Antimicrobial Use Guidelines (AMUG) version 21 - UW Health

Antimicrobial Cost Table (Cost information current as of March 2011)Drug Form Dose Daily Cost Dose Daily CostCefazolin 1 g inj 1 g Q8 1.74 2 g Q8 3.49Cefuroxime 1.5 g inj 1.5 g pre-op 2.80 1.5 g Q8 8.40Cefuroxime 750 mg tab 750 mg Q8 4.02Ceftriaxone 1 g inj 1 g Q24 1.21Ceftriaxone 2 g inj 2 g 24 2.89 2 g Q 24 5.78Cefepime 1 g inj 1 g Q12 6.75 1 g Q 8 10.13Cefepime 2 g inj 2 g Q12 13.50 2 g Q8 20.25Ciprofloxacin 400 mg inj 400 mg Q12 3.08 400 mg Q8 4.62Ciprofloxacin 500 mg tab 500 mg Q12 0.28 500 mg Q24 0.14Ciprofloxacin 750 mg tab 750 mg Q12 0.44 750 mg Q24 0.22Moxifloxacin 400 mg inj 400 mg Q24 11.60Moxifloxacin 400 mg tab 400 mg Q24 2.51Tigecycline 50 mg Inj 50 mg Q12 120.31Piperacillin/tazobactam 4.5 g inj 4.5 g Q8 39.93 4.5 g Q6 53.24Piperacillin/tazobactam 3.375 g inj 3.375 g Q6 42.04Piperacillin/tazobactam 2.25 g inj 2.25 g Q6 26.60Piperacillin 4 g inj 4 g Q6 5.36 3 g Q 4 6.03Ticarcillin/clavulanate 3.1 g inj 3.1 g Q6 40.70Ampicillin/sulbactam 1.5 g inj 1.5 g Q6 6.88 3 g Q 6 13.34Ampicillin 2 g inj 2 g Q6 18.84 2 g Q4 28.28Penicillin G 20 MMU inj 12 MMU/day 8.06 24 MMU/day 16.13Penicillin VK 500 mg tab 500 mg Q6 0.51Amoxicillin/clavulanate 500/125 mg tab 500 mg Q12 1.04 500 mg Q8 1.56Amoxicillin/clavulanate 875/125 mg tab 875 mg Q12 1.41Meropenem inj 500 mg Q6 58.04 1 g Q8 87.08Meropenem Inj 500 mg Q8 43.53 500 mg Q12 29.02Ertapenem Inj 1 g Q24 57.72Aztreonam inj 1g Q8H 82.89 2 g Q8H 165.78Linezolid 600 mg inj 600 mg Q12 193.43Linezolid 600 mg tab 600 mg Q12 148.12Daptomycin 500 mg inj 4 mg/kg Q24 136.04 6 mg/kg Q24 203.28Fosfomycin 3 g Pwd 3 g X1 37.94Telavancin Inj 10 mg/kg Q24 139.34Rifampin 600 mg cap 600 mg Q24 1.94 600 mg Q12 3.88Rifampin 600 mg inj 600 mg Q24 36.72 600 mg Q12 73.44Azithromycin 500 mg inj 500 mg Q24 4.46Azithromycin 250 mg tab 500 mg Q24 2.06 250 mg Q24 1.03Telithromycin 400 mg tab 800 mg Q24 9.26Oxacillin Inj 2 g Q4 91.48 2 g Q6 64.99Vancomycin 1 g inj 1 g Q12 8.12Vancomycin 125 mg cap 125 mg Q6 93.72 250 mg Q6 203.28Vancomycin 125 mg sln 125 mgQ6 3.09 250 mg Q6 4.25Clindamycin 900 mg inj 600 mg Q8 4.03 900 mg Q8 6.05Clindamycin 150 mg cap 150 mg Q6 0.25 300 mg Q6 0.50Gentamicin 40 mg/mL inj 3 mg/kg Q24 2.48 5 mg/kg Q24 4.31Amikacin 250 mg/mL inj 15 mg/kg Q24 8.48Tobramycin 1.2 g inj 3 mg/kg Q24 2.50 5 mg/kg Q24 4.17Metronidazole 500 mg inj 1 g Q12 4.41 500 mg Q8 3.31Metronidazole 500 mg tab 250 mg Q6 0.48 500 mg Q6 0.76Rifaximin 200 mg (nonformulary) tab 200 mg Q8 24.06Doxycycline 100 mg inj 100 mg Q12 29.58Doxycycline 100 mg cap 100 mg Q12 0.14Amphotericin B 50 mg inj 0.5 mg/kg Q24 6.76 1 mg/kg Q24 13.54AmBisome ® 50 mg inj 3 mg/kg Q24 253.64 5 mg/kg Q24 423.15Micafungin 100 mg inj 100 mg Q24 86.74 50 mg Q24 43.41Caspofungin 70 mg (nonformulary) Inj 70 mg Q24 338.72Voriconazole 200 mg inj 4 mg/kg Q12 323.54Voriconazole 200 mg tab 200 mg Q12 82.74 300 mg Q12 124.00Voriconazole 50 mg tab 100 mg Q12 41.36Fluconazole 400 mg inj 200 mg Q24 2.68 400 mg Q24 5.37Fluconazole 200 mg tab 200 mg Q24 0.14 400 mg Q24 0.28Fluconazole 100 mg tab 50 mg Q24 0.07 100 mg Q24 0.08Itraconazole 100 mg cap 200 mg Q8 33.24 200 mg Q12 22.16Itraconazole 100 mg sol 100 mg Q24 12.01 200 mg Q24 24.44Posaconazole 200 mg/5 mL susp 200 mg Q8 82.28 200 Q6 109.20