Non-Formulary Request Form (patient specific case)

• C-018B Non-Formulary Request Form

Formulary Request Form for Review by P&T for Formulary Addition (Send to Gillian Kuszewski Upon Completion)

• C-018A Formulary Request Form

P&T Approved Therapeutic Interchange List

• P&T List of Approved Medication Interchanges
• Pharmacy Policy for P&T Approved Therapeutic Interchanges

UConn John Dempsey Hospital Formulary List

• Formulary of Approved Drugs

Memo to Practitioners on Therapeutic Duplications

• Memo to Practitioners on Therapeutic Duplication and Pain Scale Clarification 11-1-2016