoietin > 40,000 units to two to three times a week
Histamine 2 Receptor Blockers
Albee C-800 to B-complex with C
Albee C 800 plus Iron to Therapeutic MVI w/Iron and Minerals
Antioxidant with Mineral to Therapeutic MVI w/Iron and Minerals
Beminal 500 to B-complex with C
Berocca to B-Complex with C
Centrum to Therapeutic MVI w/Iron and Minerals
Centrum Jr. with Iron to Therapeutic MVI w/Iron and Minerals
Centrum Silver to Therapeutic MVI w/Iron and Minerals
Chromagen to Trinsicon
Chromagen FA to Prenatal Vitamin
Chromagen Forte to Prenatal Vitamin
Eldercaps to Therapeutic MVI w/Iron and Minerals
Eldertonic Liquid to Theragran liquid
Fergon Plus Caplets to Trinsicon
Gevrabon Liquid to Theragran liquid
Hexavitamin to Therapeutic MVI tab/cap
Iberet 500 to Prenatal Vitamin
Iberet Folic 500 to Prenatal Vitamin
Lipoflavonoid to Therapeutic MVI w/Iron and Minerals
Lipotriad to Therapeutic MVI w/Iron and Minerals
Occuvite to Therapeutic MVI w/Iron and Minerals
Renal Formulation to Nephrocaps
Stress Formula 600 to Therapeutic MVI tab/cap
Stress 600 + Zinc to Therapeutic MVI w/Iron and Minerals
Stress Tab to Therapeutic MVI tab/cap
Stress Tab + Iron to Therapeutic MVI w/Iron and Minerals
Stress Tab + Zinc to Therapeutic MVI w/Iron and Minerals
Trihemic 600 to Trinsicon
Vicon C to B-Complex with C
Vicon Forte to Therapeutic MVI w/Iron and Minerals
Vivonex to Vital HN Powder
Z-Bec to Therapeutic MVI w/Iron and Minerals
Miscellaneous
Full Strength Dakin’s Solution to Chloramine-T 0.5%
Half Strength Dakin’s Solution to Chloramine-T 0.25%
Potassium Products
Kaon (5 mEq K gluc) to Potassium gluconate liquid
Kaon (6.7 mEq) to Klotrix Tab 10 mEq
Klorvess to KCL powder
K-lyte lime 25 mEq to Klor 20 mEq
Micro K to Klotrix 10 mEq
Slow K to Klotrix tab 10 mEq
Esomeprazole to Pantoprazole PO, or Lansoprazole in NG/GT
Omeprazole to Pantoprazole PO, or Lansoprazole in NG/GT
Rabeprazole to Pantoprazole PO, or Lansoprazole if NG/GT
Respiratory
Aminophylline IV to Theophylline
Levalbuterol Inhalation to Albuterol
Slo-bid, Uniphyl to Theo-Dur
Vitamin D analogs
File: autosubMECsubstitution
Revised: 1/2005