CHI Drug Formulary - Council of Health Insurance

Dhaman Drug Formulary

The Dhaman Drug Formulary is a list of medical diagnoses linked to medications. It is regularly updated to assist in coverage decisions based on best clinical practices. It is not a substitute for the clinical judgment of healthcare providers but rather complements their decision-making process. This is a dynamic resource that is updated regularly based on emerging evidence.

What is the Council of Health Insurance Medication Guide 'Dhaman'?

The Dhaman Medication Guide of the Council of Health Insurance serves as a regulatory framework aimed at ensuring integration among stakeholders in the health insurance sector. It defines a list of essential medications, including both prescription drugs and over-the-counter (OTC) medications. The guide is developed and regularly updated by the Formulary Governance Committee (FGC) in collaboration with the Pharmacy and Therapeutics Committee (PTC) to ensure the availability of drugs registered with the Saudi Food and Drug Authority (SFDA) in accordance with the latest clinical guidelines.

Alignment with Saudi Vision 2030

The Dhaman Medication Guide reflects the Council of Health Insurance’s commitment to enhancing the health insurance system and supporting the goals of Saudi Vision 2030. It aims to improve the quality of healthcare services and optimize resource utilization, ensuring comprehensive healthcare that meets the needs of both citizens and residents.

Objectives of the Guide:

Enhancing healthcare efficiency by standardizing prescription guidelines and ensuring evidence-based medication use.

Strengthening governance and transparency in medication management within the health insurance system.

Ensuring fair and easy access to essential medications for all beneficiaries.

Optimizing healthcare spending by providing effective and cost-efficient treatment alternatives.

Serving as a trusted reference for healthcare providers and insurance companies to uphold service quality.

User Guide

The CHI Formulary is provided on an excel sheet platform that users can filter by Indication, ICD 10 AM code, Drug Pharmacological classes, Scientific name Scientific description code root, pharmaceutical form, pharmaceutical form code root, description code and, ATC code.

Formulary provides Appendices with various tables and protocols that users should refer to whenever mentioned in the notes. Hyperlinked Appendices are provided on a separate column for each disease or indication.