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MEDICATION FORMULARY LIST
DePaul Health Wellness Center
Effective August 2015ACID REFLUX MEDICATIONS
Prilosec (Omeprazole)
Proton ix (Pantoprazole)
Santa (Sanitizing)ANTIDEPRESSANT MEDICATIONS20mgEffexor
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How to fill out medication formulary list

How to fill out a medication formulary list:
01
Start by gathering all the necessary information about the medications you currently take. This includes the name of the medication, the dosage, and any specific instructions or restrictions associated with each medication.
02
Make sure to consult with your healthcare provider or pharmacist to ensure accuracy when filling out the formulary list. They can provide you with the necessary information about your medications and any updates or changes that may be needed.
03
Begin filling out the medication formulary list by writing down the name of each medication in a clear and organized manner. It is recommended to use the generic name of the medication as it is universally recognized. Include any generic or brand names associated with the medication if applicable.
04
Next, list the dosage of each medication. This can include the strength of the medication, such as milligrams or micrograms, as well as how often it is taken (e.g., once a day, twice a day, etc.).
05
If there are any specific instructions or restrictions associated with a particular medication, it is crucial to include them on the formulary list. This can include things like whether the medication should be taken with food, any potential side effects to watch out for, or any specific storage instructions.
06
Double-check all the information you have entered on the formulary list for accuracy and completeness. It is essential to ensure that all details are correct to avoid any confusion or errors when it comes to managing your medications.
Who needs a medication formulary list?
01
Individuals who are taking multiple medications on a regular basis can benefit from having a medication formulary list. It helps provide a clear overview of all the medications they are taking and serves as a useful reference for healthcare providers.
02
Patients with chronic conditions or complex medication regimens can also benefit from a medication formulary list. It helps facilitate communication between different healthcare providers, ensuring that everyone involved in their care is aware of the medications being taken and can make informed decisions.
03
Caregivers or family members responsible for managing medication administration can utilize a medication formulary list to stay organized and ensure they are administering the correct medications to the patient.
In conclusion, filling out a medication formulary list requires gathering accurate information about the medications, consulting with healthcare professionals when needed, and maintaining a clear and organized list. This list can be beneficial for individuals taking multiple medications and their caregivers, providing a comprehensive overview of their medication regimen.
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