LAR 2 Do Not Tube

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

Approved by Pharmacy Policy Committee July 2015

Reference: SA 40-10.10 Pneumatic Tube System

Generic Drug Name

Brand Name(s)

Comments

A-B

Abatacept

Orencia

1, 6

Abciximab

ReoPro

1

Adalimumab

Humira

2

Ado-Trastuzumab

Kadcyla

2

Agalsidase Beta

Fabrazyme

1, 2

Albumin

1

Aldesleukin

Interleukin-2, Proleukin

1, 2

Alefacept

Amevive

1, 2

Alemtuzumab

Campath

1

Alglucosidase Alfa

Myozyme

1, 6

Alteplase, treatment

Activase

1, 2

Alteplase, catheter clearance

Cathflo

1, 6

Amyl Nitrite inhalant

Amyl Nitrite

3

Anakinra

Kineret

1

Anti-inhibitor coagulant complex

Autoplex T, Feiba VH Immuno

5

Antithrombin

Atryn

1, 6

Antithrombin III

Thrombate

1, 6

Antithymocyte Globulin

Atgam

1

Antivenin Crotalidae (From Equine)

CroFab

2

Aripiprazole (injection)

Abilify Maintena

2

Bacillus Calmette-Geurin (BCG)

Tice BCG, TheraCys

1

Basiliximab

Simulect

1, 2

Bendamustine

Treanda

2

Benzocaine/Tetracaine/Butamben

Cetacaine

7

Beractant

Survanta

1

Bevacizumab

Avastin

1, 2

Bivalirudin

Angiomax

1, 6

Bortezomib

Velcade

2

Botulinum toxin-A

Botox

1, 6

Botulinum toxin-B

Myobloc

1

Busulfan Injection

Busulfex, Myleran

2

C – D

C1 Esterase Inhibitor

Berinert, Cinryze

1, 2

Cabazitaxel

Jevtana

2

Calfactant

Infasurf

1

Carmustine

BiCNU, Gliadel

2

Caspofungin

Cancidas

4, 6

Certolizumab Pegol

Cimzia

1, 2

Cetuximab

Erbitux

1

Chorionic Gonadotropin

Novarel, Pregnyl, Profasi

1

Clofarabine

Clolar

2

Colistimethate

Coly-Mycin M

4, 6

Collagenase Clostridium Histolyticum

Xiaflex

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

Approved by Pharmacy Policy Committee July 2015

Reference: SA 40-10.10 Pneumatic Tube System

Generic Drug Name

Brand Name(s)

Comments

CONTROLLED SUBSTANCES

SCHEDULE CII - CV

Security

Corticotropin

Acthar Gel, H.P.

2

Crotalidae Polyvalent Immune Fab (Ovine)

Crofab

2

Cyclophosphamide Injection

Cytoxan

2

cycloSPORINE (injectable and oral solution)

Gengraf, Sandimmune, Neoral, SangCya

1

Cytarabine Liposomal

DepoCyt

2

Cytomegalovirus Immune Globulin

CytoGam

1, 4

DAPTOmycin

Cubicin

1, 4, 6

Darbepoetin Alfa

Aranesp

1, 2

Decitabine

Dacogen

2

Denosumab

Prolia, Xgeva

2

Dexamethasone Intravitreal Implant

Ozurdex

2

Digitalis Fab Antibody

Digibind, DigiFab

1, 2

Dinoprostone Vaginal Suppository

Prostin E2

2

Dornase Alfa

Pulmozyme

1

DOXOrubicin Liposomal

Doxil

2

E-F

Eculizumab

Soliris

2

Epoetin Alfa

Epogen, Procrit

1

Epoprostenol

Flolan, Veletri

1

Eptifibatide

Integrelin

1

Etanercept

Enbrel

1, 6

Ethacrynate Injection

Edecrin I.V.

2

Factor VIIa

NovoSeven RT

1, 2

Factor VIII

Advate, Alphanate, Helixate FS, Hemofil

M, Humate-P, Hyate C, Koate DVI,

Kogenate FS, Xyntha, Monoclate-P,

Recombinate, ReFacto

1

Factor IX

AlphaNine SD, Bebulin VH, BeneFix,

Mononine, Profilnine SD

1

Fat Emulsions

Intralipid, Liposyn

1

Fibrinogen

Riastap

1

Filgrastim

Neupogen

1

Fluocinolone Intraocular Implant

Retisert

2

G-H

Gallium Nitrate

Ganite

2

Galsulfase

Naglazyme

1

Ganciclovir Ocular Implant

Vitrasert

2

Glatiramer

Copaxone

1

Glucagon Infusion

2

Golimumab

Simponi Aria

1

Hepatitis B Immune Globulin

BayHep B, HyperHEP B, Nabi-HB

1, 4

Herpes Zoster Vaccine

Zostavax

6

Histrelin Implant Kit

Supprelin LA

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

Approved by Pharmacy Policy Committee July 2015

Reference: SA 40-10.10 Pneumatic Tube System

Generic Drug Name

Brand Name(s)

