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    Apollojames Lecturer Nandha College of Pharmacy

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    Suresh Thanneru
    The hospital formulary is a list of pharmaceutical agents approved by the medical staff for use in the hospital. It provides information on drugs to guide their procurement, prescribing, dispensing, and administration. The first scientific hospital formulary in India was published in 1968. A formulary lists drugs alphabetically by generic name and includes dosage, administration route, cost, and other details. It is prepared by the pharmacy and therapeutics committee and advises on policies like prescribing by generic name and encouraging rational drug use.

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    Apollojames Lecturer Nandha College of Pharmacy

    Uploaded by

    Suresh Thanneru
    153 views19 pages
    The hospital formulary is a list of pharmaceutical agents approved by the medical staff for use in the hospital. It provides information on drugs to guide their procurement, prescribing, dispensing, and administration. The first scientific hospital formulary in India was published in 1968. A formulary lists drugs alphabetically by generic name and includes dosage, administration route, cost, and other details. It is prepared by the pharmacy and therapeutics committee and advises on policies like prescribing by generic name and encouraging rational drug use.

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    The hospital formulary is a list of pharmaceutical agents approved by the medical staff for use in the hospital. It provides information on drugs to guide their procurement, prescribing, dispensing, and administration. The first scientific hospital formulary in India was published in 1968. A formulary lists drugs alphabetically by generic name and includes dosage, administration route, cost, and other details. It is prepared by the pharmacy and therapeutics committee and advises on policies like prescribing by generic name and encouraging rational drug use.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    153 views19 pages

    Apollojames Lecturer Nandha College of Pharmacy

    Uploaded by

    Suresh Thanneru
    The hospital formulary is a list of pharmaceutical agents approved by the medical staff for use in the hospital. It provides information on drugs to guide their procurement, prescribing, dispensing, and administration. The first scientific hospital formulary in India was published in 1968. A formulary lists drugs alphabetically by generic name and includes dosage, administration route, cost, and other details. It is prepared by the pharmacy and therapeutics committee and advises on policies like prescribing by generic name and encouraging rational drug use.

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    of 19

    APOLLOJAMES

    LECTURER
    NANDHA COLLEGE OF PHARMACY

    1
    DEFINITION
    The hospital formulary is a list of pharmaceutical agents
    with its important informations which reflects the current
    clinical views of the medical staff.

    The hospital formulary system is a method whereby the


    medical staff of a hospital with the help of pharmacy and
    therapeutic committee selects and evaluate medical agents
    and their dosage form which are considered to be most
    useful in the patient care. The hospital formulary system
    provides the information for procuring, prescribing,
    dispensing and administering of drugs under non-
    proprietary or proprietary(brands)names in instances
    where drugs have both names.
    2
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    origin
    The first scientific hospital formulary in India was published
    in 1968 by the pharmacy department of CMC Vellore.

    The first HF for a Government teaching hospital in India


    was published in 1997 at Govt.Medical College Hospital,
    Trivandrum.

    3
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    ADVANTAGES:
    Therapeutic
    Economic
    Educational
    Rational drug use

    4
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    DISADVANTAGES:
    Deprive the physician of his right and privilege to
    prescribe and obtain the brand of his choice.
    Permits the pharmacist to act as the sole judge of
    which brands of drugs are to be purchased &
    dispensed.

    5
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    GUIDELINE FOR HOSPITAL FORMULARY
    The governing body of the hospital should appoint a pharmacy and
    therapeutic committee composed of physician and pharmacist
    which will prepare the hospital formulary system.

    PTC shall sponsor and outline the purpose, organization function


    and scope of the hospital formulary system, it should adopt the
    principle as per the need of particular hospital.

    PTC develop policies and procedures - medical staff adopt these -


    subject to administrative approval.

