Hazardous Drug Inventory Record

Hazardous Drug Inventory Record

Universal (Green) - handling and disposed of using normal precautions. Low (Yellow) - handle at all times with gloves and appropriate engineering controls. Moderate (Orange) -handle at all times with gloves, gown, eye and face protection (with splash potential) and appropirate engineering controls. Dispensed/Common Drug Name (Formulation) & (NIOSH CATEGORY #)

Other Drug Name

Tablet

Hazardous Toxicity

Handling only No alteration

Contained Crush/Split

Minimum PPE Required

Minimum PPE required

abacavir (susp) (2)

ziagen/epzicom/trizivir

genotoxic/carcinogenic

abacavir (tablet) (2)

ziagen/epzicom/trizivir

acitretin (capsule) (3)

soriatane

genotoxic/carcinogenic teratgogenic/reproductive

anastrazole (tablet) (1)

arimidex

antineoplastic

android (capsule) (3) apomorphine (inj sq) (2)

methyltestosterone

teratogenic/reproductive

Universal

apomorphine

genotoxic

Moderate

arthotec/cytotec (tablet) (3) astagraf XL (capsule) (2)

diclofenac/misoprostol

teratogenic/reproductive

Universal

tacrolimus

carcinogenic/teratogenic

Universal

Open Capsule

Crush/Split Minimum PPE Minimum PPE required required

Low Universal

Low

Moderate

Moderate

High

Universal Low

Moderate Moderate Low

Moderate do not open

avordart (capsule) (3) azathioprine (tablet) (2)

dutasteride

teratogenic/reproductive

Universal

apomorphine

carcinogenic

Universal

Low

Moderate

bicalutamide (tablet) (1) brisdelle (capsule) (3)

casodex

antineoplastic

Low

Moderate

High

paroxetine

teratogenic/reproductive

Moderate

Universal

Moderate

caprelsa (tablet) (1) carbamazepine (suspension) (2)

vandetanib

antineoplastic

tegretol

teratgogenic/carcinogenic

Low

carbamazepine (tablet) (2)

tegretol

teratgogenic/carcinogenic

Universal

carbamazepine ER (tablet) (2)

carbatrol/equatrol

teratgogenic/carcinogenic

Universal

clonazepam (tablet) (3)

Klonopin

teratogenic/reproductive

Universal

clonazepam ODT (tablet) (3)

Klonopin

teratogenic/reproductive

Universal

colchicine (capsule) (3)

colchicine

teratogenic/reproductive

Universal

colcrys (tablet) (3)

colchicine

teratogenic/reproductive

Universal

crizotinib (capsule) (1)

xalkori

antineoplastic

Low

cyclophosphamide (capsule) (1)

cyclophosphamide

antineoplastic

Low

cyclophosphamide (tablet) (1) cyclosporin (solution) (2)

cyclophosphamide

antineoplastic

Low

carcinogenic

cyclosporine (eye drops) (2)

sandimmune/neoral /gengraf sandimmune/neoral /gengraf restasis

divalproex (tablet) (2)

depakote

teratogenic/reproductive

Universal

do not split/ crush

divalproex ER (tablet) (2)

depakote er

teratogenic/reproductive

Universal

do not split/ crush

divalproex sprinkle (capsule) (2)

depakote sprinkles

teratogenic/reproductive

Universal

cyclosporine (capsule) (2)

carcinogenic carcinogenic

High (Red) - double gloves, gown, eye and face protection in addition to any necessary engineering controls.

Low

do not split/crush Low

Moderate

do not split/ crush Low Moderate do not split/ crush Moderate Low

Moderate do not open High

Moderate

High

Low Universal

Moderate

Low

Moderate

Additional Information

Inventory (for facility QA)

Minimum PPE Required

Minimum PPE Required

ella (tablet) (3)

ulipristal

teratogenic/reproductive

emcyt (capsule) (1)

estramustine

antineoplastic

estradiol (tablet) (2)

estradiol

carcinogenic/teratogenic

Universal

estradiol (transdermal) (2)

estradiol

carcinogenic/teratogenic

Low

estrogen, conjugated (cream) (2)

premarin

carcinogenic/teratogenic

Low

estrogen, conjugated (tablet) (2)

premarin, prem-pro

carcinogenic/teratogenic

Universal

estrogen/progesterone (patch) (2)

climara, combipatch

carcinogenic/teratogenic

Low

estropipate (tablet) (2)

ogen

carcinogenic/teratogenic

Universal

etoposide (capsule) (1)

toposar

antineoplastic

Low

exemestane (tablet) (1)

aromasin

antineoplastic

fareston (tablet) (1)

toremifene

antineoplastic

ferriprox (tablet) (2)

deferiprone

teratogenic

finasteride (tablet) (3) fluconazole (injectable) (3)

proscar

Reproductive teratogenic/reproductive

Universal

diflucan

fluconazole (tablet) (3)

diflucan

teratogenic/reproductive

Universal

fluorouracil (cream/solution) (1)

antineoplastic

fluoxymesterone (tablet) (2)

