Veterans Affairs banner with U.S. FlagVeterans Affairs banner with U.S. Flag

Pharmacy Benefits Management Services

VA Center for Medication Safety - A Patient Safety Center for Inquiry

 

Drug Safety Features

[BACK TO TOP]

A.         LOOK-ALIKE/SOUND-ALIKE EFFORTS                       

                        1.         Alerts                 

PBM WARNING LETTER: Sulfasalazine and Sulfadiazine LA/SA Errors

Warning Letter - Sulfasalazine-Sulfadiazine LA-SA Errors

Look-Alike Sound-Alike Confusion Potential with Humapen Memoir® and Humira® Pen – January 2007

Two Pens Different Uses; PBM Ez-Minutes January – March 2007

HUMIRA Pen and HumaPen; ISMP Newsletter April 2007

Look-Alike Sound-Alike Vaccine Mix-ups: Adacel (Tdap) and Daptacel (DTaP) – August 24, 2006 

ISMP Newsletter

      Fluarix® and Twinrix®  Look-Alike Confusion Potential

National PBM Bulletin - Look-Alike Safety Alert Regarding Fluarix® and Twinrix® 

      LOOK-ALIKE SAFETY ALERT FOR HALOPERIDOL AND CYANOCOBALAMIN 1ML VIALS

National PBM Bulletin

2.    Pilot Project for Determining Look-alike Sound-alike Drug Names for New   Molecular Entities (NMEs)

a.       LASA Draft Paper

b.      Appendix I

c.       Appendix 2 

d.      Appendix 3 

3.    Database Evaluations/Tool 

a.       General Information and Evaluation s for NMEs 

4.         VA-Specific LA/SA pairs

5.  JCHAO Guidance on LA/SA Drug Names 

a. Sentinel alert - May 1, 2001, Issue 19 : Look alike, sound alike drug names 

b. JCHAO LA/SA list

6.  USP LA/SA list – USP Quality Review, March 2001, No. 76: Use Caution – Avoid Confusion                                                          

 


[BACK TO TOP]

                         B.        PHARMACOVIGILANCE AND DRUG SAFETY PROJECTS

1.                   GENERAL SAFETY PROJECTS/PILOT PROJECTS

a.    ADE Reporting Project x

b.    Off-Label Use ADE Pilot Project 

c.    Drug-Drug Interaction Pilot Project

d.    Tablet-Splitting Evaluation-An NCPS Collaboration 

2.                   SITE-BASED MEDICATION SAFETY EVALUATIONS 

a.    Conversion from Pravastatin to Fluvastatin 

b.    Conversion to and Initiation with Travoprost in Glaucoma Management

c.    Safe and Appropriate Use of Drotrecogin Alfa (Activated)

d.    Impact of National Criteria on Appropriate use of Tamsulosin in the VA

3.                   RISK REDUCTION PROJECTS

a.    Safety Initiative To Reduce Use Of Short-Acting Nifedipine For HTN

b.    Cilostazol Safety Evaluation

c.    High Dose Vitamin E Safety Evaluation

d.    Prevalence of α-1-Blocker Monotherapy in Veteran Hypertensive Patients  

e.    Long Acting Beta Agonist (Monotherapy) in Asthmatics 

4.                   DRUG SURVEILLANCE/PHARMACOVIGILANCE PROJECTS (Ongoing) 

a.    High Dose Statin  

b.    Rosuvastatin

c.    COX II Inhibitors

d.    Accutane

e.    Galantamine  

f.    Bisphosphonates

g.   Thioridazine  

h.   Tiagabine  

i.    Fluoroquinolone  

j.    Statin-Fibrate  

k.   Ezetimibe  

l.    Bevacizumab 

m.  Atypical Antipsychotics 

n.   Leflunomide

o.   Thiazolidinediones 

p.   Sibutramine


[BACK TO TOP]

            C.         POLICIES

1. Pharmaceutical Use Outside of Approved Indications Guidance on Off-Label Prescribing


[BACK TO TOP]

D.        DRUG MARKET WITHDRAWALS

1.       Rofecoxib (Vioxx®)

a.         PBM Bulletin/News Alert

b.         Physician Notification Letter

c.         Pharmacist Notification Letter

d.         Dear Healthcare Provider Letter

e.         FAQ’s

f.          Patient Letter

2.         Valdecoxib (Bextra®)

a.         Guidance

b.         Patient Letter

3.         Natalizumab (Tysabri®) –

a.         FDA Public Health Advisory

b.         FDA Alert – Information for Healthcare Professionals

c.         Dear Healthcare Professional Letter – March 2005

d.         Dear Healthcare Professional Letter – April 2005

e.         FAQ’s on the Clinical Hold

f.          FAQ’s on Natalizumab

g.         Prescribing Information

h.         PBM Removal Communication and Actions          

                                                i.          Important Drug Warning Letter from Biogen/Idec, Elan

                                                j.          FDA Information on resumed market

4.           Gatifloxacin (Tequin®)

a. Letter of Discontinuation from Bristol Myers Squibb – May 2006

b.    FDA Alert – Information for Healthcare Professionals – March 2006

c.     FDA Alert – Patient Information – March 2006

d.    Prescribing Information           

5.         Mivacurium (Mivacron®)

                a.  FDA Drug Shortages

6.        Tegaserod (Zelnorm®) and Discontinued Marketing – March 30, 2007

                a. FDA News

                b. Questions and Answers on Zelnorm

                c. FDA Public Health Advisory

                d. National PBM Bulletin

                e. Tegaserod Provider Letter

                f.  Tegaserod Patient Letter

                g. Restricted Use of Zelnorm – July 2007

7.         FDA Recalls, Market Withdrawals, Safety Alerts


If you have a question pertaining to this website and only information contained in this website, please contact the PBM Webmaster. Please note: For questions pertaining to Health Care Benefits, please visit http://www.va.gov/Health_Benefits/. For questions pertaining to prescription renewal, please visit https://www.myhealth.va.gov/. Questions pertaining to your drug therapy or other medical questions should be referred directly to your Health Care Providers located at the VA facilities where you receive care.