PHA 406 Drug and Medical Supplies
Management II
Felix Khuluza & Lutz Heide
22. April 2014
Distribution of drugs to sub-stores
e.g. to Health Centers, Hospital Wards:
In a commercial system (customer pays full price of drugs):
Drug consumption is limited by amount of money which
customer is willing to pay.
Distribute your drugs as ordered by sub-store (Pull system).
Suppliers
Drug order Drug shipment
(Pull system)
Your pharmacy store
Drug order Drug shipment
(Pull system)
Sub-store Sub-store Sub-store
Distribution of drugs to sub-stores
e.g. to Health Centers, Hospital Wards:
In a government system (drugs are free or subsidized ):
Drug consumption is limited by amount of money which
Government allocates for drugs.
Distribute your drugs by allocation (modified Push system).
Suppliers
Drug order Drug shipment
(Pull system, if you can)
Your pharmacy store
Report on Calculate allocation;
drugs in stock Drug shipment
Sub-store Sub-store Sub-store
Calculating drug allocation to hospital wards:
Example
Ward X treats adult 100 patients with COPD (chronic-obstructive
pulmonary disease) with fever every months.
How much ceftriaxone inj. 1 g
should this ward be allocated per month?
Calculating drug allocation to hospital wards:
Example
Ward X treats adult 100 patiens with COPD (chronic-obstructive
pulmonary disease) with fever every months.
How much ceftriaxone inj. 1 g s amoxicillin caps. 250 mg
should this ward be allocated per month?
Ward X treats adult 100 patients with COPD (chronic-obstructive
pulmonary disease) with fever every months.
Homework: Compare drug costs for 100 patients:
Either treated with amoxicillin 2 x 250 mg every 8 hours for 7 days
= 42 caps per patient = 4200 cps for 100 patients
supplier median price = 0.0178 US $ per caps
0.0178 US $ x 4200 caps = 74.76 US $ for 100 patients
or with ceftriaxone 2 x 1 g inj. daily for 5 days
= 10 x 1 g vial per patient = 1000 x 1g vial for 100 patients
supplier median price = 0.7041 US $ per vial
0.7041 US $ x 1000 vials = 704.10 US $ for 100 patients
(not yet including costs for syringes & needles,
and costs for nurses/doctors giving injections)
Hospital Pharmacist‘s Tasks
Hospital Pharmacist‘s Tasks
= DTC
Hospital Pharmacist as a member of the DTC
of the Hospital Drug & Therapeutics Committee
or as the chairman
(Hospital‘s essential drug list)
Hospital Pharmacist‘s Tasks:
Ensure adherence to hospital drug list
and prescription & treament guidelines
Hospital Pharmacist as a member of the DTC
Hospital Pharmacist as a member of the DTC
= Pharmacovigilance;
ensuring safety
Hospital Pharmacist‘s Tasks
Ensuring efficacy (& safety):
Hospital Pharmacist‘s Tasks
Distribution of drugs to hospital wards:
Distribute your drugs by allocation (modified Push system).
Suppliers
Drug order Drug shipment
(Pull system, if you can)
Your pharmacy store
Report on Calculate allocation;
drugs in stock deliver drugs
Ward A Ward B Ward C
Theory: Practice:
Homework:
How to achieve long-term sustainability
of compounding of dermatological preparations?
Estimation of requirements for dermatological preparations
average Total
patients amount (g) amount
treated per patient (kg)
Type of drug per month per month per month
Betamethason (as valerate) 0.1 % ointment 120 50 6
Hydrocortisone 1 % ointment 200 50 10
Betamethason valerate 0.1 % cream 60 50 3
Hydrocortisone 1 % cream 120 50 6
Clotrimazole 1 % cream 167 30 5
Whitfield's ointment ointment 50 50 2.5
6 % benzoic acid + 3 % salicylic acid
Salicylic acid 5 % ointment 200 50 10
