LAR 2 Do Not Tube
User Manual: LAR-2
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Do Not Tube List for Pharmaceuticals (Revised July 2015) 1=Drug Alteration 2=Expense 3=Flammable 4= Product Foaming 5=Short Exp/Admin Time 6=ok to tube powder, but not the reconstituted product 7=Aerosol Containers over 2.5 ounces in volume Generic Drug Name A-B Abatacept Abciximab Adalimumab Ado-Trastuzumab Agalsidase Beta Albumin Aldesleukin Alefacept Alemtuzumab Alglucosidase Alfa Alteplase, treatment Alteplase, catheter clearance Amyl Nitrite inhalant Anakinra Anti-inhibitor coagulant complex Antithrombin Antithrombin III Antithymocyte Globulin Antivenin Crotalidae (From Equine) Aripiprazole (injection) Bacillus Calmette-Geurin (BCG) Basiliximab Bendamustine Benzocaine/Tetracaine/Butamben Beractant Bevacizumab Bivalirudin Bortezomib Botulinum toxin-A Botulinum toxin-B Busulfan Injection C–D C1 Esterase Inhibitor Cabazitaxel Calfactant Carmustine Caspofungin Certolizumab Pegol Cetuximab Chorionic Gonadotropin Clofarabine Colistimethate Collagenase Clostridium Histolyticum Approved by Pharmacy Policy Committee July 2015 Reference: SA 40-10.10 Pneumatic Tube System Brand Name(s) Comments Orencia ReoPro Humira Kadcyla Fabrazyme Albumin Interleukin-2, Proleukin Amevive Campath Myozyme Activase Cathflo Amyl Nitrite Kineret Autoplex T, Feiba VH Immuno Atryn Thrombate Atgam CroFab Abilify Maintena Tice BCG, TheraCys Simulect Treanda Cetacaine Survanta Avastin Angiomax Velcade Botox Myobloc Busulfex, Myleran 1, 6 1 2 2 1, 2 1 1, 2 1, 2 1 1, 6 1, 2 1, 6 3 1 5 1, 6 1, 6 1 2 2 1 1, 2 2 7 1 1, 2 1, 6 2 1, 6 1 2 Berinert, Cinryze Jevtana Infasurf BiCNU, Gliadel Cancidas Cimzia Erbitux Novarel, Pregnyl, Profasi Clolar Coly-Mycin M Xiaflex 1, 2 2 1 2 4, 6 1, 2 1 1 2 4, 6 2 Do Not Tube List for Pharmaceuticals (Revised July 2015) 1=Drug Alteration 2=Expense 3=Flammable 4= Product Foaming 5=Short Exp/Admin Time 6=ok to tube powder, but not the reconstituted product 7=Aerosol Containers over 2.5 ounces in volume Generic Drug Name Brand Name(s) Comments CONTROLLED SUBSTANCES Corticotropin Crotalidae Polyvalent Immune Fab (Ovine) Cyclophosphamide Injection cycloSPORINE (injectable and oral solution) Cytarabine Liposomal Cytomegalovirus Immune Globulin DAPTOmycin Darbepoetin Alfa Decitabine Denosumab Dexamethasone Intravitreal Implant Digitalis Fab Antibody Dinoprostone Vaginal Suppository Dornase Alfa DOXOrubicin Liposomal E-F Eculizumab Epoetin Alfa Epoprostenol Eptifibatide Etanercept Ethacrynate Injection Factor VIIa Factor VIII SCHEDULE CII - CV Acthar Gel, H.P. Crofab Cytoxan Gengraf, Sandimmune, Neoral, SangCya DepoCyt CytoGam Cubicin Aranesp Dacogen Prolia, Xgeva Ozurdex Digibind, DigiFab Prostin E2 Pulmozyme Doxil Security 2 2 2 1 2 1, 4 1, 4, 6 1, 2 2 2 2 1, 2 2 1 2 Soliris Epogen, Procrit Flolan, Veletri Integrelin Enbrel Edecrin I.V. NovoSeven RT Advate, Alphanate, Helixate FS, Hemofil M, Humate-P, Hyate C, Koate DVI, Kogenate FS, Xyntha, Monoclate-P, Recombinate, ReFacto AlphaNine SD, Bebulin VH, BeneFix, Mononine, Profilnine SD 2 1 1 1 1, 6 2 1, 2 1 Intralipid, Liposyn Riastap Neupogen Retisert 1 1 1 2 Ganite Naglazyme Vitrasert Copaxone Glucagon Infusion Simponi Aria BayHep B, HyperHEP B, Nabi-HB Zostavax Supprelin LA 2 1 2 1 2 1 1, 4 6 2 Factor IX Fat Emulsions Fibrinogen Filgrastim Fluocinolone Intraocular Implant G-H Gallium Nitrate Galsulfase Ganciclovir Ocular Implant Glatiramer Glucagon Infusion Golimumab Hepatitis B Immune Globulin Herpes