adrucil/carac/efudex /fluoroplex fluoxymesterone

flutamide (capsule) (1)

flutamide

antineoplastic

fosphenytoin (Inj-IM) (2)

cerebyx

teratogenic

Moderate

fosphenytoin (Inj-IV) (2)

cerebyx

teratogenic

High

ganciclovir (Inj) (2)

cytovene

carcinogenic/teratogenic

geodon (injection) (3)

ziprasidone

reproductive

gilenya (capsule) (2)

fingolimod

carcinogenic/teratogenic

gleevac (tablet) (1)

imatinib

antineoplastic

Low

hexalen (capsule) (1)

altretamine

antineoplastic

Low

High

hydroxyurea (capsule) (1)

droxia/hydrea

antineoplastic

Low

High

icatibant (syringe/sq) (3)

firazyr

teratogenic/reproductive

jalyn (capsule) (3)

dutasteride/tamsulosin

teratogenic/reproductive

Universal

lamuvudine/zidovudine (tablet) (2)

combivir

carcinogenic

Universal

leflunomide (tablet) (2)

arava

carcinogenic/teratogenic

letairis (tablet) (3) letrozole (tablet) (1)

ambrisentan

teratogenic/reproductive

femara

antineoplastic

Low

Moderate

High

chlorambucil

antineoplastic

Moderate

High

antineoplastic

lomustine (capsule) (1)

lupron depot/eligard/ lupaneta gleostine

antineoplastic

Low Moderate/ High (syringe/vial) Low

lysodren (tablet) (1)

mitotane

antineoplastic

Low

matulane (capsule) (1) medroxyprogesterone (tablet) (2)

procarbazine

antineoplastic

provera

carcinogenic/teratogenic

Universal

megestrol (susp) (1)

megace

antineoplastic

Moderate

megestrol (tablet) (1)

megace

antineoplastic

Low

leukeran (tablet) (1) leuprolide (injection) (1)

carcinogenic/teratogenic

Universal

Low

Moderate

Low

High Low

Moderate

do not split/ crush Low

Moderate

Low

Moderate

High

Low

Moderate

High

Universal

Low

Moderate

Low

Moderate

High

only if reproductive risk - if not, universal

High Low

Moderate

Moderate Universal

chemo rated gloves Low

Moderate

Low

High

High Moderate Universal

Moderate do not split/crush

only if reproductive risk - if not, universal

Moderate Moderate Low

Moderate

Universal

do not split/ crush

Universal

do not split/crush

High do not split/crush

Low

High Low

Moderate

Moderate

High

melphalan (tablet) (1)

alkeran

antineoplastic

Low

mercaptopurine (susp) (1)

purinethol

antineoplastic

Moderate

mercaptopurine (tablet) (1)

purinethol

antineoplastic

methotrexate (tablet) (1)

rheumatrex

antineoplastic

methylergonovine (tablet) (3)

methylergonovine

Moderate

High

Low

Moderate

High

Low

Moderate

High

reproductive

Universal

Low

Moderate

Low Moderate do not split/ crush

multaq (tablet) (3)

dronedarone

teratogenic/reproductive

Universal

mycophenolate (tablet) (2)

cellcept

carcinogenic/teratogenic

Universal

mycophenolic acid (pwd/recon) (2)

mycophenolic acid

carcinogenic/teratogenic

Moderate

myleran (tablet) (1) nevirapine (tablet) (2)

busulfan

antineoplastic

viramune

carcinogenic

Universal

nevirapine ER (tablet) (2)

viramune XR

carcinogenic

Universal

nevirapine Susp (tablet) (2)

viramune

carcinogenic

Low

nexavar (tablet) (1) oxcarbazepine (susp) (2)

sorafenib

antineoplastic

Low

trileptal

carcinogenic

Low

oxcarbazepine (tablet) (2)

trileptal

carcinogenic

Universal

oxcarbazepine ER (tablet) (2)

oxtellar XR

carcinogenic

Universal

panretin (topical) (3) paroxetine (tablet) (3)

alitretinoin

teratogenic/reproductive

Low

paxil/pexeva

teratogenic/reproductive

Universal

paxil (suspension) (3)

paroxetine

teratogenic/reproductive

Low

paxil CR (tablet) (3)

paroxetine

teratogenic/reproductive

Universal

phenoxybenzamine (capsule) (2) phenytoin (suspension) (2)

dibenzyline

carcinogenic

Universal

dilantin

carcinogenic/teratogenic

Low

phenytoin (tablet) (2)

dilantin

carcinogenic/teratogenic

Universal

phenytoin ER (capsule) (2)

dilantin/phenytek

carcinogenic/teratogenic

Universal

do not open

progesterone (capsule) (2)

prometrium

carcinogenic

Universal

do not open

progesterone (intravaginal) (2)

first progest

carcinogenic

Low

propylthiouracil (tablet) (2)

propylthiouracil

carcinogenic/teratogenic

propylthiouracil (tablet) (2)

propecia/proscar

carcinogenic/teratogenic

qudexy XR (capsule) (3)

topiramate

teratogenic/reproductive

raloxifene (tablet) (2)

