The qualifar-SUS program: an analysis of 10 years of the public policyAbstract
The National Program for the Qualification of the Pharmaceutical Services in the Unified Health System (Qualifar-SUS), established in 2012, aims to contribute to the process of implementation, improvement and systemic integration of Pharmaceutical Services (PS) activities in the municipalities, aiming to continuous, comprehensive care, qualifying management processes for adequate and safe access and use of medicines. This analysis sought to historically contextualize its formulation and expansion design throughout its ten years of execution in Brazilian municipalities. To this end, a documentary analysis was carried out with an essay discussion, organized in the items listed for the formulation of Public Policies. Documents published in the period from 2008 to 2021 by the federal government, organized entities of managers, thematic magazines on management, and reports from auditory sessions of the federal court of accounts were read. With the analysis of these documents, it was possible to visit details of the creation, implementation and execution of government actions in addition to the texts of ordinances, resolutions and published regulations. This analyses made it possible to make notes about the program, its actors and arenas so that they can serve as a tool to strengthen access to medicines in Brazil.
Keywords:
Pharmaceutical services; Unified health system; Quality of health care; Health policy; Qualifar-SUS.
INTRODUCTION
Public policies (PPs) are fundamental actions and programs for states (Fleury, Ouverney, 2012). The task of describing and systematizing the path taken from their creation to their implementation by governments and their institutions is an important field of research, with results that have an impact on the living conditions of the population.
Raising questions such as: what do governments decide, how, why? (Mbembe, 2018) become important to help public decision-makers in their mission to formulate or reformulate public policies and their programs. The reflections brought up by authors on what PP is, how to formulate and analyze it, were the basis for Celina Souza, through documents analyses, to propose a descriptive/operational list of items of interest for the formulation and sustainability of PPs.
In Brazil, driven by the needs of the population and organized movements after re-democratization, health was continuously structured through policies and programs in a wide range of sub-areas, including Pharmaceutical Services (PS) (Bermudez et al., 2018). The principles of pharmaceutical services expressed by the National Pharmaceutical Policy (PNAF) of 2004, which is understood as an integral part of the National Health Policy, involve the promotion, protection and recovery of health, with a view to achieving results that improve the population’s quality of life, with medicines being an essential element. Thus, access to and rational use of medicines (RUM) are strategic conditions for the Unified Health System (SUS), given the clinical, social and financial impacts involved (Moraes et al., 2022).
To be effective in the SUS, PS follows the principles of hierarchization and decentralization. In this way, municipalities are the managers of resources (agreed between the Ministry of Health, states and municipalities) and protagonists in the organization to guarantee access and URM in their primary health care (PHC) services (Faraco, Leite, 2025).
The social impact of municipal PS is therefore of major proportions, as it affects a significant part of the Brazilian population. In 2015, 59.8% of users of PHC units had full access to the medicines prescribed by the SUS (Álvares et al., 2017). However, municipal PS has differences in structure (physical, organizational, workforce) between Brazilian regions (Álvares et al., 2017), between municipalities with different socioeconomic indicators (Faraco, Leite, 2025) and diverse technical, political and social processes in the management of PS (Mendes et al., 2024).
At the municipal management level, the main health problems and conditions considered most prevalent should be addressed. The financing of the Basic Component of Pharmaceutical Services (CBAF) is tripartite and does not provide resources for the structuring and maintenance of services in the municipalities, but only for the purchase of medicines.
This is the context of the National Program for the Qualification of Pharmaceutical Services within the SUS (Qualifar-SUS), established in 2012 as a strategy to support the development of the structure and services of PS in Brazilian municipalities. It is therefore a structuring action of the PNAF and the National Medicines Policy (PNM).
Established by Ordinance No. 1214 of 13 June 2012, Qualifar-SUS aims to contribute to the process of improving PS activities into health actions and services, with a view to providing continuous, comprehensive, safe, responsible, and humanized care. The programm was organized into four axes - structure, education, information and care (Brasil, 2012a). Also, according to this ordinance, in the program’s guidelines, it is possible to see that there was a concern to align it with the precepts of the SUS. Despite being a program - in other words, one that must have a beginning and an end, its conformation is close to Souza’s (2002) concept of public policy, which is comprehensive and not limited to laws and rules. The decentralized resources were directed to municipalities with up to 100,000 inhabitants, with extreme poverty, included in the Brazil Without Poverty Program or already included in the “National Program for Access and Improvement of Primary Care (PMAQ) (Brasil, 2012). Receipt of funding is conditional to sending information on PS of the municipality (such as medicines purchase and distribution) to the Ministry of Health (Brasil, 2014a). Over the ten years of the program, several changes have been made to its rules for receiving and expanding qualifications.
