Approved Formulary
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Approved Formulary
Search results for:

icodextrin

LVP solution
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-formulary Interchange
icodextrin        
Extraneal DIALYSIS FLUID 1.5 L, 2 L, 2.5 L bags      
Dianeal Low Calcium with 1.5% Dextrose SOLUTION Dextrose 1.5% with Electrolytes (Dianeal Low Calcium)      
Dianeal Low Calcium with 2.5% Dextrose SOLUTION Dextrose 2.5% with Electrolytes (Dianeal Low Calcium)      
Dianeal Low Calcium with 4.25% Dextrose SOLUTION Dextrose 4.25% with Electrolytes (Dianeal Low Ca/Delflex Low Mag      
Dianeal PD-2 with 1.5% Dextrose SOLUTION Dextrose 1.5% with Electrolytes (Dianeal PD-2)      
Dianeal PD-2 with 2.5% Dextrose SOLUTION Dextrose 2.5% with Electrolytes (Dianeal PD-2)      
Dianeal PD-2 with 4.25% Dextrose SOLUTION Dextrose 4.25% with Electrolytes (Dianeal PD-2)      
Lactated Ringers, Intravenous SOLUTION Lactated Ringers Injection      
Plasmalyte SOLUTION Electrolyte Solution      
Sodium Chloride 0.45%, Intravenous SOLUTION Sodium Chloride 0.45%      
Sodium Chloride 0.9%, Intravenous SOLUTION Sodium Chloride 0.9%      
Dextrose 5% and 0.225% Sodium Chloride SOLUTION FOR INFUSION Dextrose 5% with 0.225% NaCl      
Dextrose 5% and 0.45% Sodium Chloride SOLUTION FOR INFUSION Dextrose 5% with 0.45% NaCl      
Dextrose 5% and 0.9% Sodium Chloride SOLUTION FOR INFUSION Dextrose 5% with 0.9% NaCl      
Dextrose 5% and Lactated Ringers SOLUTION FOR INFUSION Dextrose 5% in Lactated Ringers Injection      
Dextrose 5% and Water SOLUTION FOR INFUSION Dextrose 5% in Water      

Last updated: Nov. 30, -0001


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