Attachment D.12 - VA_National_Formulary_JAN_2023.xlsx

This file is the VA National Formulary dated January 2023, which lists all medications and medical supplies available through the Department of Veterans Affairs Pharmacy Benefits Management system. The formulary provides comprehensive details for each listed item including generic name, dosage form, restrictions, and whether prior authorization is required. The document specifies three levels of prior authorization: National (PA-N), VISN (PA-V), and Facility (PA-F).

The formulary is dosage form specific, meaning if a specific dosage form is not listed, it should be considered non-formulary. The document includes antibiotics guidance stating that decisions regarding which agents to carry will be made at local or VISN level based on local culture and sensitivity patterns. The formulary indicates which items are part of the Urgent/Emergent formulary for the Community Care Network through a "U/E" designation and includes special handling requirements, clinical guidance references, and restrictions for certain medications that can only be prescribed by specific specialists or require prior approval.