Analysis of the dynamics structure of National formulary of medicines

  • A. V. Kabachna Shupyk National Medical Academy of Postgraduate Education, Kуiv
  • E. V. Shelkova Shupyk National Medical Academy of Postgraduate Education, Kуiv
  • O. G. Kabachnyi Center for Professional harmonization «Reforma ZOZ», Kуiv
Keywords: the concept of rational use of medicines, formulary system, National Formulary of medicines

Abstract

For effective functioning in modern conditions the Concept of rational use of medicines, formulated by the WHO's initiative in 1985, requires cooperation of three basic components: the formulary system, the list of essential drugs and the availability of medical care protocols.

One of the main tools to streamline drug provision  in clinical practice is recognized the introduction of the formulary system and the development of the WHO Base formulary, which became the starting point for the creation of national formularies.

While creating National formulary British National Formulary was elected  as prototype.

Despite the fact that the State formulary structure basically meet international requirements, there is an objective need for its continuous improvement. The aim of the research was to study the dynamics of the structure of the eight editions National formularies published in Ukraine from 2009 to 2016 and determination of the main directions of its improvement.

Materials and methods. Performed information retrieval and analysis of the structure of all eight issues of the State Formulary Ukraine.

The analysis of the dynamics of the structure of State Formulars indicate the need for a gradual improvement of a number of indicators relating to the share of drugs included in the National List and reducing the share of drugs dispensed without a prescription. The list needs radical revision of the INN, which can be purchased health care facility for the budget and the number of combined drugs. Particular attention should be paid to the number of trade names of medicines domestic and foreign production, which accounted for one in terms of value medicines of domestic and foreign production, thus realizing the program for import substitution.

Special attention in creating State Formulary should be paid to the need to include Information on bioequivalence of medicines, the level of evidence of their effectiveness and the reference price.

References

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Published
2018-08-14
How to Cite
Kabachna, A. V., Shelkova, E. V., & Kabachnyi, O. G. (2018). Analysis of the dynamics structure of National formulary of medicines. Farmatsevtychnyi Zhurnal, (1), 3-10. https://doi.org/10.32352/0367-3057.1.17.01
Section
Management of pharmacy