Get Motivation Form For The Inclusion Of A Drug On The National Essential ... - Healthpolicy

The Motivation Form for the Inclusion of a Drug on the National Essential Drugs List is an essential document that allows health professionals to submit new drug proposals for evaluation. This guide provides a detailed step-by-step approach to completing the form effectively.

Follow the steps to fill out the motivation form accurately.

1. Click ‘Get Form’ button to access the form and open it in the editing tool.
2. Complete Section 1 fully. Here, you are required to provide the proposed drug's International Nonproprietary Name (INN) and select the prescriber level, such as Primary Health Care, Medical Officer, or Specialist.
3. In Section 2, fill out the motivator's details, including their name, title, contact information, and postal address.
4. Proceed to Section 3, where you outline the proposed indication and regimen for the drug. Ensure to specify the indication, dosage, and route of administration, and select the appropriate level of evidence supporting your proposal.
5. In Section 4, list any drugs currently on the Essential Drugs List that are intended for the same indication, including their indications and dosages.
6. Section 5 is for national use only. It includes fields for correspondence, evidence, decision status, and motivation details. Make sure to include the date received and number of articles submitted.
7. Review all sections for completeness. Once satisfied, you can save changes, download, print, or share the form per your requirements.

Complete the motivation form online today to ensure your proposed drug is considered for inclusion!