formulary correct answers continually updated list of medications and related products supported
by EBM and the judgement of physicians, pharmacists, and other experts in the diagnosis and tx
of disease and preservation
- encourage the use of the safest, most effective and most affordable medications
- enhances other existing medication management practices
who needs a formulary correct answers - hospitals
- payers: insurance companies, managed care organizations
- ect
open formularies in health system correct answers - no limits on what can be prescribed
- prescribers have unlimited power
- ex: infections disease dr can prescribe antipsychotic
closed formularies in health systems correct answers - limitations on what can be prescribed
(formulary restrictions)
- prescribers must follow restrictions/criteria in place
- 2 types: positive or negative
positive closed formularies correct answers - add meds as you go
- less common
- best for limiting number of drugs available, but not popular when first implementing formulary
since every drug has to be considered
negative closed formularies correct answers - start with current stock and eliminate non-essential
meds
- more common
- can lead to larger formulary than needed and more spending costs for hospital
pharmacy and therapeutics committee (P & T) goals correct answers - develop a list of the safest,
most effective meds that will produce the desired goals of therapy at the most reasonable cost to
the healthcare system
- provide a decision-making process leading to the selection of meds necessary for the tx of any
disease states likely to be seen in the institution
who is on P&T committee correct answers - includes providers, nurses, pharmacists,
administrators
- no standard number- varies based on institution policies/preferences
P&T process correct answers 1) initial request
2) use and volume
3) drug and disease
4) monograph
5) references