Hospital Pharmacy Formulary

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Questions and Answers

What is the primary reason behind the concept of hospital formulary?

To increase the cost of medications

To address the multiplicity of medications (correct)

To reduce the role of pharmacist in patient care

To improve communication among healthcare teams

What is the primary function of the hospital formulary system?

To monitor patient outcomes

To procure and dispense drugs

To provide information for prescribing and administering drugs (correct)

To evaluate medical agents and their dosage forms

What is the role of the pharmacy and therapeutic committee in the hospital formulary system?

To monitor patient outcomes

To provide information for prescribing and administering drugs

To procure and dispense drugs

To select and evaluate medical agents (correct)

What is the benefit of having a hospital formulary system?

It provides a standardized list of approved medications Signup and view all the answers

What is the main difference between a hospital formulary and a national formulary?

The setting in which it is used Signup and view all the answers

What is the primary goal of the hospital formulary system in terms of patient care?

To improve patient outcomes Signup and view all the answers

What is the primary purpose of a hospital formulary?

To facilitate superior patient care and achieve therapeutic goals Signup and view all the answers

What is the main objective of a hospital formulary?

To achieve therapeutic goals and improve patient care Signup and view all the answers

What type of information is typically included in Part One of a hospital formulary?

Information on therapeutic policies Signup and view all the answers

What is the primary responsibility of the Pharmacy and Therapeutics Committee (P&TC) in the development of a hospital formulary?

To approve the medications selected for the formulary Signup and view all the answers

What is the purpose of including automatic stop orders in a hospital formulary?

To regulate medication usage Signup and view all the answers

What information is typically included in Part Two of a hospital formulary?

Drug product listings Signup and view all the answers

What is the purpose of including dosage range and special caution in a hospital formulary?

To provide information on drug products Signup and view all the answers

What is the benefit of using a hospital formulary as a negotiating tool with drug manufacturers?

To obtain discounts or rebates on medications Signup and view all the answers

What is a key criterion for selecting a drug to be included in a formulary?

The drug is recognized by a national formulary Signup and view all the answers

What is the primary role of the Pharmacist in Chief in the development of a hospital formulary?

To prepare the formulary Signup and view all the answers

What is a potential drawback of a formulary system?

It deprives physicians of their right to prescribe the brand of their choice Signup and view all the answers

What is the purpose of including out prescription policies in a hospital formulary?

To provide information on hospital policies Signup and view all the answers

What is an essential feature of a well-designed formulary?

A visually pleasing and easily readable format Signup and view all the answers

What is a key consideration when distributing a formulary?

Providing a personal copy to each patient care unit Signup and view all the answers

What is an important aspect of a formulary's content?

Information on hospital policies and procedures on drug use Signup and view all the answers

What is a benefit of incorporating multiple medications with similar therapeutic efficacy in a formulary?

It provides physicians with more options for treatment Signup and view all the answers

What is a key consideration when developing a formulary's format and appearance?

Using different color pages for different sections Signup and view all the answers

What is an important aspect of a formulary's development?

Obtaining feedback from physicians on the formulary's content Signup and view all the answers

What is the primary advantage of a formulary in terms of therapeutics?

Most efficient products are listed and available Signup and view all the answers

What is the role of a pharmacist in the development of a formulary?

Evaluating medications for inclusion in the formulary through evidence-based evaluation Signup and view all the answers

What is the primary economic benefit of a formulary?

Reduces drug expenses Signup and view all the answers

What is the purpose of a Medication-Use Evaluation?

To optimize patient outcomes via ongoing evaluation and improvement of medication utilization Signup and view all the answers

What is the primary educational benefit of a formulary?

Has prescribing tips Signup and view all the answers

What is the goal of Cost-Utility Analysis?

To compare the outcomes of different health interventions Signup and view all the answers

What is the primary benefit of Therapeutic Alternatives?

Optimizes patient outcomes through alternative therapies Signup and view all the answers

What is the primary disadvantage of not having a formulary?

