Non-Formulary Review Resources

[Bigpump85]

I did a bit of searching on the forum and more broadly the web but didn't turn up what I'm after. Does anyone have a review source come to mind for a pharmacist wanting to brush up on evaluating & performing/writing non-formulary reviews for in-patient medications (i.e. non-formulary, specific IV iron)? If no particular reference, are there any elements or response styles you use while documenting these and find most effective you could share?

Really appreciate the feedback!

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[sunnyandseventytwo]

I did a bit of searching on the forum and more broadly the web but didn't turn up what I'm after. Does anyone have a review source come to mind for a pharmacist wanting to brush up on evaluating & performing/writing non-formulary reviews for in-patient medications (i.e. non-formulary, specific IV iron)? If no particular reference, are there any elements or response styles you use while documenting these and find most effective you could share?

Really appreciate the feedback!

There are several sources that a pharmacist can use to brush up on evaluating and performing non-formulary reviews for inpatient medications.

1. American Journal of Health-System Pharmacy (AJHP) - This journal regularly publishes articles on non-formulary drug reviews and guidelines for inpatient medication use.
2. American Society of Health-System Pharmacists (ASHP) - ASHP provides a number of resources for pharmacists, including guidelines and best practices for non-formulary drug reviews.
3. National Institute for Health and Care Excellence (NICE) - NICE is a UK-based organization that provides guidelines and recommendations for the use of non-formulary drugs in the healthcare setting.
4. Formulary Monograph - Many formulary systems provide monographs on non-formulary drugs that include information on dosing, administration, clinical use, and safety

When documenting a non-formulary review, it is important to include the following elements:

1. Patient information: include the patient's diagnosis, allergies, and other relevant medical history
2. Medication information: include the name of the medication, dose, route, and frequency of administration
3. Rationale for use: explain why the non-formulary medication is being considered and how it will benefit the patient
4. Evidence: provide references to support the use of the medication, such as clinical studies or guidelines
5. Monitoring plan: include a plan for monitoring the patient's response to the medication and any potential adverse effects
6. Authorization: include the signature of the pharmacist or other healthcare professional responsible for approving the use of the non-formulary medication.

It's also important to ensure the review is clear, concise and easy to understand, and to be aware of any hospital or facility specific policies and procedures.

--ChatGPT

 

[sunnyandseventytwo]

There are several sources that a pharmacist can use to brush up on evaluating and performing non-formulary reviews for inpatient medications.

1. American Journal of Health-System Pharmacy (AJHP) - This journal regularly publishes articles on non-formulary drug reviews and guidelines for inpatient medication use.
2. American Society of Health-System Pharmacists (ASHP) - ASHP provides a number of resources for pharmacists, including guidelines and best practices for non-formulary drug reviews.
3. National Institute for Health and Care Excellence (NICE) - NICE is a UK-based organization that provides guidelines and recommendations for the use of non-formulary drugs in the healthcare setting.
4. Formulary Monograph - Many formulary systems provide monographs on non-formulary drugs that include information on dosing, administration, clinical use, and safety

When documenting a non-formulary review, it is important to include the following elements:

1. Patient information: include the patient's diagnosis, allergies, and other relevant medical history
2. Medication information: include the name of the medication, dose, route, and frequency of administration
3. Rationale for use: explain why the non-formulary medication is being considered and how it will benefit the patient
4. Evidence: provide references to support the use of the medication, such as clinical studies or guidelines
5. Monitoring plan: include a plan for monitoring the patient's response to the medication and any potential adverse effects
6. Authorization: include the signature of the pharmacist or other healthcare professional responsible for approving the use of the non-formulary medication.

It's also important to ensure the review is clear, concise and easy to understand, and to be aware of any hospital or facility specific policies and procedures.

--ChatGPT

When asked to write a non-formulary review, the AI was less impressive.

Iron is an essential mineral that plays a crucial role in the production of hemoglobin, a protein in red blood cells that carries oxygen throughout the body. IV iron is a form of iron supplementation that is administered intravenously, usually in a hospital or clinic setting.

IV iron is typically used to treat iron-deficiency anemia, which is a condition characterized by low levels of iron in the blood. This can lead to fatigue, weakness, and other symptoms. IV iron is a highly effective treatment for iron-deficiency anemia, as it quickly and efficiently replenishes the body's iron stores.

One of the main advantages of IV iron is that it bypasses the gastrointestinal tract, which can be beneficial for people who have difficulty absorbing oral iron supplements. Additionally, IV iron can be administered in a single dose, which can be more convenient for some patients.

It is important for the pharmacist to monitor for adverse reactions such as allergic reaction, infection at the site of injection, and other complications, and to adjust the dosage accordingly. Overall, IV iron is a safe and effective treatment option for iron-deficiency anemia, and can help improve symptoms and overall quality of life for patients.