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New Page 1

Medications That CANNOT be Tubed

Any  Investigational/non-formulary med where shaking is not advised Drotrecogin alfa2,4
Epoetin2
Any IV in a glass bottle3 Eptifibatide2,4
Any of the "-mab" drugs2,4 Filgrastim (G-CSF)2
Albumin containing IV/TPN2 Immunoglobulin products2,4
Aldesleukin2 Interferon products2
Alprostadil2 Lepirudin2,4
Alteplase2 (thawed) Muromonab CD32,4
Antithymocyte Globulin2,4 (either) Nesiritide2
Argatroban2,4 Nitrolingual Spray5
Asparaginase2 Oprelvekin2
Beractant2,4 Sargramostim (GM-CSF)2
Bortezomib4 (see note) Streptokinase2,4
Botulin Toxin A+B2,4 Tenecteplace2,4
Cytogam2,4 Urofollitropin2
Dalfopristin-Quinupristin2 Urokinase2
Darbepoetin2  
Table 1: Reasoning for Exclusions        
1.  Product exceeds pneumatic tube weight and/or size limits
2.  Possible alteration of active ingredient (i.e. protein denaturation)
3.  Breakage (i.e. glass bottle)
4.  Substantial monetary or labor loss if the medication is "lost" during the transport process
5.  Explosive or flammable substances
Note:  Items only excluded for reason 4 may be tubed by secure transaction in emergency situations



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