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  2. 2014
  3. June
  4. F
  5. Formulary Survey
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1. Hospital:
   
 
 
 
2. Name, Job Title:
   
 
 
 
3. What antipsychotic medications are currently on your children's hospital formulary?
   
 
 
 
4. When was your formulary last updated?
   
 
 
 
5. What antipsychotic medications were on your children's hospital formulary prior to its last update?
   
 
 
 
6. What factors contributed most to the antipsychotic medication formulary update?
 
Cost
 
Insurance Coverage
 
Research Data
 
Approved Uses
 
Side Effects
 
Other
 
 
 
 
7. Are there any known issues with the antipsychotic medications currently on your formulary that may lead to a future update?
   
 
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