national formulary listing process

8/3/2019 National Formulary Listing Process

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National Formulary

Listing Process

i) Hospital Meeting

ii) State Meeting

iii) National Meetingiv) Hospital Drug Utilization meeting

v) First LPO

vi) Subsequent LPO

vii) Tender


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What is Blue Book?

MOH Drug Formulary contains a list of drugs

approved for use in all hospitals/institutions in the

MOH. The Formulary is to promote rational, costeffective use of drugs whereby newer and effective

drugs were introduced in a manner so as to

minimize wastages and funds set aside for the

purchase of drugs, are optimally used.


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Proforma

A - Proposal to delete any of the drug/dosage

form/formulation in the MOH drug Formulary

B - Proposal to alter/add formulation/dosageform/category of the prescriber/ indication in the

MOH Drug Formulary

D- Proposal to introduce new drugs into the MOH

Drug Formulary

** proforma ( forms )


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Category of Prescriber

A* Consultants/Specialists for specific indications

only

A Consultant/Specialists

A/KK Consultant/Specialists/Family Physician

Specialists

B Medical OfficersC Paramedics


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Hospital Drug Committee members

Hospital Director- Chairman

Chief Pharmacist- Secretary

SeniorConsultants from Paeds, O&G, Surgical and

Medical

Other specialists and DIP


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State Drug Committee members

State Health Director - Chairman

Deputy State Health Directors (4) ie Medical, Public

Health, Dental and Pharmacy

SeniorConsultants in State ie Medical,Surgical,O&G and Paeds

FMS

Ch

ief Pharmacist

Senior pharmacist

** Quorum for meeting 6 pax


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Sub-comm Anti-infectives

Neuro/neurosurgeri

ENT

Psychiatry

Gastro

Respiratory

Cardiovascular Oncology

Rheumatology and Immunology

Dermatology

Anaesthesiology

Paediatric

O&G Endocrine

Opthamology

Urology and Nefrology

Transplan

** Quorum for meeting at least 4


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Drug Utilization Meeting

Objective:

1) To make new approved drugs available, in the

respective hospitals

2) To increase quota for number of patients


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First LPO

Follow up closely with the Drug Info Pharmacists on the

outcome of the Drug Utilization meeting,or

Get meeting outcome from the a) initiator, b) HODs c)

purchasing pharmacist

Once confirmed, get the pharmacist to put in the 1st LPO

If the purchase is less than RM 50K, usually one bumi agent

to quote


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Subsequent LPOs

Once the drug has reached the RM 50K purchase,

pharmacists have to put up the Lampiran Q requests.

Lampiran Q is the request form to purchase up to RM 500K

Lampiran Q is a form to be filled up by store pharmacists,

approved by Chief Pharmacists then passed on to Pengarah

Hospital for approval

Once Pengarah Hospital approves , it will be passed on to

the Store pharmacists for subsequent purchase

If the drug reaches RM 500K, then pharmacists can request

to Tender Division, Bahagian Farmasi, Petaling Jaya to

extend to tender status


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Tender

Usually when a drug reaches RM 500K, and it is not the end of the year

yet, the pharmacists can write in a request letter to the Bahagian Farmasi,

to request to expedite the tender request.

Normal way,Bah

agian Farmasi will compile th

e list from allh

ospitals andthen the top 20 drugs will be chosen as tender drugs

Specification of these drugs are done by the pharmacists in charge of

tender in Bahagian Farmasi, Petaling Jaya

After specifications are decided, it will be sent to Bahagian Perolehan dan

Penswastaan, MOH in Putrajaya for the calling of tender

Tenders are then called for and advertise in papers


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Bumi agents interested in participating, will buy the tender documents from Bhg Perolehandan Penswastaan counter ( RM 50/tender document)

Bumi agents will then request from the Principal Pharma company, to participate in the

tender, to quote the price through them

Pharma company will then submit price through the chosen bumi agents

Bumi agents will submit the tender documents to the Bhg Perolehan dan Penswastaan,

before th

e closing date After the closing date, Bhg Perolehan will open the documents and compile according to

drugs and number of agents participating for each drug ( pricing revealed)

Afterwhich, these drugs go through a technical committee meeting , which comprises of

i) the tender division pharmacists from Bahagian Farmasi,

ii) Consultants from the respective therapeutics , usually from Klang Valley

After th

e tech

nical committeehas decided, t

he files will be sent to Ba

hagian Perole

han danPenswastaan where the division will then go through the files

Then it will be sent to the Board of Directors in MOH for approval. Decision is based on both

tender specifications and price .

Tender value less than RM 50M, Ketua Setiausaha of MOH approves

Tender more than RM 50M, goes to MOF to be signed ( tender board A)


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If the tender is supplied throughCIF then, it has to go through another process of

clearance from the Treasury Department, MOF. Then sent to MITI to request for

import permit

Those supplied through FOB, will then sent to MITI to request for import permit.

This is only for drugs that is imported. For drugs manufactured in Malaysia, do not

have to go through MITI After receiving the import permit from MITI, Bahagian Perolehan will send letter of

award to the respective bumi agents that have succeeded in the tender

participation

Bumi agents inform the respective Pharma company and also we have to ensure

that bumi agents fax a copy of the letter of award to all hospital pharmacists

** Time taken from the technical committee meets to tender awarded differs fromCIF to FOB.

CIF takes longer as it needs treasury approval, ie 4-5 months

FOB takes 2 months


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Hospital

meetingState

MeetingBB

Meeting

Drug

Utilization

Meeting

First LPO

Lampiran

Q

Usage to

RM

500K

Hospital

request for

tender status

national formulary listing process

Documents