The programme is the only initiative that proposes overcoming the issue of public underfunding for PS services, as an alternative to increasing the financial support for PS beyond medicines - since the amounts cannot be used for this purpose. By 2023, 3,508 municipalities had qualified for the program. Rodrigues et al. (2017) found that most municipalities had an unsatisfactory (44%) or critical (21%) level of implementation of the expected activities; Mendes et al. (2024) found that for 52% of the municipalities, the Qualifar-SUS has collaborated in structuring and computerization the PS services at the PHC units.
Therefore, the justification for this essay revolves around the strategic importance of Qualifar-SUS for the consolidation of PS in the municipalities and the importance of continuous analysis of public policies to improve and encourage them. The analysis sought to historically contextualize the design of its formulation and expansion over its ten years of implementation in Brazilian municipalities.
MATERIAL AND METHODS
A documentary analysis was carried out (Cellard, 2014) with an essayistic discussion, organized into items listed within the descriptive/operational framework for the formulation of public policies described by (Souza, 2002) including: Object; Control, Rules and Incentives; Innovation/creativity; Internal and external factors; Vetoes and support; Policy Community; Social networks and decision-making arenas; Collective Consciousness.
This study used public sources considered to be ‘archived’ (Cellard, 2014) such as the Union Official Journal, open access portals of the Federal Court of Auditors (in Portuguese TCU), National Council of Health Secretaries (CONASS), National Health Council (CNS) and National Council of Municipal Health Secretaries (CONASEMS), and sources indexed in databases in the Virtual Health Library and SciELo databases. The search was focused on the expression ‘Qualifar-SUS program’.
The stages of document analysis guide the analysis of documents with a critical and contextual focus, and include identifying the Context (understanding the historical, social, and cultural circumstances in which the document was produced, which allows for understanding why it was written); the Authors (who produced the document, their motivations, interests, and the institution or group they represent, as this helps assess the credibility of the information and potential biases); the Authenticity and Reliability (the truthfulness of the document, its origin, and the quality of the presented information); the Nature of the Text (the document’s structure, text type, and conditions under which it was produced); and the Key Concepts and Internal Logic (the main concepts in the text, their meaning within the specific context, and the coherence of the argumentation) (Cellard, 2014). Public documents from 2008 to 2021 were analyzed.
The documents were classified according to their type and function for the Qualifar-SUS Program. The typification of these documents included in the study is shown in Table I.
The reading and identification of the items were conducted by two authors. In cases of doubt, at least one more author was consulted. It is worth noting that discussion rounds about the items were held among the authors to deepen the understanding of the items that needed further exploration. The extracted data was spreadsheeted for later analysis and presentation.
The analysis presents details on the creation, implementation, and execution of government actions and possible results related to Qualifar-SUS. In addition, notes were made about the program, its actors, and arenas so that they can serve as a tool for strengthening access to medicines in Brazil, based on the analytical perspective adopted.
RESULTS AND DISCUSSIONS
The first documents analyzed were those that dealt with the program’s legislation during the proposed period, as shown in Table II.
Ordinances regulating and authorizing the participation of municipalities in the axis intended by the program
The analysis of Qualifar-SUS from the perspective proposed by Souza (2002) is shown in Table III.
Object and Costs
The main aim of the program is to promote structuring municipal PS and, at the same time, provide access to information on the use of medicines and municipal services, preferably through the Horus system or other management control software (e-Car and Digi-SUS) (Brasil, 2014a).
It would be important for the scope of the program to encompass all municipalities, but two factors influence the design of the program’s scope:
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the costs, previously debated in tripartite meetings (minutes of the third Ordinary Meeting of the Tripartite Interagency Commission (CIT) in 2012 - budgetary impact of increasing the transfer from the federal government, potentially constraining the spending ceiling and the other management instruments) and
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in the inclusion category, since in their first ordinances they prioritized vulnerable municipalities that were regular in other PHC restructuring projects (Brasil, 2012a; Brasil, 2014a).
Regarding costs, the draft presented as a reference at the Tripartite meeting states. “Finally, he presented the proposal to transfer financial resources for the structuring of pharmaceutical services in 20% of the municipalities that are part of the Brazil Without Extreme Poverty- BSM program, explaining in graphs, the distribution of BSM municipalities according to population base and region of the country and the distribution of municipalities by population range to be served by 2012 the distribution of BSM municipalities according to population base and region of the country and the distribution of municipalities by population group to be served by the 2012 structure axis, and in a flowchart, the stages of execution of the structure axis for which the estimated financial resource is R$ 30,000,000.00 (thirty million reais)” (Brasil, 2014a).
