The National Formulary of India (NFI) serves as a comprehensive and authoritative guide for healthcare professionals, including physicians, pharmacists, nurses, and medical students. Its primary purpose is to provide evidence-based information on the selection, dosage, and administration of medicines, ensuring the rational use of pharmaceuticals across the country. Compiled by the Indian Pharmacopoeia Commission (IPC), the NFI reflects a consensus of expert opinions from medical practitioners, educators, and pharmaceutical manufacturers, aligning with the National Health Programmes and the National List of Essential Medicines (NLEM) of India.
The 2021 edition of the NFI comprises 34 therapeutic categories, encompassing 591 drug monographs and 23 appendices. These monographs provide detailed information on various aspects of each drug, including approved indications by the Central Drugs Standard Control Organisation (CDSCO), dosage forms, strengths, precautions, contraindications, adverse effects, and storage conditions. The inclusion of rational fixed-dose combinations further enhances the utility of the formulary in clinical practice .
In response to evolving healthcare needs, the NFI 2021 introduces several updates. A dedicated chapter on the management of diabetes has been added, reflecting the growing prevalence of the condition in India. Additionally, the terminology has been standardized; for instance, ‘availability’ has been replaced with ‘dosage forms and usual strength’ to provide clearer information. The formulary also includes links to important resources such as the NLEM, immunization schedules, and information on drugs banned in sports, thereby supporting informed decision-making in clinical settings.
The NFI 2021 stands as a testament to India’s commitment to promoting rational drug therapy and enhancing the quality of healthcare. By consolidating essential pharmaceutical information into a single, accessible resource, it aids healthcare professionals in making informed prescribing and dispensing decisions, ultimately contributing to better patient outcomes. The NFI’s alignment with national health priorities underscores its role in shaping effective and evidence-based healthcare policies in India.