The Kenya Essential Drugs List is meant to be a ‘living list’. Regular revisions are planned. The Ministry of Health recognizes that the revision process will benefit greatly from the experience and recommendations of clinicians, pharmacists, and scientists involved in prescribing, dispensing, and studying pharmaceutical products in Kenya. Any individual who wishes to suggest additions, deletions, or other changes to the Kenya Essential Drugs List should complete the following form and submit it to the Chief Pharmacist, Ministry of Health, Afya House, Cathedral Road, P.O. Box 30016, Nairobi.
For additions, the form asks the person requesting the change to provide therapeutic information on the proposed drug. Also, there should be a brief explanation of the advantages of the drug over drugs currently on the list. The form also requests comparative cost information, to be provided by the Kenya Medical Supplies Agency (KEMSA).
All completed Kenya Essential Drugs List Revision Request Forms will be considered during the next revision of the Kenya Essential Drugs List.
Government of Kenya, Ministry of Health
ESSENTIAL DRUGS LIST REVISION REQUEST FORM
TYPE OF REQUEST: |
 ADDITION
|
DELETION |
CHANGE |
SECTION A. |
To be completed by individual initiating request |
|
Generic Name: ______________________________________________________
Dosage Form & Strength: ______________________________________________
Best Known Brand Names & Manufacturers:
(1) _________________________________________________________________
(2) _________________________________________________________________
For ADDITIONS, what similar-acting drugs are now on Essential Drugs List?
(1) _____________________________(2)__________________________________
State reasons for addition, deletion or change. For ADDITIONS, please explain advantage of proposed drugs over similar-acting drugs listed above. Continue on reverse side, if necessary.
___________________________________________________________________
___________________________________________________________________
|
SECTION B. |
To be completed by KEMSA for proposed ADDITIONS |
|
Estimated cost of proposed drug: Kshs. ______________ Per _________________
Current cost of similar acting drugs on Essential Drugs List:
(1) Name & Strength ______________ Kshs. ____________ Per ______________
(2) Name & Strength ______________ Kshs. ____________ Per_______________
|
SECTION C. |
To be completed by Essential Drugs List Committee |
ACTION TAKEN ON THE REQUEST: |
Approved |
Rejected |
|
FOR NEW DRUGS:
Dosage form & strength approved: _____________________________________
|
Level of Use: |
_KNH |
_PGH |
_DH |
_SDH |
_Disp |
_CWH |
_MTRH |
___________________
Committee Chairman |
_____________
Date |
