Other controls, such as generic substitution and therapeutic interchange, are in common use in many systems. The important element for quality and restrictiveness is timely availability of a safe and effective, medically necessary drug, if not listed, through an exceptions process. A good formulary supports this element and, through its capacity to make quality choices, enhances price negotiations and prudent purchasing.
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The VA National Formulary and Veterans Health Care ."
Description and Analysis of the VA National Formulary . Washington, DC: The National Academies Press,
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