Review of Nonformulary Medication Approvals in an Academic Medical Center: The Joint Commission requires hospitals to formally review formulary medications at
least annually based on new clinical information. Although review of nonformulary
medication (NFM) use is not required, frequent and inappropriate use of NFMs has the
potential to increase hospital costs, negatively affect quality of care, and increase
medication errors. Limited resources may restrict an institution's ability to review
NFM use in addition to the required annual formulary review. NFM use at Brigham and
Women's Hospital (BWH) was reviewed to provide insight on how to best direct an NFM
review that is both effective and efficient.