LOS ANGELES COUNTY
DEPARTMENT OF MENTAL HEALTH
  Policy 350.03 Pharmacy and Therapeutics Committee
 
Policy Category:  Clinical  
Distribution Level:  Directly Operated  
Approved by:  Chief of Psychiatry  
 
Approved by Curley L. Bonds, MD, Chief Medical Officer
Reviewed and approved by Clinical Policy Committee on March 13, 2025
 
I.  PURPOSE
 
This policy establishes the members, responsibilities, and authority for Los Angeles County Department of Mental Health (DMH) Pharmacy and Therapeutics (P&T) Committee.
 
II. DEFINITIONS
 
No definitions are associated with this policy.
 
III.  POLICY
 
Members of the P&T Committee include:
  • Appointed Psychiatrist(s) (voting member)
  • Chief of Pharmacy (voting member)
  • Chief of Nursing or designee (voting member)
  • Representative from administration 
Responsibilities of P&T Committee include:
  • Establish and maintain a formulary of medications for DMH;
  • Act as the sole and final governing body over policies and procedures related to procurement, storage, distribution, dispensing, administration, monitoring, and usage of medications, medication processes, medication safety, information technological advances in pharmacy as well as pharmacy, pharmacy technician and pharmacist practices;
  • Perform drug utilization evaluation (DUE);
  • Provide guidance to the Department with regard to relevant reportable outcomes and quality measures;
  • Review significant medication errors; and
  • Communicate and disseminate educational material to clinical staff regarding pharmacy and medications.
IV.  PROCEDURES
 
No procedures are associated with this policy.
 
V.  AUTHORITY
 
VI. ATTACHMENT
 
No attachments are associated with this policy.