Zoster Vaccine Histrelin Implant Kit Approved by Pharmacy Policy Committee July 2015 Reference: SA 40-10.10 Pneumatic Tube System 1 Do Not Tube List for Pharmaceuticals (Revised July 2015) 1=Drug Alteration 2=Expense 3=Flammable 4= Product Foaming 5=Short Exp/Admin Time 6=ok to tube powder, but not the reconstituted product 7=Aerosol Containers over 2.5 ounces in volume Generic Drug Name Brand Name(s) Comments Hydroxyprogesterone Caproate I-L Idursulfase Imiglucerase Immune Globulin Products Makena 2 Elaprase Cerezyme Gammagard, Carimune, Gamimune, Gamunex-C Remicade Intron A Yervoy Ixempra Somatuline Depot Aldurazyme Lupron Depot 2 2 2 Citrate of Magnesium M-M-R II ProQuad Alkeran Pergonal, Repronex, Humegon Mycamine Mustargen/Aquaphor ALL NARCOTICS Tysabri Nitrolingual Spray Pain Ease 4 1, 6 1, 6 2 1, 6 4, 6 2 Security 1, 2 3 7 Jetrea Sandostatin LAR Arzerra Xolair Invega Sustenna Synagis Hemin Oncaspar Neulasta Pegasys, PEG-Intron Krystexxa Keytruda Alimta Nipent Perjeta Phenol Mozobil IPOL, Kinrix, Pediacel, Pentacel 2 2, 5 1 1, 6 2 1, 2 2, 5 1, 2 1, 2 1 2 1 2 2 1, 2 3 2 1 Infliximab Interferon alfa-2b Ipilimumab Ixabepilone Lanreotide Laronidase Leuprolide M-N Magnesium Citrate Measles, Mumps, Rubella Vaccine Measles, Mumps, Rubella, Varicella Vaccine Melphalan Injection Menotropins Micafungin Sodium Mustargen/Aquaphor 0.01% NARCOTICS Natalizumab Nitroglycerin Spray Norflurane O-P Ocriplasmin Ophthalmic Octreotide LAR Ofatumumab Omalizumab Paliperidone Injection Palivizumab Panhematin Pegaspargase Pegfilgrastim Peginterferon alfa 2a, alfa 2b Pegloticase Pembrolizumab PEMEtrexed Pentostatin Pertuzumab Phenol Plerixafor Poliovirus vaccine, inactivated (IPV) Approved by Pharmacy Policy Committee July 2015 Reference: SA 40-10.10 Pneumatic Tube System 1, 6 1, 6 2 2 2 1 2 Do Not Tube List for Pharmaceuticals (Revised July 2015) 1=Drug Alteration 2=Expense 3=Flammable 4= Product Foaming 5=Short Exp/Admin Time 6=ok to tube powder, but not the reconstituted product 7=Aerosol Containers over 2.5 ounces in volume Generic Drug Name Brand Name(s) Comments Porfimer PRALAtrexate Propofol Proteinase Inhibitor (Human) Q-S Quinupristin/Dalfopristin Rabies Immune Globulin, Human Ranibizumab Rasburicase Respiratory syncytial virus immune globulin Rho D Immune Globulin Rilonacept Rituximab RomiDEPsin Romiplostim Rotavirus Vaccine, Live Sargramostim Sipuleucel-T Sodium Benzoate-Sodium Phenylacetate T-Z Tedizolid Temsirolimus Thiotepa Thyrotropin Alpha Recombinant Tocilizumab Total Parenteral Nutrition (TPN) Trastuzumab Treprostinil Typhoid vaccine Ustekinumab Vaccines listed in next column and any vaccine that has been reconstituted by the pharmacy (See also individual listings above) Photofrin Folotyn Diprivan Prolastin-C 2 2 1 1,2,4,5 Synercid HypeRAB Lucentis Elitek RespiGam RhoGam Arcalyst Rituxan Istodax Nplate RotaTeq Leukine Provenge Ammonul 4, 6 1, 2 2 1, 6 1 1 2 1, 2 2 1, 2 1 1, 4, 6 2, 5 2 Sivextro Torisel Thioplex Thyrogen Actemra TPN Herceptin Remodulin Typhim Vi Stelara • Herpes zoster • Measles, mumps, rubella • Measles, mumps, rubella, varicella • Poliovirus vaccine • Rotavirus vaccine • Typhoid vaccine • Varicella • Yellow fever Valstar VARIvax VPRIV YF-Vax Prialt 4 2, 4 2 2 1, 4 1 1, 6 1, 2 1 1, 2 1, 6 Valrubicin Varicella Velaglucerase alfa Yellow Fever Vaccine Ziconotide Approved by Pharmacy Policy Committee July 2015 Reference: SA 40-10.10 Pneumatic Tube System 2 1, 6 2 1, 6 2
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