“…17 Despite the advantages of centralizing the formulary review process, respondents were wary that institution-specific population needs or priorities might not be adequately addressed. In a debate about centralizing formulary management and pharmacy services in general, Slobodan and others 18 outlined the advantages of taking a broader perspective, including consistency in pharmacy services, funding, and access to medications and drug information resources. However, Wilson 19 raised concerns that a centralized process might impede a hospital's ability to respond to the needs of local patients in a timely manner or to be innovative with the adoption of new drugs or reallocation of resources; he noted, however, that processes currently in place could alleviate these concerns.…”