    The policy and procedures shall afford guidance in the appraisal,


    selection, procurement, storage, distribution, use, safety procedures
    and other matter relating to drug in the hospital and shall be
    published in the hospital’s formulary or other media available to
    the member of medical team

    6
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    Prescribers should be strongly encouraged to
    prescribe drugs by their nonproprietary names.
    Generic equivalents & therapeutic equivalents.
    a. Pharmacist is responsible for selecting from available
    generic equivalents.
    b. That the prescriber has the option, to specify the
    brand for that particular prescription.
    c. PTC is responsible for determining those drug
    products and entities.
    medical & nursing staffs are informed about the
    changes in the HF system.
    Labeling of medicine with non-proprietary names,
    followed by decided formats.
    7
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    To develop an effective formulary system, PTC has to
    consult various references on a drug regarding its
    pharmacokinetic profile, interactions, ADR, etc.,,,

    8
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    FORMULARY CONTENT &
    ORGANIZATION
    Primary objectives:
    a)Information on drug
    b)Information on hospital policies & procedures
    c) Special information about drugs
    In accordance with these objectives, the formulary
    should consist of three main parts:
    A.Information on hospital policies & procedures
    concerning drugs.
    B.Drug products listing
    C.Special information

    9
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    A. HOSPITAL POLICIES AND
    PROCEDURES
    Drug use
    Description of PTC
    Hospital regulations about prescribing, dispensing &
    administration of drug, rules for Medical Reps, emergency
    drug products,
    Pharmacy operating procedures
    Information on using formulary

    10
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    B. DRUG PRODUCTS LISTING
    Formulary item entries:
    Alphabetically by generic name
    Alphabetically within therapeutic class
    Type of information:
    Dosage form, strength, packaging
    Active ingredients
    Adult/pediatric dose
    Route of administration
    Cost
    Indexes to the drug products listing:
    Generic name/brand name
    Therapeutic /pharmacological index

    11
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    C.SPECIAL INFORMATION:
    Equivalent dosages of similar drugs
    Hospital approved abbreviations
    Rules for calculating pediatric dosages
    List of sugar free drugs
    List of dialyzable poisons
    Metric conversion tables
    Poison control information
    Table of drug interactions

    12
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    PREPARATION OF FORMULARY
    Visually pleasing, easily readable and professional in
    appearance.
    A typical formulary must have the following composition;
    1. Title page
    2. Names & titles of the members of the PTC
    3. Table of contents
    4. Information on hospital policies & procedures concerning
    drugs
    5. Products accepted for use at hospital
    6. Appendix

    13
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    CONTENTS
    a. Introduction
     List of abbreviations
     List of drugs used in the formulary
    b. Basic information on each drug
     Efficacy for the treatment of specific conditions
     Safety profile of the item
     Interaction profile
     Adverse effects
     Pharmacokinetic profile
     Availability of the item
     Available dosage form
     Cost
     Acceptability to patients

    14
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    c. Supplementary information on each drug
     Storage guidelines
     Patient counselling information
     Labelling information
     Brand names and prices

    d. Prescribing and dispensing guidelines


     Principles of prescription writing
     Reporting of ADR
     Prevention of ADR

    15
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    e. General drug use and advice
     Use of IV drugs
     Special situations like pregnancy, breast feeding,
    liver/kidney diseases
     Poisoning information and antidotes
     Treatment of snakebites and insect bites

    f. Miscellaneous section
     Children’s dose
     Renal adjustments
     Metric units
     Diagnostic aids

    16
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    YOUR RESPONSIBILITY
    Drug selection
    Promoting formulary adherence
    Review and take action on all non-formulary drug use
    in the hospital.
    Provide a copy of the hospital formulary to all doctors
    in the hospital.
    Involve the medical staff in various formulary-
    implementing programs.
    Give much advertisement and publicity regarding
    formulary.
    -Revision of formulary

    17
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    FORMULARY Vs DRUG LIST
    FORMULARY DRUG LIST (e.g. I.N.F)
    Listing of drugs by their Generic names followed by
    generic names followed by data on strength & form.
    information on strength, form,
    posology, toxicology, use &
    recommended quantity to be
    dispensed. Prepared by country’s
    Prepared locally by its own outstanding clinicians,
    clinical staff. pharmacologists and
    Information provided is subject pharmacists.
    According to their
    to local needs and desires.
    pharmacological properties.

    18
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    REFERENCES
    1. Hospital pharmacy by William E. Hassan, JR 5th
    edition. Pg no.124-153.
    2. A textbook of pharmacy practice by K.G. Revikumar,
    B.D.Miglani . 1st edition.pg no.82.
    3. Remington –The science and practice of pharmacy 21st
    edition volume 2, pg no.2259.
    4. Merchant and Qadry’s-A text book of Hospital
    Pharmacy. Pg no.39-50

    19
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