PROTOCOL FOR REQUESTING NEW DRUGS IN THE PHARMACY
OUTPATIENT PHARMACY
Ø New drug/brand to be introduced if more than ten prescriptions are received on the OP Pharmacy counter.
Ø Pharmacist should raise the purchase requisition of the drug to be introduced.
Ø The purchase requisition should be approved by the formulary Coordinator after Analysing the Demand for the drug and doing the Cost comparisions with other brands.
If a Physician wants to introduce the drug to be included in the Pharmacy:
Ø Request to be made by the Prescribing Doctor.
Ø Requests to submitted by proforma(to be available with the Formulary Coordinator or by writing to the Formulary coordinator.
Following information to be provided: -
1) Proposed place in therapy and any perceived advantage over current treatment.
2) Possible alternative for deletion.
3) Supporting evidence.
4) Statement as to any potential conflict of intrest- personal or nonpersonal.
INPATIENT PHARMACY
Ø Request to be made by the Prescribing Doctor.
Ø Requests to submitted by proforma (to be available with the Formulary Coordinator or by writing to the Formulary coordinator.
Following information to be provided: -
5) Proposed place in therapy and any perceived advantage over current treatment.
6) Possible alternative for deletion.
7) Supporting evidence.
8) Statement as to any potential conflict of interest- personal or nonpersonal.
PROTOCOL FOR REMINDER OF NEAR EXPIRY ITEMS
Head Pharmacist to prepare weekly report on Near Expiry items (which are going to expire in two months)
The report should include following details:
Name of the Drug:
Batch no.
Expiry Date:
Quantity on hand:
The list to be checked by the Pharmacy/Formulary Coordinator.
A circular notifying should be sent to the entire User department Heads to expedite the consumption of these drugs, in respective areas.
The inventory of these drugs to be counted and reported back to the Pharmacy Coordinator.
PROTOCOL FOR REQUESTING PURCHASE OF DRUGS ON CASH
Those drugs can be purchased on cash which:
1.Are in stock out situation in the Pharmacy
2.The stock has expired.
3.Are required for Emergency purposes and are Essential in therapy.
4.Those, which have no substitutes available in the Pharmacy (and are required for the treatment of admitted patient.
The drugs that are not included in the inventory but can be usually be obtained within 24 hours.
Ø Form for requesting drug to be purchased on cash (to be available with Formulary coordinator/Pharmacist on duty).
Ø For Emergency /Inpatients the prescriber should complete the form.
Ø For Outpatients (if required) the Pharmacy dept. to obtain verbal authorization to supply.
Ø Formulary coordinator would contact the prescriber.
Pharmacy staff/Formulary Coordinator will suggest and encourage the use of similar drug/substitute brand that is included in the formulary.
POLICY ON MEDICAL REPRESENTATIVES
Prior appointment from the Onboard/Empanelled doctor to be taken at the OP/IP counter.
Timings for Visit by Medical Representatives
Afternoon: 1:00 to 2:00 p.m.
Evening: 4:30 to 5:30p.m.
Medical Representative to contact Formulary coordinator/committee and provide
Ø Pharmacological information on the concerned drugs.
Ø Samples to be supplied for inpatient use.
Ø Leaflets on drug information/samples/visiting cards (of MR’s) can be dropped in a box available at OP Pharmacy counter.
Ø Unless the effectiveness of development is clear and it can be demonstrated that the development replaces & substitutes both in service and financial terms, the drug would be considered for introduction in the formulary.
POLICY ON NARCOTIC DRUGS
The Narcotics should be issued by the Pharmacist upon receipt of requisition form
which mentions the following details:
Date
Time
Name of the patient
Age/sex
UHID/IPID
Dose
Route
Strength of preparation
Loss/Breakage
Broken /used ampoules to be accompanied when requesting the narcotic against which it is issued.
The form should be duly signed by the prescribing doctor and by the ward sister in charge.
Upon issue, the pharmacist should enter the
Quantity issued
Dose
Strength
Form should be duly signed by the pharmacist and one copy of the same retained in the narcotics register and one copy issued for filing in the ward
Pharmacist should keep a routine check of stocks for:
Physical available quantity and computer record
Expiry date
Stock out
Arrangement of Goods in Pharmacy
· All pharmacy goods are differentiated into Surgical and Medical goods.
· Surgical and Medical goods should be kept in different places.
· All the goods of the category should be arranged according to their alphabetical order and each shelf should carry the complete list of goods present in that rack.
· No retail goods should have direct contact with the ground.
· The cold chain of the drugs that are to be refrigerated should be stored properly and the Refrigerators should have digital display for noting temperatures.
· The policy of First In and First Out should be followed.
Head Pharmacist to prepare weekly report on Near Expiry items (which are going to expire in two months)
The report should include following details:
Name of the Drug:
Batch no.
Expiry Date:
Quantity on hand:
A phone call should be made to the entire User department Heads to expedite the consumption of these drugs, in respective areas by the Head Pharmacist.