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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.

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

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.

Formulary content:

Formulary content 1.Prescription writing : Every prescription must furnish the following information Name and address of the patient The date Prescribed drug should be written in formulary terminology Strength of prescribed medication must be given in accepted metric system.

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The total amount to be dispensed. The instruction to the patient should be clear, concise and in simple terms which can be understood by the patient. When repetition of the drug is desired, the no of times the drug is to be taken should be clearly written.

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The prescription for narcotic must have the patient’s age. The physician should sign all prescription and prepare 3 copies of the prescription containing narcotics, one is retained by him and two copies are passed to the patient

2.The Format :  :

2.The Format : It would be very good idea if the pharmacist decides its format etc before commencing work on printing and publishing in his own hospital. He has to collects formularies of some leading hospitals as well as their format. Copies of finally published formulary may be sent to bodies liked central drug standard control organization, directorate general of health services, Govt of India, PCI.

      3.Size : :

3.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. In any case, there cannot be a particular size determined but keeping the general view in mind, the hospitals may determine their own size of the formulary.

  4. Loose leaf or Bound. : :

4. Loose leaf or Bound. : It can be revised whenever necessary simply by printing, distributing and inserting the necessary page or pages. It is easy to keep a loose leaf. Bound: it can be prepared with covers ranging from paper and cardboard to plastic or leather binding. The NFI is a card board bound volume.

5.Printed or Mimeographed : :

5.Printed or Mimeographed : Printed or Mimeographed (modified version of cyclostyled volume) Printed has better asthetic value. Its appearance is more attractive, easier to read. Its appearance creates an impression in readers that it is very valuable document

5.Indexing and Assigning categories::

5.Indexing and Assigning categories: Majority of the formularies have a general index at the end of the text. It is usually in alphabetical order, by generic name and cross indexed with brand names of the drug used in the text portion of the formulary. The general index may be supplemented with a pharmacological index which will be matter of finding any particular data in very short time.

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In addition to the general index & pharmacological index formulary divided in to specific sections & separated by divider A. Ear B. Eye C. Nose D. Rectal E. Throat F. Vaginal G. Skin H. Nutritional aids I. Oral products J. Injectables.

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