Drug Request Forms and Procedures

Drug Request Forms

Request form for the Addition of a New Drug or Drug Use to the Interface Formulary                    Use this form if request is for a new addition to formulary for a group of patients, for either a licensed or unlicensed drug or use.

Request form for the One-off Use of a Non-Formulary Drug                                                                           Use this form if request is a one-off use for a single patient only, for either a licensed or unlicensed non-formulary drug.

Request Summary form for an Oncology Compassionate use/Early Access to Medicine (EAM) Scheme Drug

Change Control Request Form for Guideline Additions or Amendments on electronic formulary

Drug Request Procedures

Procedure for the Addition of a New Drug or Drug Use to the Interface Formulary (includes EAM drug request process)

Procedure for requesting the one-off use of a non-formulary drug

Procedure for making amendments to the electronic formulary

Drugs Therapeutics & Medicines Management Committee (DTMMC) Meeting Dates & Submission Deadlines 2020