Drug formularies

Drug formulary system:

The process whereby a health care organization establish policies on use drug products and identify drug products and therapies that are most appropriate and cost effectiveness to best serve the health of agiven population
Drug formulary((list of drugs))
Continually Updated list of medication, relating information representing the clinical judgment of physician, pharmacist in diagnose & ttt of disease,
Application it is applied into ambulatory care setting, inpatient facilities.
Objectives are to provide:
Information of Therapeutic information about each item Special information about
1-drug products.approved for use 2-institutional policies that govern drug use. drug (dosing,abbreviation….)
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Pharmacy & therapeutic committee (P & T committee) ‫لجنة‬

Definition It is an advisory committee responsible for developing. And updating the drug formulary system It consists of 1-physician, 2-pharmacist 3- other health care providers
It is responsible for:
R S E D I
1-Review & update formulary system Select drug for Establish mechanisms to educate health Develop mechanism by which non formulary Implement generic substitution& therapeutic interchange policies
formulary care professionals about drug products and drug product can be used for specific patient
comitte decision
Establish quality assurance programs

Generic substitution Therapeutic alternative

substitution of drug products that contain same (active ingredient) & chemically identical in strength, drug products contain different (active ingredient) which are of the same pharmacologic / therapeutic
conc, dosage form and route of administration class. And are expected to produce the same therapeutic effect ex piroxicam and other NSAIDS

: Method of using therapeutic alterative:

Therapeutic interchange Therapeutic substitution
Authorized exchange of therapeutic alternative acc. To previously established and approved Dispensing therapeutic alternative for drug product prescribed without
guidelines or protocols in formulary system((legal act)) authorization of prescriber (ilLegal)
 Information included in formulary is based on :
A) Clinical consideration: B) Economic consideration:
1-Review medical literature. 2-Publish practice guidelines 1-Basing formulary decisions on economic ((cost ))factor only after safety,
3-Compare efficacy & frequency of SE among therapeutic alternative efficacy
4-assessing the impact of drug product on patient compliance 2-Evaluate products acc. To their impact on total health care cost.

Contents of drug formulary

1- Institutional policies & procedures: 2- Drug product list (the heart):
1-Description of P & T committee, membership& responsibilities. Generic name
2-Procedure for addition & deletion to formulary. Common synonyms & brand name
3-Regulation for prescribing & administration of drug. ‫الضوابط‬ dosage form including strength,packaging and size
Formulation & all active ingredient
4-pharmacy policies as hour of service, orders ,processing ,labeling, packaging& drug distribution
Additional information include:
1-Usual Adult, pediatric dosage 2-cost information 3-Special Caution (refrigerate,.or IV administration.) 4-controlled substances class

index to drug product list:

Generic name / brand name index Therapeutic / Pharmacological index
3- Special information:
May vary from organization to another.
T P
1-TPN formula. a-guidelines for pediatric dosage calculation. b-PK & dosage of some drug
2-table of c-Poison control information. D-List of sugar free drug products
a-drug- drug interaction b- equivalent dosage of similar drugs
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Distribution of formulary: copies of drug formulary should be placed for
Each Online
1-member of medical staff, 2-hospital administration staff. 3-pharmacist 4-head of pharmacy department version of formulary
4-patient care location
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Revision of drug formulary : drug formulary has to be revised annually this is necessary because of
1- Addition & deletion of it. 2-Change in or removal of drug from market. 3-Change of hospital formulary.