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magical thyme

(14,881 posts) Wed Mar 19, 2014, 02:55 PM Mar 2014

Hospital Pharmaceutical Formularies differ from Insurance Company Formularies [View all]

And they exist for a very different reason than cited in Mineral Man's thread, which is actually about Insurance Company formularies, not hospital and pharma formularies.

http://www.democraticunderground.com/?com=view_post&forum=1002&pid=4691362

From the NIH:

"...the most important purpose of a hospital formulary: listing the drugs of choice, as determined by their clinical efficacy and their relative safety, including adverse drug reactions, side effects, interactions, the potential for errors, and the risk of patient harm.

...Ideally, a carefully selected formulary guides clinicians in choosing the safest, most effective agents for treating specific medical problems."

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2730104/

Note that it does not include "Insurance Companies." In fact, it doesn't even mention insurance companies.

So they may apply some different definition, based on cost, but that is not what a formulary is intended to be.

edited to add link to referenced thread

16 replies

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Highlight:

Hospital Pharmaceutical Formularies differ from Insurance Company Formularies [View all] magical thyme Mar 2014 OP

It's the same concept theboss Mar 2014 #1

not according to Mineral Man. magical thyme Mar 2014 #3

Since you mentioned my thread, here's a link to it: MineralMan Mar 2014 #2

your first sentence says insurance companies use (the pharmaceutical) formularies, magical thyme Mar 2014 #4

As you say. MineralMan Mar 2014 #6

my interest is *informing* people. nt magical thyme Mar 2014 #8

That's a very good interest. That's also MineralMan Mar 2014 #10

so? and? Sheepshank Mar 2014 #5

not every thread in GD is about President Obama, contrary to some people's opinions magical thyme Mar 2014 #7

yes of COURSE it is Voice for Peace Mar 2014 #11

Exactly!!!!! n/t Sheepshank Mar 2014 #14

Heck, nowadays it's becoming increasingly difficult to differentiate hospitals and insurers. Hoyt Mar 2014 #9

I think ACO's put quality and outcomes ahead of costs. magical thyme Mar 2014 #12

Let's hope so. But insurance companies have to pay out 80% in benefits, and they Hoyt Mar 2014 #13

they do now (have to pay out 80%) and that's a definite improvement. magical thyme Mar 2014 #15

I hope you are right, but as I understand it the Vermont plan is not up and running. Hoyt Mar 2014 #16