Look-Alike/Sound-Alike (LASA) Medication Chart
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1 Look-Alike/Sound-Alike (LASA) Medication Chart Last Revised: August 2018 Lipid based amphotericin products amphotericin B lipid complex (Abelcet ) amphotericin B liposomal (Ambisome ) Conventional forms of amphotericin amphotericin B desoxycholate (Fungizone ) Not stocked in automated dispensing system cabinets. CARBOplatin (Paraplatin ) CISplatin (Platinol ) OXALIplatin (Eloxatin ) All are stocked in the oncology pharmacies only and are stored in separated locations. clobazam (Onfi ) clonazepam (KlonoPIN ) clonidine Lipid based DOXOrubicin DOXOrubicin liposomal (Doxil or Lipodox ) Conventional forms of DAUNOrubicin and DOXOrubicin DAUNOrubicin (Cerubidine ) DOXOrubicin (Adriamycin ) IDArubicin (Idamycin ) All are stocked in the oncology pharmacies only and are stored in separated locations. Infusion rates are stated on the medication labels. ephedrine EPINEPHrine
2 fat emulsion (Intralipid) fat emulsion fish oil based (Smoflipid) and filgrastim (Neupogen ) filgrastim sndz (Zarxio ) hydralazine hydroxyzine Stored in separated locations within the pharmacy and clinics. and clinics. and infliximab (Remicade ) infliximab dyyb (Inflectra ) Insulin products NovoLIN / HumuLIN and NovoLOG / HumaLOG U 100 Regular insulin and aspart and diluted insulin NovoLIN / HumuLIN U 500 concentrated insulin NovoLIN / HumuLIN 70/30 and NovoLOG / HumaLOG Mix 70/30 All insulin products are sent patient specific in Children s. U 500 Concentrated insulin is restricted and requires endocrinology approval prior to ordering, ordered with units and volume specified Dispensed in patient specific doses from pharmacy in U 500 syringe with no overfill. Insulin mixture contents are listed in drug selection screens. Placed in separated compartments in storage areas. insulin glargine (Lantus ) insulin NPH ISOleucine Leucine Page 2 of 5
3 lamivudine (Epivir ) lamotrigine (Lamictal ) leucovorin calcium Leukeran (chlorambucil) Drug name selection alerts are provided in electronic clinical systems. levetiracetam levocarnitine levofloxacin levothyroxine medroxyprogesterone injectable methylprednisolone injectable system (ADS). LASA labels are placed on specific compartment in ADS storage locations METHOtrexate PEMEtrexed PRALAtrexate mycophenolate mycophenolic ACID Page 3 of 5
4 paliperidone (Invega, Invega Sustenna, Invega Trinza ) Restricted formulary status to Vanderbilt Behavorial Health areas only. Pneumococcal Conjugate Vaccine, 13 valent (Prevnar 13 ) Pneumococcal Polysaccharide Vaccine, Polyvalent (Pneumovax 23) generic and brand names Placed in separated compartments in the refrigerator storage areas. prismasate prismasol Individual ordering records are provided in the CPOE system to differentiate products. and on products dispensed. quinine quinidine Stored in separated locations within the pharmacy and not stocked in quinine is restricted medication requiring Infectious Disease consult in CPOE prior to ordering. Indications for each medication listed in CPOE to avoid confusion. rifampin rifaximin and In VCH, rifaxiimin is restricted to ID and GI only for patients with hepatic encephalopathy Page 4 of 5
5 Tdap (Adacel or Boostrix ) DTaP (Daptacel or Infanrix ) Trastuzumab (Herceptin ) Ado Trastuzumab Emtansine (Kadcyla ) Drug name selection alerts are provided in the CPOE system based on patient age. system (ADS). ADS alert provided upon removal of medication describing age requirements for each product. Both are stocked in the oncology pharmacies only and are stored in separated locations. valacyclovir (Valtrex) valganciclovir (Valcyte) Stored in separated locations within the pharmacy Decision support is provided in the CPOE system vinblastine (Velban ) vincristine (Oncovin ) Both are stocked in the oncology pharmacies only and are stored in separated locations. Page 5 of 5
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Approval Date: June 2016 Effective Date: June 2016
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March 2017 P&T Updates Commercial Triple Tier 4th Tier Applicable Traditional Prior Auth DICLEGIS 3 No 2 No Yes EMVERM 2 No 2 Yes Yes Detailed s 4 tablets per day, 9 month supply per year Pinworms: 1 tablet