Does Guam have a state drug formulary?

Guam does not have a state drug formulary, which means there is no officially established list of covered or preferred medications mandated by the state. This indicates that healthcare providers in Guam have the flexibility to prescribe medications as deemed appropriate without being restricted to a specific formulary list.

In many jurisdictions, a formulary may be established to guide prescribers in choosing effective and cost-efficient medications backed by clinical evidence. The absence of such a formulary in Guam allows for a broader range of choices based on individual patient needs and clinician discretion. This can also enhance the ability of pharmacists and healthcare providers to tailor treatment plans without the limitations that come with a formal list.

The other options imply the existence of a formulary in some form, whether frequently updated, limited to specific medications, or restricted to controlled substances; however, the reality is that Guam does not enforce such a system.