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Check the formulary for your specific Aetna plan

Advice about safely opening and dispersing the contents of fluoxetine capsule products can be found in the Society of Hospital Pharmacists (SHPA) guidelines Patients with swallowing difficulties, dexterity issues, health conditions requiring enteral feeding or other conditions where the capsule dose form is not appropriate will require individualised advice regarding treatment options In the event that a patient cannot receive their prescribed dose, referral to a prescriber would be required Aside from creating an MSAG, the TGA has also made a Serious Scarcity Substitution Instrument (SSSI) that allows pharmacists to dispense the 20 mg and 10 mg capsule alternatives as needed without first being approved by the prescriber

The patients who do best are those who value clarity, oversight, and support