Med Management Flashcards
formularies: no limitation to access to a
medication and are generally large
Open formularies:
contain a list of
medications that may be limited to specific
physicians, patient care areas, or disease states
Closed formularies:
trial addition of
promising newly-applied drugs to the formulary
for a limited period of time to further assess the
use and safety of the products.
Conditional Inclusion:
Addition of newly-applied drugs
to the formulary once safety, efficacy,
cost-effectiveness, and other considerations
have been established.
Final Inclusion:
drug products with
different chemical structure but are of the same
pharmacologic and/or therapeutic class and are expected to have similar therapeutic effects and
adverse effects.
Therapeutic Equivalents:
T/F: FIRST GENERATION
CEPHALOSPORINS are Therapeutic Equivalence
T
END RESULTS OF A THERAPEUTIC CLASS REVIEW
MAY BE:
Formulary modifications
Drug use review initiation
Therapeutic guideline development
NON-FORMULARY DRUG MANAGEMENT
INCLUDES:
● Policy for use
● Procurement procedure
● Regular review
First established in the 1980s to provide an ongoing,
structured, organized approach to ensure that drugs
are used appropriately.
DRUG USE EVALUATION (DUE)
The most common model in health-systems is the
FOCUS-PDCA.
identification of indications for which selected
drugs may be appropriate for a given disease
state.
Diagnosis-related DUE criteria:
identification of specific physicians who may
use certain drugs.
Prescriber-related DUE criteria:
focus on specific aspects of a certain drug,
such as the dose or dosing frequency.
Drug-specific DUE criteria:
