SME: Director of Pharmacy
Last Review Date: 6/11/08
Clozapine is dispensed only to UTHCPC patients that fall within the prescribed
UTHCPC medical criteria.
A patient must meet the following criteria so s/he can receive Clozapine treatment:
Criterion |
Description |
1 |
Patients are eligible for Medicaid to assure possible reimbursement for the cost of the drug. |
2 |
Patients are heavy users of inpatient mental health services, especially during the preceding year. |
3 |
Patients consistently show a lack of acceptable response to at least three different antipsychotic drugs used in adequate doses. |
4 |
Patients have a stable residence and a history of good attendance at clinics. |
5 |
Patients have no contraindications to the use of the drug. |
6 |
Patients have a complete blood count workup performed. |
Following is Clozapine dispensing process:
Stage |
Description | ||
1 |
The physician writes an order for Clozaril and a complete blood count (CBC). | ||
2 |
Does the WBC and the ANC falls within the approved value?
|
||
3 |
When the Clozapine National Registry accepts the patient for Clozapine treatment, they will fax the eligibility code to the pharmacy. The Pharmacy department dispenses Clozapine to the patient.
|
Continual
Every UTHCPC patient on Clozapine must have CBC with differential count weekly in order to continue Clozaril therapy. The physician will use the clozapine order set (Dose titration schedule) online to order clozapine.
Clozaril discharged patients
The process of discharging patient on Clozaril is as follows: Pharmacy will dispense three-days worth of medication.
Related to regulatory standards
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