Integrating Herbs and Supplements in Managed Care: A Pharmacy Perspective

Herbs, supplements, Pharmacy

Charles Elder, MD, MPH, FACP; Pat Mossbrucker, RPh; Carrie M Davino-Ramaya, MD; Ileana Bez, RD, LD, CDE; Margaret M Lin, MD; Theresa A Terry, PharmD; Emily A Thomas, PharmD; Sean Jones, MD

Summer 2008 - Volume 12 Number 3



Herbal and other dietary supplements are popular among patients. Whether and how to establish and manage an herbal formulary remains a challenge for conventional managed-care organizations. Pharmacists and clinicians depend on evidence-based guidelines to help determine which products (whether pharmaceutical or herbal) to make available to patients. Evidence from randomized controlled trials that supports the use of most herbal supplements is scarce, yet for some supplements, credible evidence supports the possibility of efficacy. Quality control remains of concern for the supplement industry and for patients and clinicians considering the use of supplements.



25,000 print readers per quarter, 6900 eTOC readers, and in 2015, 1.4 million page views on TPJ articles in PubMed from a broad international readership


The Permanente Journal (ISSN 1552-5767) is published quarterly by The Permanente Press. The Permanente Journal is available online (ISSN 1552-5775) at


Articles, editorials, letters to the editor, and other material represent the opinion of the authors. Send your comments to

Copyright 2016 The Permanente Journal - Kaiser Permanente. All Rights Reserved.