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.
The National Academies of Sciences, Engineering, and Medicine
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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, 2000.
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