Drug Supply Flashcards
Drug Management Cycle
Selection, Procurement, Distribution, Use
-those that are deemed to satisfy the health care needs of the
majority of the population
• should be available in the appropriate dosage forms and strengths at all times
Essential Drug List
assist prescribers in deciding on appropriate treatments for specific clinical problems
Standard Treatment Guidelines
includes the quantification and determination of the procurement method designed to acquire quality and affordable medicines and health commodities.
Procurement
RA 9184
Gov’t Procurement Reform Act (GPRA)
EO 49
Directing the Mandatory Use of the Philippine National Drug Formulary (PNDF) Volume I as the Basis for Procurement of Drug Products by the Government
the movement of medicines and commodities, including their storage, from the central store to the point of care.
Distribution
requires that the Pxs receive medications appropriate for their clinical needs, in doses that meet their own individual requirements, for an adequate amount of time & at the lowest cost to them & their community.
Rational Medicine Use
T/F BP is diastolic/systolic
F
what is 120/80
Prehypertension
Why manage drugs?
- increased access
- avoid wastage
- appropriate use
- appropriate financial expenditure
aka treatment protocols or prescribing policies
Standard Treatment Guidelines
Selection and use of essential drugs ensures:
- improved supply of drugs
- more rational prescribing
- lower cost
criteria for selecting drugs in the formulary
QERCPR (qua, eff and safe, relben, cos, phadandav, ratfor)
FDA AO 2013-0027
GMP, GSP, GDP
benefits of successful inventory control
- px receives meds promptly
- stockouts prevented even when deliveries are delayed
- supplies replenished at scheduled intervals
- pxs have confidence in the facility
- keeps track and ensures accountabilty for supplies
types of irrational medicine use
- polypharmacy
- no needed meds
- wrong meds
- ineffective meds
- unsafe meds
- underuse
- incorrect use
occurs if the patient understands and appreciates the value of using specific meds for specific indications
adherence
adverse impact of irrational med use
- impact on quality of med therapy and medical care
- impact on amr
- impact on cost
- psychosocial impact
