Formulary management
Health One works with its customers to establish and implement a facility-specific formulary that meets the health care needs of patients while managing drug costs.
- Establish processes to monitor compliance
- Identify opportunities for substitution of non-formulary drug orders prior to dispensing
- Actively participate in converting appropriate non-formulary drugs to formulary drugs
- Provide education to medical, administrative, and nursing staff on all formulary processes
- Work with facility staff to refine the formulary and formulary processes within the facility
Prospective Drug Regimen Review
While retrospective drug regimen reviews are an important consulting service Health One provides its facility customers, our unique ability to seize opportunities for more therapeutically-effective and cost-effective therapies prior to dispensing can drive significant improvement in patient outcomes and reduced health care cost.
Health One clinicians have established a series of clinical protocols to identify and act upon such opportunities. These include:
- Therapeutic substitution . A list of formulary medications considered to be therapeutically equivalent can be developed, approved, and used when a non-formulary medication is ordered.
- Intravenous to oral drug conversion . Approved protocols are used to ensure that patients are converted from IV therapy to oral therapy as soon as their clinical condition dictates.
- Renal monitoring and dose adjustment . To reduce unnecessary drug cost and prevent exposure to adverse drug reactions secondary to compromised renal function, Health One performs renal monitoring and dosage adjustment for nephrotoxic medications. Major drug classes that can cause nephrotoxicity include antibiotics, diuretics, non-steroidal anti-inflammatories, and H1-antagonists.
- Pharmacokinetic drug monitoring and dose adjustment: . To ensure therapeutic benefit and prevent adverse drug reaction associated with medications that have narrow therapeutic dosage ranges, pharmacokinetic drug monitoring is performed and dosages adjusted accordingly on dosage sensitive medications.
- Consolidation of therapy duplication . Medications are screened for therapeutic duplication and appropriately consolidated with the approval of the physician.
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