Comments

Hydroxyprogesterone Caproate

Makena

2

I-L

Idursulfase

Elaprase

2

Imiglucerase

Cerezyme

2

Immune Globulin Products

Gammagard, Carimune, Gamimune,

Gamunex-C

2

Infliximab

Remicade

1, 6

Interferon alfa-2b

Intron A

1, 6

Ipilimumab

Yervoy

2

Ixabepilone

Ixempra

2

Lanreotide

Somatuline Depot

2

Laronidase

Aldurazyme

1

Leuprolide

Lupron Depot

2

M-N

Magnesium Citrate

Citrate of Magnesium

4

Measles, Mumps, Rubella Vaccine

M-M-R II

1, 6

Measles, Mumps, Rubella, Varicella Vaccine

ProQuad

1, 6

Melphalan Injection

Alkeran

2

Menotropins

Pergonal, Repronex, Humegon

1, 6

Micafungin Sodium

Mycamine

4, 6

Mustargen/Aquaphor 0.01%

Mustargen/Aquaphor

2

NARCOTICS

ALL NARCOTICS

Security

Natalizumab

Tysabri

1, 2

Nitroglycerin Spray

Nitrolingual Spray

3

Norflurane

Pain Ease

7

O-P

Ocriplasmin Ophthalmic

Jetrea

2

Octreotide LAR

Sandostatin LAR

2, 5

Ofatumumab

Arzerra

1

Omalizumab

Xolair

1, 6

Paliperidone Injection

Invega Sustenna

2

Palivizumab

Synagis

1, 2

Panhematin

Hemin

2, 5

Pegaspargase

Oncaspar

1, 2

Pegfilgrastim

Neulasta

1, 2

Peginterferon alfa 2a, alfa 2b

Pegasys, PEG-Intron

1

Pegloticase

Krystexxa

2

Pembrolizumab

Keytruda

1

PEMEtrexed

Alimta

2

Pentostatin

Nipent

2

Pertuzumab

Perjeta

1, 2

Phenol

3

Plerixafor

Mozobil

2

Poliovirus vaccine, inactivated (IPV)

IPOL, Kinrix, Pediacel, Pentacel

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

Approved by Pharmacy Policy Committee July 2015

Reference: SA 40-10.10 Pneumatic Tube System

Generic Drug Name

Brand Name(s)

Comments

Porfimer

Photofrin

2

PRALAtrexate

Folotyn

2

Propofol

Diprivan

1

Proteinase Inhibitor (Human)

Prolastin-C

1,2,4,5

Q-S

Quinupristin/Dalfopristin

Synercid

4, 6

Rabies Immune Globulin, Human

HypeRAB

1, 2

Ranibizumab

Lucentis

2

Rasburicase

Elitek

1, 6

Respiratory syncytial virus immune globulin

RespiGam

1

Rho D Immune Globulin

RhoGam

1

Rilonacept

Arcalyst

2

Rituximab

Rituxan

1, 2

RomiDEPsin

Istodax

2

Romiplostim

Nplate

1, 2

Rotavirus Vaccine, Live

RotaTeq

1

Sargramostim

Leukine

1, 4, 6

Sipuleucel-T

Provenge

2, 5

Sodium Benzoate-Sodium Phenylacetate

Ammonul

2

T-Z

Tedizolid

Sivextro

4

Temsirolimus

Torisel

2, 4

Thiotepa

Thioplex

2

Thyrotropin Alpha Recombinant

Thyrogen

2

Tocilizumab

Actemra

1, 4

Total Parenteral Nutrition (TPN)

TPN

1

Trastuzumab

Herceptin

1, 6

Treprostinil

Remodulin

1, 2

Typhoid vaccine

Typhim Vi

1

Ustekinumab

Stelara

1, 2

Vaccines listed in next column and any vaccine that

has been reconstituted by the pharmacy (See also

individual listings above)

• Herpes zoster

• Measles, mumps, rubella

• Measles, mumps, rubella, varicella

• Poliovirus vaccine

• Rotavirus vaccine

• Typhoid vaccine

• Varicella

•

Yellow fever

1, 6

Valrubicin

Valstar

2

Varicella

VARIvax

1, 6

Velaglucerase alfa

VPRIV

2

Yellow Fever Vaccine

YF-Vax

1, 6

Ziconotide

Prialt

2

LAR 2 Do Not Tube

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