KUMC
Department of Pharmacy
Drug Information Center
Formulary Change Request Form
THE
UNIVERSITY OF KANSAS MEDICAL CENTER
UNIVERSITY OF KANSAS HOSPITAL
PHARMACY AND THERAPEUTICS COMMITTEE
If you notice an inconsistency in the formulary publication please fill in the following information and changes will be made in the next year's publication.
Publication Year
Page number of
requested change
Current wording in
formulary
Suggested change
Requestor's name
Requestor's email
Requestor's phone
number
If you would like to make an addition
or suggestion to this page, please E-mail us!
