drug formulary.pptx

Hospital Formulary, NFI, NLEM.

1. DRUG FORMULARY Presented by Suraj Mungase Department of Pharmacy Practice M Pharm 2 nd Sem

2. Flow of presentation What is a formulary? Reasons to develop formulary Types of formulary Hospital formulary NFI NLEM

3. What is the Formulary? Formulary is a continually updated, official, or authorized publication of an approved list of medicines for use in hospitals

4. Reasons to develop a formulary system To ensure quality & appropriateness of drug used in a particular practice. To teach appropriate drug therapy especially relevant to junior doctors. To promote evidence based& cost-effective drug therapy To encourage the use of therapeutic protocols

5. Types of formulary International formulary: Used in more than one country. National formulary : For one nation only eg.NFI,BNF,USP NF Hospital formulary : specific for particular hospital. Open formulary: No limitation to access to medication, generally large. Closed formulary: limited list of medication limits drug to specific physicians, disease.

6. Hospital formulary Hospital formulary is a continuously revised compilation of pharmaceutical preparations, including important information that reflects the medical staff's current clinical judgment. Main responsibility of making a formulary is of (PTC). Pharmacist is an important member of this committee.

7. Origin The 1 st scientific hospital formulary in India was published in 1968 by the pharmacy department of CMC Vellore. The 1 st hospital formulary for a gov teaching hospital in India was published in 1997 at GMC Trivandrum.

8. Hospital formulary Advantages Therapeutic Economic Educational Rational drug use. Disadvantage Physician includes the brand of his choice Pharmacists act as the sole judge which drug is purchased & dispensed

9. Preparation of hospital formulary It should be pocket size. Binding: loose leaf allows flexible adaptations. Use color to make it attractive. Availability in electronic format.

10. Content of formulary Introduction Basic information about the drug Supplementary information on each drug Prescribing & dispensing guidelines General drug use advice Miscellaneous section

11. https://www.ashp.org/-/media/store%20files/p2371-sample-chapter-4.pdf

12. NFI National formulary concentrates on availability& affordability. Of medicine that is relevant to the treatment of disease in a particular countries.

13. Difference between pharmacopoeia & formulary Pharmacopoeia It is an official book describing medicine, especially its use, preparation, analytical parameter, and evaluation. Reference for research Formulary It is a list of available drugs, especially prescription drugs. Reference for medical staff.

14. NFI 2021 IPC has published NFI to promote the rational use of drugs Union minister of health & family welfare Dr.Mansukh mandaviya launched the 6 th edition of NFI. Silent features of this edition includes 34 therapeutic categories, including 591 drug monograph & 23 appendices

15. What are the Criteria for including drugs in NFI ? Drugs in NLEM Drugs used in national health programs Drug listed in IP Drug considers appropriate by IPC

16. What are the criteria for exclusion of drugs from NFI? Drugs banned in India Obsolete drugs Drugs consider inappropriate by IPC

17. Contents of NFI Introduction List of medicine monographs in NFI List of deleted medicine from NFI Common abbreviations General advice to prescribers Appendices

18. NLEM

19. Origin 1970-Tanzania 1977-WHO 1996-NLEM

20. NLEM

21. Criteria for including medicines in NLEM The medicine should be approved/licensed in India. The medicine should be helpful in diseases which is a public health problem in India. The medicine should be cost-effective. The listing of medicine in NLEM is based according to the level of health care, i.e., Primary (P), Secondary (S), and Tertiary (T), because the treatment facilities, training, experience, and availability of health care personnel differ in these levels

22. The criteria for the deletion of medicine from NLEM The medicine has been banned in India. Obsolete drug. The disease burden for which a medicine is indicated is no longer a national health concern in India.

23. Year Medicine in NLEM 1996 279 2003 354 2011 348 2015 376 2021 399

24. NFI& NLEM NFI Published & monitor by IPC Ghaziabad. It contains contraindications ,A/E& storage NLEM Published by MOHFW Monitor by NPPA(MOCF) It contains only the list of medicines

25. Refrence https://main.mohfw.gov.in/sites/default/files/Recommendations.pdf https://main.mohfw.gov.in/sites/default/files/7966072180.pdf https://www.ashp.org/-/media/store%20files/p2371-sample-chapter-4.pdf http://ipc.gov.in/mandates/nfi/salient-features-of-nfi-2016.html

26. Thank you