Changes in Drug Usage Criteria

The following steps must be taken when considering changes in drug usage criteria:

  1. Issue is identified—could be related to shortages, best practice, trends, research, etc. 
  2. Issue reported to network Pharmacy
  3. Pharmacy writes up “issues statement” and presents to P&T chair or other P&T medical member (physician champion).
  4. Pharmacy and medical staff identify alternatives
  5. Input is gathered from key physicians and the alternatives are modified based on physician input
  6. Pharmacy develops recommendation
  7. P&T reviews recommendation, approves, revises, denies, etc. 
  8. Incident Command medical staff approves, revises, denies, etc.
  9. Incident Command notifies physicians and pharmacy
  10. Implementation
April 7, 2020