1/19/2024 0 Comments Amcp dossier templateNonetheless, formularies can unquestionably exert a powerful influence on prescribing decisions and medication utilization –. While some clinicians criticize formularies for limiting clinical autonomy, others have argued that formularies have strayed from their original mission-to identify and designate drugs of choice to guide more rational prescribing-claiming instead they have become overly focused on cost containment and created needless hurdles and complexities for physicians and patients. Thus decisions made by these committees directly or indirectly impact every prescriber, pharmacist, and patient –. Formularies and committees that oversee them are present in some form in virtually every US hospital and outpatient drug plan and are highly visible components of public drug benefits in many countries. In addition, WHO encourages each hospital to establish a drug and therapeutics committee to oversee selection of drugs and to set policies for that institution's local formulary. Formularies represent the fundamental approach embodied in the World Health Organization (WHO) Model Formulary 2004 and various countries' essential medicines lists. Introductionĭrug formularies are a ubiquitous, heterogeneous yet often contentious feature of both US and international drug policy –. Limitations include its generalizability to all types of formulary committees and settings, and lack of time and data for committees to fully address all checklist questions. It can educate new committee members, guide discussions of drugs proposed for formulary addition, and be used to evaluate the quality of committee decision making. ![]() The checklist can facilitate more standardized and critical scrutiny of the evidence and therapeutic alternatives. ![]() The tool poses 48 questions related to: evidence of need, efficacy, medication safety, misuse potential, cost issues, and decision-making process. We developed a tool based on a project at two US public academic hospitals consisting of a six-domain checklist of questions for evaluating drugs requested for addition. Although considerable attention has been devoted to their role in cost containment, formularies' role in guiding rational drug use remains underdeveloped and could be enhanced by a more standardized critical evaluation of drugs proposed for formulary placement. Drug formularies are widely used by hospitals, health systems, and private and national drug insurance plans.
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