Commandant
2100 Second St. S.W.
United States Coast Guard
Washington, DC 20593-0001
Staff Symbol: G-KOM-2
(202) 267-0694
COMDTINST 6570.2A
1 DEC 1993
COMMANDANT INSTRUCTION 6570.2A
Subj:
COAST GUARD CORE FORMULARY
1.
PURPOSE. This instruction updates the Coast Guard Core Formulary to reflect recent
therapeutic advances and changes in product availability. This revision includes the changes
made via Medical Logistics Messages 92-03 and 93-01. Intended users are Coast Guard units
with health care facilities.
2.
ACTION. Area and district commanders; commanders, maintenance and logistics
commands; commanding officers of Headquarters units; Commander, Coast Guard Activities
Europe; and chiefs of offices and special staff divisions at Headquarters shall ensure
compliance with the provisions of this instruction.
3.
DIRECTIVES AFFECTED. Coast Guard Core Formulary, COMDTINST 6570.2, is
canceled.
4.
BACKGROUND. Pharmaceutical costs consume a significant portion of the Coast Guard
health care dollar. These costs are divided between internal (AFC-57 and AFC-30) and
external (CHAMPUS and contract care) pharmacy expenses. Both of these segments must be
managed effectively to ensure the greatest return on the Coast Guard's pharmaceutical dollar.
With over 45% of the Coast Guard's personnel not having ready access to military
pharmacies, contract and CHAMPUS costs can be expensive to both the Coast Guard and the
active duty member with dependents. Historically, in isolated locations, the Coast Guard has
done little to influence prescribing habits and ensure the cost- effective provision of
pharmaceuticals. Coast Guard clinics are then often responsible for continuing costly care
initiated by civilian contract providers, or modifying it to conform to resources available in
the military health care system.