Can be basis of purchase of inferior medicine and supplies Signup and view all the answers

Study Notes

Definition and Purpose

The hospital formulary is a list of pharmaceutical agents with important information, reflecting the current clinical views of the medical staff.
The hospital formulary system provides information for procuring, prescribing, dispensing, and administering drugs.
The purpose of the formulary is to facilitate superior patient care, achieve therapeutic goals, improve patient safety, and curtail expenses.

Objectives

To provide information on drug products approved by the Pharmacy and Therapeutic Committee (P&TC)
To provide basic therapeutic information
To provide information on hospital policies and procedures governing the use of drugs
To provide special information such as hospital-approved abbreviations and sodium contents

Development of the Formulary

The formulary offers one or more therapeutic options per disease category
It facilitates purchasing and prescribing
It helps manage costs by reducing duplication
Formularies are often used as a negotiating tool with drug manufacturers
Drug manufacturers may offer discounts (i.e., rebates) for drugs placed on the formulary

Content and Organization

The formulary has three parts:
- Part One: Information on therapeutic policies
- Part Two: Drug product listings
- Part Three: Special information

Part One: Information on Therapeutic Policies

Regulations regarding prescribing, dispensing, and administration of drugs
Automatic stop orders
Restricted antibiotic use
Information on the use of formulary
Stat orders, emergency kits
Out prescription policies
Arrangement of non-formulary medications
Request of addition of new drugs to formulary

Part Two: Drug Product Listings

Contains the list of approved medications/products from P&TC
Includes generic name, common synonyms or trade name, dosage form, strength, formulation, and identification number (if any)

Part Three: Special Information

Can be part of drug product
Varies hospital to hospital
Includes dosage range, special caution, controlled or uncontrolled medicine, monitoring information, and conversion metrics scales or tables

Preparation

Prepared by the Pharmacist in Chief (Director)
Prime responsibility of P&TC (approval)
Selection is based on the need of the hospital
Type of format: loose leaf or bound, open or closed formulary
Policies on prescribing and procedure of dispensing medications

Selection of Medicines

Proven efficacy and use in the healthcare setting
Drug should be recognized by national formulary
Manufacturer should be one with proven integrity and dependability
No secret composition preparation is allowed to be included in the formulary
Multiple medications with similar therapeutic efficacy should be incorporated
Products with multiple compositions

Format and Appearance

Physical appearance and structure influence its use
Should be visually pleasing, easily readable, and professional
Can be made attractive by using different color pages for different sections, using edge index, making pocket size, and standout letter formatting

Format and Appearance (Minimum Composition)

Title page
Names and title of P&TC committee
Table of contents
Information on hospital policies and procedures on drug use
Products approved for use in healthcare facility

Distribution

Each patient care unit should receive a copy
Each division of pharmacy should receive a copy
Each member of the medical staff should receive a copy
HOD of each department should receive a personal copy

Potential Demerits

Deprives the physician of their right and privilege to prescribe and obtain the brand of their choice
Permits the pharmacist to act as the sole judge of which brands of drugs are to be purchased and dispensed
Can be the basis of purchase of inferior medicine and supplies
Does not transfer the cost benefit to the patients

Advantages

Therapeutic benefits
Economic benefits
Educational benefits

Therapeutic Benefits

Most efficient products are listed and available
Rationale drug use is promoted
Single line of therapeutics is followed through rules and regulations

Economic Benefits

Eliminates duplication
Beneficial for volume purchases
Reduces drug expenses

Educational Benefits

Has prescribing tips
Administration education (in case of high alert medications)
Additional information regarding pharmacodynamics and pharmacokinetics

Role of Pharmacist

Major role in development of formulary
Evaluating medications for inclusion in the formulary
Evidence-based evaluation
Pharmacoeconomic assessments
Formulary exceptions

Role of Pharmacist (continued)

Conducting cost-effectiveness analysis
Conducting cost-utility analysis
Performing generic substitution
Conducting medication-use evaluation
Identifying therapeutic alternatives

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Description

This quiz covers the concept of hospital formulary, its purpose, format, and preparation. It also discusses the role of pharmacists and the benefits and issues related to hospital formulary.