FPGEE for National Association of Boards of Pharmacy (NABP) Practice Exam

Which type of formulary is preferred by most physicians?

1. Closed formulary

2. Limited formulary

3. Open formulary

4. Restricted formulary

The correct answer is: Open formulary

Most physicians prefer an open formulary because it provides the greatest flexibility in prescribing medications. In an open formulary system, a wide range of medications is available to healthcare providers, allowing them to prescribe the most suitable therapy for their patients without being restricted to a specific list of drugs. This flexibility is particularly important in ensuring that patients receive the best possible care, as it allows physicians to consider individual patient needs, preferences, and medical histories when making treatment decisions. Open formularies can enhance the physician-patient relationship since physicians can prescribe a wider array of medications that may be more effective or better tolerated by their patients. Furthermore, this approach supports the use of newer or less common medications that may not be included in more restrictive formulary types. In contrast, other formulary types, such as closed or restricted formularies, limit the medications that can be prescribed, which may lead to challenges in treating patients effectively due to the lack of available options. While limited formularies allow for some choice, they still impose restrictions that can hinder the free exercise of professional judgment by physicians. Therefore, the preference for an open formulary reflects a desire for more comprehensive and individualized patient care.