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Criteria, Guidelines, and Pathways
 

 • Restricted Drug Policy
 
 • Therapeutic Interchanges
 
 • Formulary Tools
 
 • Drug Shortages

 

When a non-formulary drug is prescribed, a pharmacist contacts and informs the prescribing physician that the drug is non-formulary and not stocked in the pharmacy. The pharmacist informs the physician of other formulary alternatives available.
 

Housestaff Physicians


If the housestaff physician feels that the non-formulary drug is still needed, authorization from the attending physician on that service must be obtained. The housestaff physician completes a non-formulary drug request and contacts the attending physician, who authorizes the non-formulary drug by writing the order or by calling the pharmacist to give a verbal order (see below).

Attending Physicians


 

If the attending physician feels that the non-formulary drug is needed (whether to authorize a housestaff order or for his/her own order), the physician should write the order or call the pharmacist to give a verbal order. The drug will then be obtained by pharmacy for a specific patient.
 

Non-formulary drugs are normally obtained within 24 hours, but may take longer depending on when the order is received.  A detailed description of the formulary system is available in Pharmacy Policy PH-03-04.
 

 

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