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The medications listed below that have been approved by P&T for addition to our formulary. The paper manual is only updated annually. Please print memo and add to the front of your manuals.

  1. carboxymethylcellulose 1% (non-contract) to 0.5% (on contract) eye drops
  2. hexylresorcinol (Bradasol) to dequalinium (Dequadin) throat lozenges
  3. potassium phosphate 15 mmol/250ml D5W & 30 mmol/500mL D5W
  4. meperidine restrictions:
    • The prevention and treatment of drug-induced or blood product-induced rigors (e.g., amphotericin B, platelets),
    • Treatment of post-operative shivering, and
    • Short-term pain management in individuals with normal renal, hepatic and CNS function where alterna-tive opioids are contraindicated (e.g., allergy), and
      • do not exceed 600 mg/24 hours
      • limit the duration of use to 48 hours
  5. Combivent Respimat
  6. Spiriva Respimat
  7. Advair/Wixela Diskus

Submitted by: Pharmacy Program
For more info. contact: Cécile Dumesnil 204-371-5952 or

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