This is a way of transferring the funds made available to promote PS in municipalities with the worst socio-economic conditions.
Control, rules and incentives
The items of control, rules and incentives are closely correlated, as there are mechanisms to ensure that municipalities with greater vulnerability and lower economic power are prioritized. These items aim to reduce choices based on individual interests or on the influence of specific political or partisan actors, according to the rules for joining and remaining in the program (Brasil, 2012a). The rules begin with adherence to dispensing and stock control software, and then accountability via e-Car, Digi-SUS and National Database of Pharmaceutical Policy and Actions (BNAFAR) (Brasil, 2014a).
The transfer of information is the central rule, complemented by rules on the purpose of spending the amounts received. It was hoped that this would improve the quality of the services provided to the population and the working conditions of professionals (Brasil, 2012a; Costa, Nascimento, 2012). However, there are no agreed strategies for monitoring the use of funding and the impact of the program.
Innovation and creativity
Souza (2002) reflects on innovation and creativity in the formulation of PPs, which is merely an increment of previous actions, not necessarily causing major structural changes.
With regard to investment in PS, in more than one area, the program has proved to be innovative, allowing investment in areas that until then had been given little priority, such as computerization, which makes it possible to manage actions and services, seeking to resolve problems and minimize risks related to pharmacotherapy (Mendes et al., 2024).
The federal transfer of funds for investments in services related to PS, rather than medicines, is in itself an innovation and addresses, albeit to a limited extent, the criticisms of the PS funding model, which focuses on medicines only.
However, the proposed model cannot be considered creative, as it repeats models already seen, such as the Basic Health Unit Requalification Program (REQUALIFICA-UBS) and PMAQ programs, which respectively sought to improve service structures and the quality of primary care. In other words, both had performance-based incentives and primarily targeted municipalities that were characterized as the most vulnerable (Brasil, 2012a).
If, on the one hand, there is a need to prioritize according to the principle of equity, on the other hand, the incentive in return (in this case, systematizing and sending municipal PS data on a regular basis) may not extinguish vulnerabilities. It is precisely the municipalities with the greatest difficulties in terms of information systems, a qualified workforce, and the infrastructure to systematize data that may continue to be excluded from receiving resources (Mendes et al., 2024). The model also allows actions and services to be targeted, possibly just to maintain the receipt of funds and not necessarily to overcome access barriers, motivating distorted behavior by professionals and managers, as has already been identified in other programs (Resende et al., 2021).
Internal and external factors
The related internal and external factors may not be easily identified in the analysis of ordinances and regulations. However, they are important factors in the design of PPs, and are related to government capacity, governability, and governance (Bento, 2003).
In order to identify them, it is necessary to check the documents relating to decision-making, such as the minutes of tripartite meetings, draft ordinances, reports from organizations with an administrative impact, management instruments such as the National Health Plan and health programming.
Internal factors help to indicate the government’s institutional, operational, and financial capacities, as well as the policy’s inclusion in the government’s strategic planning (Souza, 2002).
During Dilma Rousseff’s first term in office, the program showed characteristics of her government - neodevelopmental and with restrictions on income transfer policies, linking them to conditionalities. The restrictions taken by the government at the time sought to demonstrate the need to contain spending as a positive agenda, against the effects that were still appearing after the 2008 crisis. Also, at the beginning of the administration, according to the inauguration speech in January 2011 (Brasil, 2011a), it is clear that there is an intention to govern the health area strategically, more than that, to focus on the qualification of the service as a strategy to achieve various principles of the SUS: It is, therefore, an indispensable task for the Federal Government and the state and municipal governments to take effective and integrated action to renew the SUS, particularly in the areas of health, education and security. The SUS must aim to provide a real solution to the problem that affects the person who seeks it, making medicines accessible to all, as well as strengthening policies for prevention and health promotion (Brasil, 2011a).
Although not explicitly stated, it aims to achieve comprehensiveness and improved PS, when it mentions the concern about access to medicines for the entire population.
Still, in the context of its creation, a positive internal fact is that most of Qualifar-SUS national managers were pharmacists with a degree in public health and experience in their positions in the Ministry of Health.
An analysis of the management instruments (20112015) shows that the Multiannual Health Plan at the time included guideline number 8, which dealt with guaranteeing PS within the SUS, but without defining targets to be achieved. In the programmatic actions analyzed in the instrument, we can see the concern to strengthen PS with the aim of guaranteeing PS within the SUS and its structuring integrated into health care networks, with the strengthening of the National PS Management System (Brasil, 2014b).
