COMDTINST 6570.2A
1 DEC 1993
(4)
Review all medications identified in (3) above to determine if the medications in
question are used for chronic conditions.
(5)
Refer the names of patient(s), prescriber(s), and medications(s) to the cognizant
collateral duty pharmacy officer. The pharmacy officer shall direct the prescriber
to a core formulary item, if applicable, and arrange for the least expensive
procurement method.
(6)
Provide language in future medical and dental provider contracts which
encourages prescribing of core cormulary products and consultation with
responsible pharmacy officer to ensure the most cost-effective prescribing and
provision of pharmaceuticals.
c.
Unit commanding officers shall ensure that Coast Guard prescribers use core formulary
products unless a specific patient's needs require an alternative product. Specific needs
shall be documented in the patients health care records. Pharmacy and Therapeutics
Committees shall conduct ongoing review of the usage of all non-core formulary items.
d.
Coast Guard pharmacy officers shall:
(1)
Maintain a current instructional module for the therapeutic category(ies) for which
they are responsible. This module will be available for use by other pharmacy
personnel throughout the Coast Guard.
(2)
On a quarterly basis, determine the most cost- effective source of procuring
products for which they are responsible. Pharmacy officers shall inform
Commandant (G-KOM) if the suggested procurement source changes.
Commandant (G-KOM) will then disseminate this information via electronic mail
to all pharmacy officers.
/s/
ALAN M. STEINMAN
Chief, Office of Health and Safety
Encl: (1) Coast Guard Health Care Facility Core Formulary
Nonstandard Distribution
B:c
MLCs (6 extra)
C:d
Fort Macon, Miami Beach, San Juan, Honolulu, Ketchikan only
C:e
Wilmington, Houston, Anchorage only
C:I
Rockland, Grand Isle, Port Isabel, Venice, Port O'Connor, Duluth only
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