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Purpose: In the last few decades, changes to formulary management processes have taken place in institutions with closed formulary systems. However, many P&T committees continued to operate using traditional paper-based systems. Paper-based systems have many limitations, including confidentiality, efficiency, open voting, and paper wastage. This becomes more challenging when dealing with a multisite P&T committee that handles formulary matters across the whole health care system. In this paper, we discuss the implementation of the first paperless, completely electronic, Web-based formulary management system across a large health care system in the Middle East.Summary: We describe the transitioning of a multisite P&T committee in a large tertiary care institution from a paper-based to an all-electronic system. The challenges and limitations of running a multisite P&T committee utilizing a paper system are discussed. The design and development of a Web-based committee floor management application that can be used from notebooks, tablets, and hand-held devices is described. Implementation of a flexible, interactive, easy-to-use, and efficient electronic formulary management system is explained in detail.Conclusion: The development of an electronic P&T committee meeting system that encompasses electronic document sharing, voting, and communication could help multisite health care systems unify their formularies across multiple sites. Our experience might not be generalizable to all institutions because this depends heavily on system features, existing processes and workflow, and implementation across different sites. [ABSTRACT FROM AUTHOR]

The introduction of biosimilars represents an important mechanism by which health care organizations can manage the increasing expense of pharmaceuticals. While intended to occupy a position similar to that of generic versions of small-molecule medications, biosimilars will be governed by a unique regulatory mechanism, given the size, complexity, and variability of the originator biologic drugs. Therefore, the processes by which biosimilars will be evaluated for formulary inclusion and clinical use will be different as well. The biosimilar market is still in the early stages of development and requires further maturation. Therefore, pharmacists can seize the intervening time to assume leadership positions in preparing their organizations and clinical colleagues, including physicians, for the continued development of this new product class. Pharmacists must ensure that an appropriate clinical infrastructure is in place to allow for the safe and effective prescribing, administration, and monitoring of biosimilars. They must also be prepared to differentiate between state regulatory actions concerning biosimilars and the conflicting marketing messages that originator and biosimilar manufacturers are likely to issue. This article provides an introduction to the key formulary considerations required for biosimilar evaluation and use. [ABSTRACT FROM AUTHOR]