Epinephrine Instructions for Patients

1. If you or your child are at risk of exposure to the trigger causing , a prescription for an autoinjector and education on use will be provided prior to discharge. 2. Epinephrine can be hard to find in and expensive on many insurance plans. 3. Current options for autoinjectors are: Product NDC Weight/Age Additional info Generic 49502-101-02 0.15mg 7.5 to <25 kg Comes as 1 or 2-pak, 49502-102-02 0.3mg ≥ 25 kg 2-pak comes with trainer EpiPen Jr. 49502-501-02 0.15mg 7.5 to <25 kg Comes as 2-pak with trainer EpiPen 49502-500-02 0.3mg ≥ 25 kg Auvi-Q 60842-021-02 0.1mg 7.5 to <15 kg Comes as 2-pak with trainer 60842-022-02 0.15mg 15 to <30 kg Contains electronic voice 60842-023-01 0.3mg ≥ 30 kg instruction Adrenaclick 52054-803-02 0.15mg 7.5 to <25 kg Comes as 2-pak 52054-804-02 0.3mg ≥ 25 kg Latex free

4. Currently, most insurance plans will cover the generic pen although this is inconsistent and can change every 6 months. The preferred epinephrine autoinjector product will vary by insurance plan. 5. It is recommended that your doctor writes the prescription for an epinephrine autoinjector (without brand specified) and a note added that the pharmacist “may substitute brand product as needed/preferred by the patient’s insurance”. 6. Patients who are seen at the Dell Children’s Emergency Room or a provider in the Specially For Children Office Building may have their epinephrine autoinjectors filled at the Dell Children’s Outpatient during business hours (M-F, 9am-5pm). Outside of business hours, prescriptions can be dropped off anytime and will be filled the following business day (then can be picked up any time after filled). a. The pharmacy is located on the 4th floor in the main hospital. b. Take the nearest elevator to the 4th floor, then follow the signs to the pharmacy.

Updated: 5/3/2019