evista

carcinogenic/teratogenic

rapamune (solution) (2)

sirolimus

carcinogenic/teratogenic

rebetol (solution) (3)

ribavirin

teratogenic/reproductive

revlimid (capsule) (2) ribavirin (capsule) (3)

lenalidomide

teratogenic

ribavirin (tablet) (3)

ribasphere/moderiba/ copegus/rebetol

teratogenic/reproductive

Low

Moderate

High

Low Moderate do not split/ crush Moderate

High

Low Moderate do not split/ crush Low

Moderate

do not crush/split moderate Low

Moderate

Universal

Low

Moderate

Universal

Low

Moderate

Universal Universal

Moderate do not split/ crush

Low Low Universal

do not open

Universal

do not open

Universal

risperdal (solution) (2)

risperidone

teratogenic

Low

risperdal consta (injection) (2)

risperidone

teratogenic

Moderate

risperdal M (dissolve tablet) (2)

risperidone

teratogenic

Universal

risperidone (tablet) (2)

risperdal

teratogenic

Universal

sabril (pwd packet) (3)

vigabatrin

teratogenic/reproductive

Moderate

sabril (tablet) (3)

vigabatrin

teratogenic/reproductive

Universal

sirolimus (tablet) (2)

rapamune

carcinogenic/teratogenic

Universal

do not crush/split

do not split/ crush Low

Moderate

Low Moderate do not split/ crush

spironolactone (tablet) (2)

aldactone

sprycel (tablet) (1)

dasatinib

sutent (capsule) (1)

sunitinib

antineoplastic

Low

tabloid (tablet) (1)

thioguanine

antineoplastic

Low

tacrolimus (capsule) (2)

prograf

carcinogenic/teratogenic

Universal

tacrolimus (topical) (2)

protoptic

carcinogenic/teratogenic

Low

tamoxifen (tablet) (1)

nolvadex/soltamox

antineoplastic

Low

Moderate

High

tarceva (tablet) (1)

erlotinib

antineoplastic

Low

Moderate

High

targretin (capsule) (1)

bexarotene

antineoplastic

Low

targretin (gel) (1)

bexarotene

antineoplastic

Moderate

tasigna (capsule) (1) temodar (capsule) (1)

nilotinib

antineoplastic

Low

High

temozolomide

antineoplastic

Low

High

testosterone (inj- IM) (3)

testosterone

teratogenic/reproductive

testosterone (transdermal- all forms) (3)

striant/testim/androgel androderm/fortesta methyltestosterone

teratogenic/reproductive teratogenic/reproductive

Universal

topamax

teratogenic/reproductive

Universal

topiramate sprinkle (capsule) (3)

topamax

teratogenic/reproductive

Universal

topotecan (capsule) (1)

hycamtin

antineoplastic

Tracleer (tablet) (3) tretinoin (gel/cream) (3)

bosentan

teratogenic/reproductive

retin-A/renova/

teratogenic/reproductive

Low

tronkendi XR (capsule) (3)

topiramate

teratogenic/reproductive

Universal

valcyte (sol - reconstitute) (2)

valganciclovir

teratpgenic/carcinogenic

valganciclovir (tablet) (2)

valcyte

teratpgenic/carcinogenic

valproic acid (capsule) (3)

depakene

teratogenic/reproductive

Universal

valproic acid (syrup) (3)

depakane

teratogenic/reproductive

Low

victoza (Inj) (2)

liraglutide recombinant

carcinogenic/teratogenic

voriconazole (IV) (3)

vfend

teratogenic/reproductive

voriconazole (tablet) (3)

vfend

teratogenic/reproductive

votrient (tablet) (1)

pazopanib

antineoplastic

warfarin (tablet) (3)

coumadin

teratogenic

xeloda (tablet) (1)

capecitabine

antineoplastic

zelboraf (tablet) (1)

vemurafenib

antineoplastic

Low

zidovudine (capsule) (2)

retrovir

carcinogenic

Universal

zidovudine (solution) (2)

retrovir

carcinogenic

Low

zidovudine (tablet) (2) ziprasidone (capsule) (3)

retrovir

carcinogenic

Universal

geodon

reproductive

Universal

zirgan (Eye Gel) (2)

ganciclovir

carcinogenic/teratogenic

zolinza (capsule) (1) zonisamide (capsule) (3)

vorinostat

antineoplastic

zonegran

teratogenic/reproductive

zytiga (tablet) (1)

abiraterone

antineoplasstic

testred (capsule) (3) topiramate (tablet) (3)

carcinogenic

Universal Low

Low Moderate do not split/crush High Moderate

High Moderate

High chemo rated gloves

only if reproductive risk - if not, universal

Moderate Low Moderate Low

Moderate Moderate

Low Universal

do not open do not split/crush do not open

Moderate Universal

do not split/ crush Moderate

Moderate only if reproductive risk - if not, universal

High Universal Low Universal Low

Low Moderate do not split/crush Low

Moderate

Moderate High do not split/crush Moderate Low

Moderate Moderate

Low Low

High

Universal

Moderate

Low

do not split/crush