CPIA Module 6: Introduction to Drug Database & Formulary Management
Certified Pharmacy Informatics Analyst (CPIA) Program

Module 6: Drug Database & Formulary Management

Architecting the Digital Heart of the Pharmacy: The Medication Master File.

From Stock Bottle to System Build: Mastering the Digital Formulary

As a pharmacist, you live and breathe the formulary. You know which drugs are preferred, which require prior authorization, and which are restricted to certain services. You have spent your career navigating the clinical and financial rules that govern medication use in your practice. You are an expert at managing the physical reality of the pharmacy’s inventory and the clinical application of its formulary.

This module will take you behind the curtain, into the digital engine room where that formulary is built, maintained, and enforced. The drug database, or medication master file, is the single source of truth for every medication used in the health system. It is the central nervous system that connects the prescriber’s order, the pharmacist’s verification, the nurse’s administration, and the patient’s bill. Every piece of Clinical Decision Support, every order set, every automated dispensing cabinet, and every billing record is fundamentally dependent on the integrity and accuracy of this database.

Here, you will transition from a user of the formulary to its architect. You will learn how a medication record is constructed from the ground up, the critical importance of maintaining its thousands of attributes, and the rigorous governance required to manage changes. You will discover that the seemingly simple act of adding a new drug to the formulary is a complex informatics project that touches dozens of interconnected systems. By mastering this material, you will gain control over the most foundational element of pharmacy informatics, ensuring that the right drugs are available to the right prescribers, with the right guardrails, at all times.

Your Blueprint for Database Mastery

This module provides a comprehensive guide to the construction, maintenance, and strategic management of the core pharmacy drug database.

6.1 Medication Master Files and Attribute Maintenance

A deep dive into the anatomy of a medication record. We’ll deconstruct the hundreds of fields and attributes—from clinical dosing information to billing codes—that must be meticulously maintained for every drug.

6.2 Version Control and Change Governance

An essential lesson on the rigorous processes required to manage changes to the drug database, ensuring every modification is tested, approved, and documented to maintain system integrity and patient safety.

6.3 Formulary Tiering and Coverage Policies

Learn how to translate P&T Committee decisions into system reality. We’ll explore the technical builds for formulary restrictions, therapeutic interchanges, and prior authorization rules that drive cost-effective care.

6.4 Order Sets, Protocols, and Templates

An exploration of how the medication master file serves as the foundation for all higher-level CDS tools. We will cover the design and maintenance of order sets, ensuring they are always linked to current, active medication records.

6.5 Data Synchronization Across Systems

A crucial look at the challenges of keeping the drug database consistent across multiple interconnected systems, from the main EHR to automated dispensing cabinets, smart pumps, and billing software.