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Some have argued that existing formularies and standard treatment guidelines, developed by experts, would lead to better prescribing than would a personal formulary developed by students.
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For example if the aggregate hospital accreditation data reveals a systemic problem with antibiotic overuse and misuse at a national level, policy changes might modify he national formulary and develop consistent clinical policies for appropriate antibiotic stewardship throughout the country.
Acknowledging that traditional prior authorization was likely infeasible, a new formulary restriction was developed (termed "optional special authorization" (OSA)) in conjunction with changes to prescribing restrictions for quinolone antibiotics.
In a commentary on the role of pharmacoeconomics in developing countries that was recently published in PharmacoEconomics, Babar and Scahill [ 7] argue that "there is a need for a model that could aid in determining the perceived need and benefits of using pharmacoeconomics in formulary development in a given developing country".
In an attempt to guide appropriate prescribing, maximize health benefits, and limit costs, most publicly funded health care systems have developed formularies or implemented policies to optimize prescription drug use.
The DoA in 1970 developed the Formulary of Agrochemicals with a view to recommending the most effective crop pesticides and limiting the number available.
Additionally, PTCs in Chile need to develop formulary systems which can effectively cover all the pharmacotherapy needed in hospitals, avoiding the exceptional purchase of medicines.
Analogous to pharmacies, some institutions have developed "laboratory test formularies" that place tiered restrictions on ordering of certain tests [ 34, 35].
Trainees believed that their information needs would diminish as they gained experience and developed their own personal formulary.
A guideline for management of hyperlipidemia and conversion to formulary statin in HD patients was developed jointly between the nephrologists, clinical pharmacist and renal dietitian before program implementation (Table 1).
Individual healthcare facilities (with limited bargaining power) in the US are encouraged by industry to develop formularies useful to patient care using managed care guidelines[ 37].
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