Pharmacy Practice (08) = Hospital Formulary | हॉस्पिटल फोर्मुलारी क्या होती है और इसके क्या लाभ हैं

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Hospital Formulary
The hospital formulary is a list of pharmaceutical agents with its important information’s which reflects the current clinical views of the medical staff.
The hospital formulary system is a method whereby the medical staff of a hospital with the help of pharmacy and therapeutic committee selects and evaluate medical agents and their dosage form which are considered to be most useful in the patient care. The hospital formulary system provides the information for procuring, prescribing, dispensing and administration of drugs under brand/generic names.
Origin in India:
1. The first hospital formulary in India was published in 1968 by the Department of Pharmacy, CMC Vellore.
2. The first hospital formulary for the development of government hospital teachings was published in 1997 at Government Medical College, Trivandrum.
The need for Hospital Formulary:
1. The increasing number of new drugs manufactured and marketed by drug companies.
2. Increasing complexity of untoward effects of modern potent drugs.
3. Newer sales promotion strategies of pharmaceutical industry.
4. The public interest in getting possible health care at lowest possible cost.
Benefits of Drug Formulary System:
1. Therapeutic benefits: The therapeutic aspects of a formulary system provide the greatest benefit to the patient and physician because the most efficient products are listed and available.
2. Economic benefits: The formulary system eliminates inventory duplication and the opportunity for volume purchasing means lower charges to the patient.
3. Educational benefits: The educational benefits are also significant for the resident staff, nurses and medical students because many good formularies contain various prescribing tips and additional drug information of educational value.
Advantages of hospital formulary:
1. It provides the practitioner with approved and efficacious medicines to treat disease.
2. Hospital formulary reduces the inventory cost of the drugs. It regulates the number of medicines by improving the procurement and inventory management.
3. It improves the quality assurance and easier dispensing.
4. It gives stress on medicine information and focused on patient’s education efforts.
5. It removes the irrational combinations of drugs and also improves adverse drug reaction management.
Disadvantages of hospital formulary
1. The hospital formulary system deprives the physician of the right and prerogative to prescribing and obtained the brand of his choice.
2. The system may sometimes permit the pharmacist to act as the sole judge to which the brands of the drugs to be purchased and dispensed.
Contents of Formulary and Its Organization:
The primary objectives of the formulary are to provide the hospital staff with:
1. Information on Pharmacy and Therapeutic Committee approved drugs,
2. Information on hospital policies and procedures governing the use of drugs.
3. Basic therapeutic information about each approved item.
4. Special information about drugs such as drug dosage rules and monograms, hospital approved abbreviation.
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