Other internal factors were: the composition of the federal legislative houses in 2012, which was important for mobilizing support for projects, and the need to regulate Amendment 29, defining the floor to be invested by the federal entities - including the federal government (Rosa, 2011).
Thus, internal factors led to the formulation of a program focused on reducing inequities, which included the government’s programmatic actions, aligned with financial austerity measures, appropriate to the federal budget, considering the issue of underfunding, conditioning good PS management practices (Teixeira, Paim, 2018).
The external factors involved ethical and legal issues and the restrictions imposed by the political coalitions that supported the government (Souza, 2002). For example, the economic climate had an impact on the third Workers’ Party government, with pressure from the financial market to contain public spending (Teixeira, Paim, 2018).
One of the actions of the TCU 2009 fiscal plan was to assess the status of Brazil’s basic public pharmacies. The aim was to generate data to assess the implementation of PPs related to PS and PHC, focusing on the commitment of federative pacts. The nationwide audit revealed weaknesses. These could result in shortages and wastage of public resources due to medicines expiration dates (failures in programming and procurement) and inadequate storage conditions (Brasil, 2011b).
Other findings of this audit included: the absence of PS in health plans; inadequate acquisition of medicines; PNM neglected by state governments; PS operational cycle not systematized; lack of traceability; and only the Annual Management Report as an inspection tool. Thus, as measures to adjust the conduct of sub-national administrations, the following were recommended: the creation of financial incentives for good management in actions related to PS, containing mechanisms to encourage state governments to work with municipalities, among other actions (Brasil, 2011b).
The previous report was the basis for TCU decision n. 1459/2011, which determined eleven measures for the Ministry of Health and its secretariats:
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Definition of a list of minimum information on the management of basic PS, as well as the flow and schedule for sending this information;
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Inducing good management in actions related to basic PS through financial incentives; and
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The feeding of Horus by the states and municipalities (Brasil, 2011c).
It can be seen that the focus of the ruling was on access to information about federal spending and strengthening the collaboration of other entities with municipalities. Following the TCU recommendations, the Ministry of Health encouraged adherence to the HÓRUS computerized system (Rodrigues, Cruz, Tavares, 2017), through Ordinance No. 271 of February 27, 2013, in line with the information axis of Qualifar-SUS (Brasil, 2013)
Vetoes and support
The research carried out so far was unable to identify any vetoes to the creation or expansion of the program.
The initial supporters were sub-national managers who were looking for a financial boost, as well as federal managers who were looking for answers about the quality of health resource management, given the dilemma of underfunding versus mismanagement (Rosa, 2011).
The professional bodies, such as the National Federation of Pharmacists and the Federal Pharmacy Council, with the aim of publicizing and encouraging municipalities to register and sensitizing municipal managers, included publications on official websites announcing the launch of the program and its calls for applications.
As for the representatives of social control, the documentary analysis did not identify the inclusion of the CNS in the design of Qualifar-SUS, even though its objective is to qualify comprehensive access to health, which includes access and RUM. At the end of the formulation of the program, with the presentation of the draft Ordinance at the 3rd ordinary meeting of the CIT in 2012, it was possible to identify the opening of space for the private sector (Brasil, 2014a) to develop and offer services for PS management software since computerization is one of the axes of the program to enable the transfer of information. The opinion of the MoH meeting was reported: It stressed the importance of the software being in dialogue with existing systems in order to optimize resources. Department of Pharmaceutical Services (DAF) will include the following expression in the Resolution; and systems that interoperate with the Horus web service and Business intelligence (BI) system (Brasil, 2014a).
Another important support can be seen in the compliance with the detailed term of Ruling n. 1,459 of 2011. This was recognized in the reports following the creation of the program - authored by the Secretary for External Health Control - as a goal achieved in computerizing and improving the structure of the basic pharmacy (Brasil, 2011c).
Policy Community
Policy Community is defined as a collective actor that can introduce themes or questions for changes in PPs (Côrtes, 2009b). These communities are made up of individuals from various institutions, areas, or professions, such as service providers, leaders of civil organizations, researchers or managers (Côrtes, 2009a).
Therefore, the professional councils in their instances, trade union organizations, professional specialists and supervisory bodies influenced the design of the program. In the expectation created by these actors, Qualifar-SUS had the potential to improve working conditions, increase professional appreciation and density, as well as improve sanitary conditions and good pharmaceutical practices (Conass, 2013).
In educational institutions, the potential for research was expected. However, it was not possible to directly identify this relationship - for the structure axis - contrary to what can be verified in the case of the PMAQ (Cavalcanti, Fernandez, Gurgel Junior, 2022). Teaching and research institutions cooperated with the MoH from 2011 to 2019 for the external evaluation of the PMAQ and certifying the performance of the teams. Unlike Qualifar-SUS, which did not have widely promoted actions for research and technical support.
