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Drug Formulary Management & NEDL (NEDL : (Member (Experts in medcine,…
Drug Formulary Management & NEDL
Formulary use in Malaysia
Hospital Drug Formulary
Health Center Drug Formulary
MOH Drug Formulary
Purpose
As a tool for procurement
Guide for facilities to select the medcines.
Minimize overall medical cost
Committees
MOH Medicine Formulary Review Panel (MOHMF)
Role to set up policy for drug use
To introduce new drug
Remove or delete/ add or alter any formulations/dosage form, drug etc.
1.Director of General Health
Deputy Director General of Health
(P&ST).
Deputy Director General of Health
(Medical)
DPS
8 Consultants in Public Services
3 Pharmacists in Public Services
Drug Working Committee (DWC)/ Technical Working
Committee (TWC)
State Drug Committee (SDC)
•Hospital Drug Committee (HDC)/DTC
Official formulary in all MOH facilities
Updated routinely
Remove and list drug based on EBM
Approved by MOHMF (meets 2-3/year)
ROLE OF PHARMACIST
Lead the formulary management initiatives
Coordinate DTC committee task
Make recommendations based on clinical evidence
Guide DTC committee through drug selection process
Submission/Proposal For an Additional or Change
to the MOH Drug Formulary
To guide applicants in preparing a standardized and complete dossier to support application
for listing of medicines into the MOHMF.
APPLICANT
D1: Pharmaceutical Industries
Proposal to list new medicine(s) or new
indication (s) for existing medicines in MOHMF
D2: Pharmaceutical Industries
Proposal to add or amend formulation/dosage
form/strength
D3: MOH only
Proposal to change category of prescriber of
medicines
D4: MOH only
Proposal to add approved medicines in the
MOHMF into institution’s Medicine Formulary
D5: Pharmaceutical industry and MOH
Proposal to delist approved medicine/indication
from the MOH MEDICINES
FORMULARY
NEDL :
Should be available at all times in adequate amounts, in the appropriate dosage forms, with assured quality, and at a price the individual and the community can afford
Not all medicines listed in MOH Drug Formulary
are categorized as NEML
Marked as NEML in the Ministry of Health Drug
Formulary
Member
Experts in medcine
Pharmacy
Pharmacology
Dentistry
Public Health
Consumer affair
Health economics
Function of NEML To guide
Drug procurement, distirbution and utilization
Undergraduate, postgraduate and in service training of health professionals and public education on quality use of drug
Drug information to healthcare providers
Support to the domestic pharmaceutical industry
Drug financing / reimbursement schemes
Drug donations
NEML 5th edition comprises 359 chemical entities
Categorized medcine into 2 list
Core list: Minimum medicine needs for a basic health care system, listing the most efficacious, safe and cost-effective medicines for priority conditions.
Complementary list: Essential medicines for which specialised diagnostic or monitoring facilities, and/or specialist medical care, and/or specialist training are needed