First off, we are reliant upon the licensed health care professionals to make their appropriate determinations. Whether that be the physicians, the pharmacists for dispensing purposes, or licensed health care nurses for the actual distribution, we are dependent on them. But in the formulary, based on input that we get through the assistance of Health Canada and their process for approving drugs, and then our own internal pharmacy and therapeutic committee that reviews those drugs that are approved...they look at issues around effectiveness, efficiency, and cost, as well as whether they pose a security problem in the institution.
Once they determine that it will go on the formulary and based on the advice from professionals, they would indicate what dosages could or should be dispensed for any given situation. It's a guide, a framework, that is used and that all of our institutions are expected to follow.