Formulary

1. Purpose

1.1. drugs procurement

1.2. guidance

1.3. optimum/rational drug use, optimize fund, reduce misspend

2. Committees

2.1. MOHMF

2.1.1. Director General of Health Deputy Director General of Health (P& ST) Deputy Director General of Health (Medical) Director of Pharmaceutical Services 8 Consultants in Public Services 3 Pharmacists in Public Services

2.1.2. Set up a policy Approve introduction Delete or remove Add /alter formulation/dosage form/ indications

2.2. DWC/TWC

2.2.1. 17 professionals from hosp. dep.

2.2.2. Review medical and clinical literature Relevant information Compare medications Current therapeutic use and access guidelines and the need for revision on new guidelines Give recommendation

2.3. SDC

2.4. HDC/DTC

2.4.1. Provide advice Develop drug policies Evaluate and select drugs Develop (or adapt) and implement standard treatment guidelines Assess drug Conduct interventions Manage ADR and medication errors Inform all staff members

3. Importance

3.1. best clinical, humanistic economic outcome

3.2. objectively discriminate

3.3. minimize costs improved qol

4. NEML

4.1. available at all times adequate amounts appropriate dosage forms assured quality affordable

4.2. Functions Undergraduate, postgraduate and in service training of health professionals and public education Public sector drug procurement, distribution and utilization Drug information to healthcare providers Support to the domestic pharmaceutical industry Drug financing / reimbursement schemes Drug donations

4.3. Experts in Medicine Pharmacy Dentistry Pharmacology Public health Consumer affairs and Health economics