AMENDMENT TO ADMINISTRATIVE ORDER NO. 2012-0023, ENTITLED: “REVISED IMPLEMENTING GUIDELINES FOR THE PHILIPPINE NATIONAL FORMULARY SYSTEM (PNFS)”

The DOH through the Undersecretary or Assistant Secretary
responsible for the PNFS shall accredit academic institutions to
undertake medicines evidence review based on the following criteria:

1. with research capacity to conduct studies on clinical
   epidemiology, pharmacoeconomics, health economics, health technology
   assessment, evidence-based medicine (EBM) and other relevant fields;
2. with identified evidence reviewers/experts for the abovementioned fields;
3. can comply with the standards and methodologies including the timelines in conducting the review as prescribed by the DOH; and
4. willingness to declare and manage conflicts of interests.

10. Exemptions

b. The application for exemption shall have the following as attached documents:

1. Accomplished proposal form that includes justification, a
   report on disease burden and its ranking relative to the common
   diseases in the health facility or community;
2. FDA Certificate of Product Registration or WHO certification;
3. FDA-approved product information;
4. Soft/electronic copies of all cited studies and published articles; and
5. Other relevant documents (e.g. peer-reviewed local
   Philippine clinical practice guidelines which provides information on
   the indication or use of the product (preferred), excerpts from WHO
   documents or other formularies, etc., including photocopies of such).

c. The request for exemption shall only be granted if it fulfills ALL of the following criteria:

1. The medicine has proven safety and efficacy.
2. There is no other medicine listed in the formulary which is indicated for the same condition.
3. The medicine will be used for a current or potential urgent health situation, where urgent is defined as requiring immediate action to prevent death, permanent disability or a major or irreversible organ dysfunction.”

3. The proponents shall submit Letters of Requests and
   accomplish the appropriate Proposal Forms prescribed by the FEC. These
   are the following forms: e. PNF Form No. 18 (Proposal Form for Health Professional/Health Professional Organization (PMA and PDA affiliated organizations))
4. The proponents shall likewise submit two (2) hard and soft copies each of the following documents required by the FEC, to wit:
   1. Executive Summary
   2. Accomplished proposal form 1 and 9A, including all appropriate tables;
   3. FDA Certificate of Product Registration with colored photograph or video of product;
   4. FDA-approved product information;
   5. FDA Certificate of Good Manufacturing Practice;
   6. Soft/Electronic copies of all cited studies and published articles;
   7. Signed Letter of undertaking to disclose all known published and unpublished studies;
   8. Systematic Review (preferably Cochrane) or Meta-analysis or at least Phase III Randomized Controlled Clinical Trials
   9. Executable file for cost-effectiveness study* if done by sponsor/drug company (*if available); and
   10. Other relevant documents (e.g. peer-reviewed local
       Philippine clinical practice guidelines which provides information on
       the indication or use of the product (preferred), excerpts from WHO
       documents or other formularies, etc., including photocopies of such).
5. Proposal forms shall include the following: g.
   Copies of all the cited scientific journal articles, entries, other
   accepted legal documents and other supporting publications.