DRUG FORMULARY MANAGEMENT AND NATIONAL ESSENTIAL DRUG LIST

MOH Drug Formulary

Hospital Drug Formulary

Health Centre Drug Formulary

Importance

Produce the best clinical, humanistic and economic outcomes

Ensure an effective use of health care resources

Objectively discriminate between superior and marginal medications

List of Committees

DWC / TWC

Specialist drom each department of the institution

MOHMF

Director General (DG) of Health

Deputy DG of Health (P&ST)

Deputy DG of Health (Medical)

8 Consultants in Public Sevices

SDC

HDC

Role of Committees

MOHMF

1. Set up a policy regarding use of drugs in MOH
2. approve new drug into MOH drug list
3. Delete / remove drug/dosage form/strength
4. Add/alter formulation/dosage form/indications

TWC

1. Review medical and clinical literature of new drugs to be listed
2. Review relevant information on use of medications by patients and experience with specific medications
3. Compare medications by therapeutic classifications
4. Review current therapeutic use and access guidelines and the need for revision of new guidelines
5. Give recommendation to MOHMF

DTC (SDC/HDC)

1. Provide advice on all aspects of drug management
2. Develop drug policies
3. Evaluate and select drugs for formulary list
4. Develop and implement standard treatment guidelines
5. Assess drug use to identify problems
6. Conduct interventions to improve drug use
7. manage adverse drug reactions and medication errors
8. Inform all staff members about drug use issues, policies and decisions

Pharmacists

1. Lead the formulary management initiatives
2. Coordinate DTC Committee task
3. Make recommendations based on sound clinical evidence guide
4. Guide DTC committee through drug selection process
5. Develop benefit related policies, therapeutic guidelines and design utilization management strategies

List of medicines that should be available at all times in adequate amounts, appropriate dosage forms with assured quality and affordable price by community

Functions

Guide for public sector drug procurement, distribution and utilization

Guide for undergraduate, postgraduate and in service training of health professionals and public education on quality use of drugs

Drug information to healthcare providers

Support to the domestic pharmaceutical industry

Drug financing/reimbursement schemes

Drug donations

NEML Committee

Experts in medicine

Experts in Pharmacy

Experts in Dentistry

Experts in Pharmacology

Experts in Public Health

Experts in Consumer Affairs

Experts in Health Economics

Dossier 4 (D4)
Done by MOH

Proposal to add approved medicines in MOHMF into institution's Medicine Formulary

Dossier 3 (D3)
Done by MOH

Proposal to change category of prescriber of medicines

Dossier 5 (D5)
Done by Pharmaceutical industries or MOH

Proposal to delist approved medicine/indication from MOHMF

Dossier 1 (D1)
Done by Pharmaceutical Industries

Proposal to list new medicine or indication for existing medicine in MOHMF

Dossier 2 (D2)
Done by Pharmaceutical Industries

Proposal to add or amend formulation/dosage form/strength