Formulary Flashcards
What is a drug formulary?
organization identifies meds that are appropriate and cost effective
What are some ways formularies manage drug distribution?
generics and biosimilars
how often to dispense
drug use criteria (EDS)
treatment guidlines
interchangeability
WHat are some other ways formularies impact us?
trial meds
max allowable cost policy
What does CADTH do?
assesses health technology for healthcare
What does the common drug review program do? Who is exempt?
conducts reviews of meds and provides formulary recommendations
NOT quebec
What is PCODR?
reviews cancer drugs
Who is generally on the review team for meds?
patient
pCPA
Clinician
Drug plan
WHat is the CDEC?
Canadian drug expert comittee
recommends drugs/ therapies
How often does CDEC meet?
monthly
What are the 3 key considerations when CDEC makes a recommendation?
- Clinical benefit
- Patient willingess
- Cost effective
WHat is considered for cost?
frequency of use, length of therapy, route, cost to prepare, dispensing fee, labs, wastage,
What are common reimbursement conditions?
initiation-severity, history
renewal
discontinuation
prescribing-certain dose
pricing- reducing p[rice
Who guides price of meds?
PMPRB
What does Health canada do?
approves and monitors drugs
Who negotiates the price of meds wiht companies?
pCPA
Who provides value assessment of medications?
CADTH
How does pCPA have bargaining power?
buying power of multiple provinces= able to get discounts if used alot
What do DACS do? Who are the members?
provincial drug evaluators
Pharmacy, doctor, public
How often does the DTC meet? How many members?
7-9 times a year
30
What does the DTC do?
manage hospital formulary
How can drugs fall off formulary?
new evidence
discontinued
saftey
low usage
