In an attempt to bring its diverse components together and to bring co
nsistency to a disparate integrated delivery system, Henry Ford Health
System (HFHS), which is located in the Detroit area, set out to devel
op a system-wide unified formulary. Although the visionaries behind th
is effort ran into difficulties and, ultimately, were unable to succes
sfully accomplish this goal, the knowledge they gained provided a basi
s for establishing new more achievable targets. One recent missions of
HFHS has been to develop two separate formularies-an ambulatory formu
lary and an inpatient formulary. Through these changes, the formulary
committees are hoping to bring more consistency to this sprawling comp
rehensive health care system.