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Clinical Policy Prescribing of Formulary Medicines (including Peer Approved Clinical System (PACS) Tier One & Two) Policy Manager Jill Powell, Head of Prescribing Support Unit Policy Established 1
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How to fill out prescribing of non-formulary medicines

How to fill out prescribing of non-formulary medicines
01
To fill out a prescription for a non-formulary medicine, follow these steps:
02
Start by gathering all the necessary information, including the patient's name, age, and medical history.
03
Check the formulary list provided by the healthcare facility or insurance company to determine if the medicine is indeed non-formulary.
04
If the medicine is non-formulary, ensure that there is a valid medical reason for prescribing it. Consult with the patient's healthcare provider if needed.
05
Clearly write or type the prescription, including the patient's name, the name of the medicine, dosage instructions, and quantity.
06
Include any special instructions or precautions, such as allergies or potential side effects.
07
Provide necessary information for the patient to obtain the medicine, such as the pharmacy's name and contact information.
08
Double-check the prescription for accuracy before providing it to the patient.
09
Document the prescription in the patient's medical record for future reference.
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Inform the patient about the non-formulary status of the medicine and discuss any potential out-of-pocket costs or insurance limitations.
11
Follow up with the patient to ensure they were able to obtain the non-formulary medicine and monitor their response to the treatment.
Who needs prescribing of non-formulary medicines?
01
Prescribing non-formulary medicines may be necessary for certain individuals under the following circumstances:
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- When a formulary medicine is not available or deemed ineffective for a particular patient's medical condition.
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- When a patient has allergies or adverse reactions to formulary alternatives.
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- When specific medical circumstances require a non-formulary medicine for optimal treatment.
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- When a healthcare provider determines that a non-formulary medicine offers significant advantages over formulary options for a patient's well-being.
06
It is important to note that prescribing non-formulary medicines should always be done judiciously, considering the patient's individual needs and the potential risks and benefits of the medication.
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What is prescribing of non-formulary medicines?
Prescribing of non-formulary medicines refers to the process where healthcare providers prescribe medications that are not included in the standard formulary of drugs approved for use within a healthcare institution or insurance plan.
Who is required to file prescribing of non-formulary medicines?
Healthcare providers, such as physicians and pharmacists, are typically required to file prescriptions for non-formulary medicines when they determine that such medications are necessary for patient care.
How to fill out prescribing of non-formulary medicines?
To fill out prescribing of non-formulary medicines, the provider must complete a specific prescription form indicating the patient's details, the medication being prescribed, the reason for the non-formulary selection, and any necessary patient consent or approval.
What is the purpose of prescribing of non-formulary medicines?
The purpose of prescribing non-formulary medicines is to provide patients with access to necessary treatments that may not be available in the standard formulary, often due to unique medical needs or circumstances.
What information must be reported on prescribing of non-formulary medicines?
Information that must be reported includes the patient's name, date of birth, medication name, dosage, reason for prescribing a non-formulary drug, prescriber’s details, and any additional relevant clinical justifications.
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