Tyvaso Ordering

Call to CVS pharmacy. This med is provided in ampules with its own special neb device. It does not go into a regular neb set up. They need clarification on the sig and quantity. 

 

The order that Dr. Bradford sent on 4/21 /21: treprostiniL (Tyvaso) 1.74 mg/2.9 mL (0.6 mg/mL) solution for nebulization Dose: 2.9 mL Route: inhalation Frequency: 4 times daily Dispense Quantity: 348 mL Refills: 3 Sig: Inhale 2.9 mL 4 (four) times a day. Start Date: 04/21/21 End Date: 05/21/21 after 120 doses Written Date: 04/21/21 Expiration Date: 04/21/22 

 

Currently the patient is on this maintenance RX: Tyvaso Refill Kit 1.74mg/2.9ml solution 4 puffs (24mcg) QID Dispense 84 ml To use this med the patient puts the contents of one vial into the special neb device once a day. Each vial can deliver 24 puffs. Each day the patient discards any left over and puts in a new vial. (that is why the standard supply is 84ml) Each puff delivers 6 mcg. 84 ml is a 28 days supply