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Edit Comment Close Premium member Presentation Transcript FORMULARY : FORMULARY Definition : Definition Formulary is a continually revised compilation of Pharmaceuticals(plus important ancillary information )that reflects the current clinical judgment of the medical staff. 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. The need for Hospital Formulary : The need for Hospital Formulary The increasing no. of new drugs manufactured and marketed by drug companies Increasing influence of add: on drugs which include both scientific and unscientific, ethical and unethical. 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. Slide 4: Indian Scenario 2008 Indian situation : 2008 Indian situation 23,000 to 25000 drug molecules in use. About one lakh drug formu-lations including drug combi-nations in the market. Over 25,000 licensed drug manufac-turing units. About seven lakh licensed selling outlets. One Medical representative for every 4 doctors 2008 Indian situation : 2008 Indian situation Total Drug Production - worth over Rs. 40,000 crores Total Antibiotics production - worth over Rs.10000 crores About 30-40% of all prescriptions in cites and town contain an antibiotic. In Kerala about worth over 1500 crore drugs are sold last year. Carpers Antibiotic surveillance report 2003 identifies antibiotics are most exploited drug class Drug Price Comparison : Drug Price Comparison Glimiperide 1mg Euglin (zydus cadila) - 10 tab- Rs. 9.81 Amaryl (Aventis) - 10 tab – Rs 53 Letrozole 2.5mg Oncolet (Bio-chem) - 10 tab - Rs . 99 Femara ( Novartis) - 10 tab - Rs 1815 Risperidone -2mg Respidone (Torent ) - 10 tab – Rs. 16.94 Risperidal (Ethanor) - 10 tab – Rs 270 ( 1500%) Drug Price Comparison : Drug Price Comparison Glimiperide 1mg Euglin (zydus cadila) - 10 tab- Rs. 9.81 Amaryl (Aventis) - 10 tab – Rs 53 Letrozole 2.5mg Oncolet (Bio-chem) - 10 tab - Rs . 99 Femara ( Novartis) - 10 tab - Rs 1815 Risperidone -2mg Respidone (Torent ) - 10 tab – Rs. 16.94 Risperidal (Ethanor) - 10 tab – Rs 270 ( 1500%) Company rate/MRP : Company rate/MRP Ciprofloxacin Inj .Cifran (Ranbaxy) - Rs. 18.50 - Rs. 51.10/ HumanAlbumin Alburel (Reliance ) - Rs. 1350 - Rs.3200/ Filgrastim Inj Nupogen (Roche ) - Rs. 2127 Rs. 3200/ Top companies Top Products : Top companies Top Products Cipla Ranbaxy Glaxo Zydus cadila Alkem Sun Nicholas Corex Voveran Taxim Mox Becosules Rabipur Human mixtard 30/70 Nise Benefits of a formulary system : Benefits of a formulary system THERAPEUTIC ECONOMIC EDUCATIONAL Guiding principles : Guiding principles The medical staff shall appoint a multidisciplinary PTC & outline its purpose, organization, function and scope. The formulary system shall be sponsored by the medical staff based upon the recommendations of the PTC . The medical staff should adapt the principles of the system to the needs of the particular institution . The medical staff shall adopt written policies & procedures governing the formulary system as adopted by the PTC, Drug should be included in the formulary by their non proprietary names. Provision shall be made for the appraisal and use of drugs not included in the formulary , by the medical staff. The pharmacist shall responsible for the specification as to the quality ,& source of supply of all drugs, chemicals, biological & pharmaceutical preparations. Formulary content : Formulary content 1 General information : The hospital policies & procedures relating to the drugs shall be deal with this part. It include ( formulary, non- formulary, evaluation, investigational etc.) brief description of PTC ,hospital regulations governing the prescribing, dispensing & administration of dugs. 2. Listing of drugs The drug list forms the main body of the formulary. 3. Description of the listed items: Heterogeneous information on medicines. Preparation of Hospital formulary : Preparation of Hospital formulary The responsibility of the preparation of HF rests upon the chief of the hospital services Establishment of PTC Norms and guidelines for prescription writing Norms governing the use of drug Table of common Lab-values Selection &calculation of dosage form for the children Index of the drugs included in the formulary Tables for calculation % milliequalents & doses Formulas for varies diagnostic stains, diagnostic aids Slide 15: Thankyou Thank you THANK YOU You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.