Document Detail


Formulary evaluation using a class review approach: experience and results from an academic medical center.
MedLine Citation:
PMID:  23785226     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Developing and maintaining a drug formulary is an essential process that allows hospitals to meet mandatory standards, such as those defined by The Joint Commission, while ensuring that drugs are being used in a safe, appropriate, and cost-effective manner. In this article, we describe our strategy for an annual formulary review, the first year's results of its implementation, and its ongoing development at an academic medical center. Our strategy for reviewing the formulary was based on two main components-a scheduled class review (CR) process and a continuous safety-review process. After the first year of implementation, the pharmacy and therapeutics (P&T) committee reviewed 17 drug classes. The CR and safety review processes led to three formulary additions, 15 deletions, five new therapeutic interchanges, and six drug-safety issues requiring action. Cost-savings opportunities also resulted from using lower-priced generic medications and alternative product formulations. Institutional strategies to address the annual formulary review requirements can be accomplished via several methods, including the drug CR process. This process should be routinely evaluated and modified with the potential to provide additional institutional drug use evaluation benefits and to incorporate efficiencies as needed.
Authors:
Emily L Persson; Katherine S Miller; Jennifer A Nieman; Angela P Sgourakis; Shawn R Akkerman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  P & T : a peer-reviewed journal for formulary management     Volume:  38     ISSN:  1052-1372     ISO Abbreviation:  P T     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-06-20     Completed Date:  2013-06-21     Revised Date:  2013-06-25    
Medline Journal Info:
Nlm Unique ID:  9015516     Medline TA:  P T     Country:  United States    
Other Details:
Languages:  eng     Pagination:  213-6     Citation Subset:  -    
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