Abstract
Objective: to evaluate the process of immunosuppressive drug prescription and dispensing for kidney transplant patients in view of the recommendations of the Clinical Protocols and Therapeutic Guidelines (CPTG, 2002 and 2012). Methods: normative evaluation of requisitions for immunosuppressive drugs made to the Minas Gerais State Department of Health in 2008, based on computerized administrative data files. Results: we analyzed 915 requisitions relating to 687 patients. With regard to CPTG 2002, most of the drugs delivered were classified as second choice, representing increased cost of at least 301%. With the inclusion of Tacrolimus as first choice in CPTG 2012 this percentage has decreased second choice/mixed requests still prevail. Belo Horizonte Regional Health Management dispensed 3.5 times more second choice drugs and showed a shorter time for requisition process evaluation. Conclusion: there was discordance between therapeutic guidelines and immunosuppressive drug dispensing. Health technology and epide
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