KUH
FORMULARY HANDBOOK
The Formulary System is the
accepted method whereby the Medical Staff selects the medications
available to KUMC Patients. The Pharmacy and Therapeutics
Committee evaluates, appraises and selects from numerous medical
agents available and makes recommendations to the Medical Staff
concerning which medications are considered to be most useful in
providing patient care at KUMC.
Under the Formulary System, members
of the Medical Staff agree that in each instance in which they
prescribe a drug by proprietary (trade) name, they expressly
authorize the hospital pharmacist to dispense and the nurse to
administer the identical drug under its non-proprietary (generic)
name. If for any medical reason the physician wants the patient
to receive a specific brand name of a drug, the physician must
indicate so by checking the appropriate box on the prescription
or physician order form. If dismissal prescriptions are not
filled at the KUMC Outpatient Pharmacy, the statement "Brand
Name Required" must be written in the prescribing physicians
own handwriting in order to insure no substitution.
The Pharmacy & Therapeutics
Committee and the Executive Committee of the Medical Staff have
placed restrictions on the ordering of certain formulary drugs.
Use of restricted medications may be limited to attending
physicians, a particular medical service or may require special
approval prior to use. Restrictions are noted throughout the
formulary drug listing on a drug specific basis. The following is
a current list of restricted drugs:
When a non-formulary drug is requested, the
pharmacist will inform the prescribing physician of formulary alternatives which
are therapeutically equivalent and of their proper dosage. If an acceptable
formulary medication is not identified, the Pharmacy will obtain a small supply
of the drug for that particular patient. The entire quantity ordered and any
delivery fee incurred will be billed to the patient. A time delay of 24-48 hours
should be anticipated since the drugs must be ordered from outside sources.
The non-formulary drug may be sent home with the
patient as a dismissal medication if written for, but will be limited to only
the remaining supply. It is recommended that another prescription be sent with
the patient for any additional quantity necessary.
If a physician intends to prescribe a
non-formulary drug on a regular basis, it is recommended that a request for
evaluation for Formulary admission be submitted.
Requests for additions to or deletions from the
KUMC Formulary should be submitted to the Director of Pharmacy on the Application
for Formulary Admission Form to facilitate consideration by the Pharmacy and
Therapeutics Committee. Such requests must be approved by the Chairman of the
Department desiring the drug. Applications must be complete and must include
sufficient supportive data to enable the committee to make a sound decision.
Application forms are available from the Department of Pharmacy. All drugs are
admitted on a nonproprietary name (generic) basis. No drug of unknown or secret
composition will be admitted.
All
drug additions and deletions to the formulary must be subsequently approved by
the Executive Committee of the Medical Staff. Drugs added or deleted from the
formulary will be announced in the Pharmacy newsletter, the Pharmacy Key. The
effective date of the addition or deletion will be noted in the publication of
the Key.
Click here to go back to Top
of Page
If you would like to make an addition or
suggestion to this page, please E-mail us!
Return to the
Department of Pharmacy HomePage
Anti-infective
Guidelines