hospital pharmacy hospital formulary and guide

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2. FARAZUL HODA
M.PHARMA(P.P)
JAMIA HAMDARD
SPER
NEW DELHI 2

3. •DEFINITION
•ORIGIN
•NEED OF HOSPITAL FORMULARY
•HOSPITAL FORMULARY SYSTEM
•HOSPITAL FORMULARY ADVANTAGES
•HOSPITAL FORMULARY DISADVANTAGES
•PREPARATION OF HOSPITAL FORMULARY
•GUIDELINE OF HOSPITAL FORMULARY
•CONCLUSION
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4. Hospital Formulary is a continuously revised
compilation of pharmaceuticals including
important ancillary information that reflects the
current clinical judgement of the medical staff.
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5. 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.
Origin:-
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6. The need for Hospital Formulary:
 The increasing number 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.
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7. HOSPITAL FORMULARY SYSTEM
It is a system whereby medical staff of the hospital
can select and evaluate medicinal agents and their
various dosage forms with the help of pharmacy and
therapeutics committee (PTC).
It provides them the required information on
procuring, prescribing, dispensing and administration of
drugs under brand/generic names.
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8. Advantages of hospital formulary
1. It provides the practitioner with approved and efficacious medicines to treat
disease .
2. Hospital formulary reduces the inventory cost of the drugs. It regulates the
number of medicines by improving the procurement and inventory management.
3. It improves the quality assurance and easier dispensing.
4. It gives stress on medicine information and focused on patient’s education
efforts.
5. It removes the irrational combinations of drugs and also improves adverse drug
reaction management. 8

9. Disadvantages of hospital formulary
1.The hospital formulary system deprives the physician of the right
and prerogative to prescribing and obtained the brand of his
choice.
2. The system may sometimes permit the pharmacist to act as the
sole judge to which the brands of the drugs to be purchased and
dispensed.
3. The system may allow buying inferior quality of drugs and it
may also not reduce the cost of drug dispensed to the patient or
the third party payer. 9

10. Preparation of Hospital Formulary
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11. 1. Introductory information:
• Acknowledgement
• List of abbreviations
• Intended usage of the formulary manual.
2. Basic information of the drug :
• Generic name
• Dosage form
• Strength Indications
• Pharmacological action
• Precautions
• Side effects
• Frequency Instructions
• Drug interactions.
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12. 3. Supplementary information on each drug :
• Price Regulatory category
• Storage guidelines
• Patient counselling information
• Brand names
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
5. General drug use advice :
Use of IV additives Prescribing in special situations
Poisoning and antidotes
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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)
7. The Format :
• Pharmacist decides the format before commencing work on printing and
publishing in the hospital.
• He/She 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.
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14. 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.
9. Type of format :
Loose leaf or Bound Printed or Mimeographed Indexing and Assigning categories
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15. GUIDELINE FOR HOSPITAL FORMULARY
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16. 1. 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.
2. 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.
3. PTC develop policies and procedures - medical staff adopt these - subject
to administrative approval.
4. 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
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17. 5. Prescribers should be strongly encouraged to prescribe drugs by their
nonproprietary names.
6. 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.
7. Medical & nursing staffs are informed about the changes in the HF system.
8. Labeling of medicine with non-proprietary names, followed by decided formats.
9. To develop an effective formulary system, PTC has to consult various
references on a drug regarding its pharmacokinetic profile, interactions, ADR, etc
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18. A formulary system is the multidisciplinary,
evidence-based process employed by health
organization to select and use medications
that offer the best therapeutic outcomes
while minimizing potential risks and costs to
the patients.
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19. 1.Hospital Formulary Concept: Is India Ready and How it will Benefit from it?
Rimple Jeet Kaur , Arup Misra , Sneha R Ambwani
2.Practice of Hospital,clinical and community pharmacy by Mohd.Aqil ,71-74
3. B.V.Yadav , Hospital and clinical pharmacy, 2 nd edition, 112-117
4.SRM University dept of pharmacy Unit 1 hospital formulary by J.JAYASUTHA
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