Formularies: conceptual and experimental factors related to product selection.

Abstract

A formulary represents a compilation of pharmaceutical preparations. approved for use in a given environment. Application of this administrative device, therefore, is intended to restrict or guide prescribers when they order drug products for their patients. The central issues in formulary implementation thus revolve around (a) the intended objectives. (b) the process by which chemical agents achieve or lose formulary status, (c) the administrative impact, i.e., the effectiveness and efficiency with which these steps are carried out, and (d), the social results, indicated primarily by whether cost-benefit implications for patients appear to be positive. Before turning to our major concern, product accession and deletion, it may be useful to review selected