Skip to main content Help with accessibility Skip to main navigation

Formulary amendment

Information about you
Information about the drug
Information to support the formulary amendment

Will this replace a current formulary medicine or is it an addition to the current medicines formulary?

Please consider clinical, financial, and patient factors.

For example, blood monitoring. If so, please specify.

Please state if this figure is per practice or per hospital.


This is the person who attends the monthly APC meeting for your organisation.

I have discussed this suggested formulary amendment with my APC representatvive named above.