Formularies started life in the hospital sector with early reports going back to the mid 1960s .

处方集在医疗部门应用的历史可追述到20世纪60年代中期。

I also worked with drug formularies that were aimed at cost containment .

我也负责旨在多花费的药方。

Furthermore , whatever form government purchasing takes , private us health insurers are also imposing tougher conditions , removing drugs they consider less efficacious from their formularies or requiring patients to contribute to their costs directly .

此外，无论政府以何种方式采购，美国私人医疗保险商都会施以更苛刻的条款，将他们认为疗效较差的药品从清单中去除，或要求患者直接支付开销。