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Why is the use of nonformulary drugs sometimes justifiable?

Use of non-formulary drugs in children at a Brazilian teaching hospital: a descriptive study

This is a study on the use of nonformulary drugs in children at a Brazilian teaching hospital. Please read the article here.

At this hospital nonformulary drugs account for 13.4% of pediatric prescriptions, which is considered common, but in fact, nonformulary prescriptions are on average, occurring at a higher rate than this.

Please discuss the nonformulary drug use at this hospital. Below are some guiding questions to help you:

  • Why are nonformulary prescriptions so frequent?

  • Are these prescriptions justified, why?

  • Does the problem lie more in the prescribers or the formulary?

  • How can the situation be improved? Or should things stay the same?

  • What are the consequences if this issue is not addressed?

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Good Pharmacy Practice: Medication Management

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