Prescriptions Conformity with National Formulary: A Literature Review to Explore the Need for Pharmaceutical Cost Containment

¹ Universitas Jenderal Achmad Yani, Faculty of Pharmacy, Pharmacist Professional Study Program, Cimahi, Indonesia
² Universitas Gadjah Mada, Faculty of Pharmacy, Department of Pharmaceutics Yogyakarta, Indonesia
³ Universtas Gadjah Mada, Faculty of Medicine, Public Health and Nursing, Gadjah Mada Medical Centre Department, Yogyakarta, Indonesia

^* Corresponding email: endarti_apt@ugm.ac.id

Abstract

The government has created the National Formulary (Fornas) as a tool for control of quality and cost control. Patients’ prescriptions should be based on the national Formulary during the era of national health coverage. If prescriptions complied with the national Formulary, the cost would reduce. This research aimed to determine the factor of non-conformity between prescriptions and the national Formulary measures it and explores the need for pharmaceutical cost containment. This study applied the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method between 2014 and 2022. The search terms “Kesesuaian Fornas” were utilized on Google Scholar, Pubmed, ScienceDirect, and Scopus. The evaluation was organized by factor and subsequent action. Searches of the databases Google Scholar (2,246), Pubmed (0), ScienceDirect (1), and Scopus (0) yielded a total of 247 results. Following the selection procedure, 34 articles were included in the analysis. The average conformity of prescription with Fornas was 71.02%. Prescription adherence, drug availability, and formulary Conformity with Fornas were the primary factors in the conformity of prescriptions with the National Formulary. Conformity with the national Formulary for prescriptions can be enhanced through three primary actions: increasing prescription adherence, updating the Formulary, and procuring following the electronic catalog.