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Hospital formulary
it is continually revised compilation of pharmaceuticals that reflects the current clinical judgement of the medical staff
medical salesman
A Hospital formulary is useful to the medical staff since without this they would become dependent on the claims of the ______________
health formulary system
it is the method whereby the medical staff of an institution working through a PTC evaluates appraises or selects form among numerous available medicinal agents and dosage forms those that are considered most useful in patient care
provide the best possible treatment to the patient in lowest possible cost
to inform the physicians on the availability of medicines
serves as a valuable teaching tool to the internal residents and other healthcare professionals
promote safe intelligent and effective drug therapy
to avoid the use of brand and therapeutic duplication of drugs
to provide guidelines for procuring, prescribing, dispensing, and administration.
purpose of the hospital formulary (6)
title page
name and titles of the members of the PTC
table of contents
Information on hospital policies and procedures concerning drugs
product accepted for use at hospital
appendix
Composition of the formulary (6)
hospital medication use policies and procedures
drug product listing
medication use guidelines
(3) detailed part of the formulary
drug product listing
heart of the formulary
Drug product listing
the key element of the published formulary is the list of medication approved for use. This section includes both entries for each medication and indexes to facilitate use
alphabetical
alphabetical therapeutic class
combo
dosage forms
Formulary item entries can be arranged in (4) ways
Gen name
Dosage form
Formulation (API) if combined product
each drug entry must include the following information (3)
special precautions
pediatric or adult dose
cost information
additional info that may be added
generic name of drug items
therapeutic/ pharmacologic index
2 indexes of the formulary
Index
is a listing of all drug items within each therapeutic category, it is useful in ascertaining what therapeutic alternative exists for a given situation such as patient allergy to a particular drug
nutritional products approved
equivalent dosage tablets (prn meds, corticosteroids)
TPN formulas
pediatric dosages
potassium content of drugs or food
antidote list
advanced cardiac life support or emergency medications
metric conversion table
serum drug levels
standard conc. in IV sol.
Common equations used
Antibiograms
Drug dosing in renal or hepatic dysfunction
nonformulary drug request, ADR reports
Special information (14)
Formulary update, revision, and distribution
A process to continually update the formulary must be established such a process should include a method for making additions and deletions to the formulary. this process typically involves the submission of a request for formulary addition or deletion from the pharmacy or medical staff this request may be written or verbal.