HOSPITAL FORMULARY.pptx

The formulary system is a method by which physicians and pharmacists, working through a Pharmacy and Therapeutics Committee of the medical staff, evaluate and select medications for use in a hospital.
the hospital formulary system provides the information for procuring,prescribing,dispencing and administrative of drug under non proprietary names and instance where drugs have both names.

1. HOSPITAL FORMULARY M.Pharm ARCHANA CHAVHAN

2. Definition:  Hospital Formulary is defined as a list of drugs used in the hospital. Formulary system is method whereby the medical staff of an institution, working through the PTC, evaluates, appraises, and selects from among the numerous available drug entities & drug products those that considered most useful in patient care.

3. The need for Hospital Formulary:  The increasing no. of new drugs manufactured and marketed by drug companies Increasing complexity of untoward effects of modern potent drugs Newer sales promotion strategies of pharmaceutical industry. The public interest in getting possible health care at lowest possible cost.

4. Guideline principles of hospital formulary A multidisciplinary PTC is appointed for organization of various hospital day to day activities. The formulary system shall be sponsored by the medical staff based upon the recommendations of the PTC. The medical staff should adopt the principles of the system to the needs of the particular institution. The PTC shall adopt written policies & procedures governing the formulary system.

5. Non proprietary names should be included in the formulary Limiting the number of drug entities and drug products routinely available from the pharmacy can produce substantial patient care and financial benefits. The formulary system is informed to the entire medical and nursing staff. The pharmacist shall be responsible for the specification as to the quality, & source of supply of all drugs, chemicals, biological & pharmaceutical preparations.

6. Guiding principle for admission or deletion of drugs in the formulary Drugs must be recognised by the pharmacopeia and formularies approved under D&C act. The manufacturer of drug should have license for manufacturing. Preparation of secrete composition should not be admitted in the formulary Preparation containing many ingredients should be admitted if the similar therapeutic effect can be obtained by the use of single ingredient.

7. Preparation of Hospital Formulary

8. 1. Introductory information Acknowledgement List of abbreviations Intended usage of the formulary manual

9. 2. Basic information of the drug Generic name, dosage form, strength Indications Pharmacological action Precautions Side effects Dosage – form, frequency Instructions Drug interactions

10. 3. Supplementary information on each drug Price Regulatory category Storage guidelines Patient counselling information Brand names

11. 4. Prescribing and dispensing guidelines Principles of prescription writing Name and address of the patient Prescribed drug should be written in formulary terminology Strength of prescribed medication must be given in accepted metric system. Correct dispensing guidelines Prevention and reporting of ADRs

12. 5. General drug use advice Use of IV additives Prescribing in special situations Poisoning and antidotes

13. 6. Other components Formulas for various diagnostic stains, diagnostic aids Table of common Lab-values Posological tables Index of the drugs included in the formulary Metric units Indexes(by generic name, brand name, therapeutic category)

14. 7. The Format Pharmacist decides the format before commencing work on printing and publishing in the hospital. He has to collect formularies of some leading hospitals as well as their format. Copies of finally published formulary may be sent to bodies like directorate general of health services, Govt of India, PCI etc.

15. 8. Size It is sufficiently small in size so that it could be easily carried by clinicians, nurses etc, in the pockets of their uniform or lab coats. The hospitals may determine their own size of the formulary.

16. 9. Type of format Loose leaf or Bound Printed or Mimeographed Indexing and Assigning categories

17. PRIVATE FORMULARY & NATIONAL FORMULARY Private formulary National formulary Prepared by hospital’s own staff Prepared by nation’s outstanding clinicians, pharmacologists and pharmacists Information given under each monograph is subject to local needs Each monograph contains physical and chemical properties, pharmacologic responses, uses,toxicology,posology etc. Published in a more convenient size & format Since too many drugs are listed the size of formulary is big. Drugs may be added or deleted with greater frequency Drugs are added or deleted with less frequency.

18. THANK YOU!!