FormWeb • amphotericin B

Children's of Alabama

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Children's of Alabama

Approved Formulary

Alabama Medicaid Formulary Questions or Suggestions? CHS Homepage

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amphotericin B

amphotericin B

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-formulary	Interchange
Amphotericin B	POWDER FOR INJECTION	50 mg

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Comments:

Conventional Amphotericin B is a RESTRICTED formulary medication. Use is restricted to irrigations or Neonates with candidiasis. It requires ID approval and ordering thru an OS.

Last updated: Dec. 2, 2022

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Pharmacy Phone Numbers:

Inpatient Pharmacy: 205-638-9641
IV Room: 205-638-9716
Pharmacy Offices: 205-638-9718

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Use by pharmaceutical/medical representatives or non-CHS personnel is strictly prohibited.