COMDTINST 6570.1A
formulary medications for all patients, shall be signed or countersigned by an authorized prescriber
prior to dispensing.
b. Quantities of prescribed medications shall be limited to normal "course of illness", usually a 5-7 day
supply without refills. Medication required for chronic problems (allergies, etc.) shall be signed or
countersigned by an authorized prescriber.
c. Prescriptions received for an active duty member, from an authorized prescriber by an after-hours
duty section, via the telephone, for non-formulary items shall be signed by the authorized prescriber
on the next duty day.
d. Consultation with or referral to a medical or dental officer is required should a patient, initially
evaluated and treated by a Health Services Technician, return for the same problem.
e. Formulary items shall be prescribed only for medical indications approved by the Food and Drug
Administration and listed in the manufacturers' package insert.
f. Health Services Technicians performing isolated duty at LORAN stations or underway on vessels
may
also prescribe additional drugs required for their unit's active duty patients. Refer to COMDTINST
M6700.5C, Health Services Allowance List, Ashore; or COMDTINST M6700.6E, Health Services
Allowance List, Afloat.
6. RESPONSIBILITIES.
a. Commandant (G-WKH) will review the Standardized HS Formulary annually and update as needed.
Recommendations may be made to Commandant (G-WKH-2) via cognizant Maintenance and
Logistics Command (k).
b. Unit commanding officers shall ensure the Health Services Technicians review the Standardized HS
Formulary annually.
c. Designated supervising medical officers shall ensure that the Health Services Technicians they are
responsible for are thoroughly familiar with the precautions, indications, adverse reactions,
contraindications, and significant drug interactions of each medication listed in the Standardized
HS Formulary. Commanding officers or senior medical officers have the option to remove items
from the formulary as necessary, or terminate prescribing privileges for any individual. Any such
restriction of prescribing privileges shall be documented by a page 7 entry in the member's Coast
Guard Personnel Record.
7. CHANGES. All changes to this Instruction will be promulgated by consecutively numbered changes.
Additions, deletions, and other changes will be published via ALCOAST.
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