Social networks and decision-making arenas
Networks involve actors and communities with different perspectives on the results and objectives of policies (Côrtes, 2009a; Conass, 2013; Marques, 2006). The relationships between these in Brazil are defined by the intermediation of interests by the Policy Community (Côrtes, 2009a).
Policy networks are formed by the complex relationships established between pharmaceutical companies, professionals, private hospital service providers, associations of patients with pathologies, interest groups, and policy communities, which have members both inside and outside the government (Côrtes, 2009a).
Decision-making arenas are political spaces of conflict where actors act, mediating processes that modify sectoral structures, redefining and altering relationships. In the area of health, the federal government is not only the organizer but also the decision-maker in these disputes (Côrtes, 2009b).
When consulting the minutes and extraordinary meetings of the CIT, it can be seen that these were the main decision-making arenas for the creation of Qualifar-SUS and its subsequent expansion. This movement is similar to that described in the literature (Côrtes, 2009b).
The Inter-Management Commissions, which became the main space for negotiation between the three federated entities and the system’s managers, and the publication of guidelines and legal norms by the Ministry of Health organizing the functioning of the SUS show the strengthening of the role of federal managers. In the inter-managerial commissions, individually and through their associative entities CONASS and CONASEMS, they established relationships and channels with federal managers and increased their capacity for articulation and breadth in the political arena of the area (Côrtes, 2009b).
Social participation, represented by the CNS, in the expansion of the program can be identified in the Report of 20 years of policies and proposals for the development and qualification of PS in the SUS published in 2018. The publication brings together the results of workshops involving different actors. The workshop identified proposals focused on the QualifarSUS program, including:
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Evaluating the impact of the Program, ensuring its continuity and expansion to new municipalities.
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Provision of solutions for municipalities that did not have the infrastructure to join BNAFAR, such as: priority for joining Qualifar-SUS, creation of an offline Horus and alternative resources for purchasing equipment.
The following period was marked by intense disputes between the federal government and other bodies, the effects of Constitutional Amendment 95 and, later, the impacts of the Covid-19 pandemic. Still in 2019, however, there was an increase in the number of municipalities covered, but without updating the amounts or innovations that could respond to the identified problems of structural and operational inequities.
This study identifies some elements of the decision-making network and arenas that formulated and modified the Qualifar-SUS Program over the last ten years (Table IV).
Initial proposal of the elements involved in the political network influencing the Qualifar-SUS program
Collective Consciousness
Collective Consciousness has been demonstrated in other policies in the area of PS, such as the “Aqui tem farmácia popular” program, recognized for its media appeal (Marques, 2006). There is no such phenomenon in the Qualifar-SUS program, which is restricted to appealing to managers through the calls for proposals published.
So far, it is possible to consider, from the projects currently underway, the valorization of social control and the PHC workforce, with the potential to bring about a collective conscience. Monitoring and evaluation actions can also be strategic, providing participation and empowerment for different actors (PAHO, 2021) The guidelines for its design have been discussed in decision-making places not associated with social control, and can thus depend on two actors: the federal government, where the MoH is the main proposer in defining the agenda for agreements, and its sub-national participants, represented by managers with veto power. In other words, it is subject to constraints if there are changes to the program.
The reality of the program’s direct beneficiaries - the municipalities - indicates that its design, rules and controls need to allow the benefits to happen (Rodrigues, Cruz, Tavares, 2017). A large number of Brazil’s low-Municipal Human Development Index (IDHM) municipalities have significant weaknesses in their PS management capacity (Faraco, Leite, 2025). In 2015, more than 50% of Brazilian municipalities had low coverage of computerization and physical structure in PS and management conditions. In these cases, the municipalities have not been able to comply with the program’s rules (even if it’s just sending data) and, as in a vicious cycle, they don’t receive the financial incentives that could provide better management conditions. The incentive to develop and structure municipal PS in these situations seems to lack the incentive to develop the technical and social capacity needed to change their condition (Bernardo, Soares, Leite, 2021).
After three years of no expansion, 350 new municipalities were accredited in 2023 and 511 new municipalities were accredited in 2024 by the Ministry of Health to receive the programme’s funding. Nowadays, 4,369 municipalities are accredited. No new rules were published and no impact evaluation process was defined yet.
The main limitation of this study involves the small amount of information and research about the program. This influenced the determination of some analysis items, since there was no reliable data or because of the absence of data, they could not be entirely answered.
CONCLUSION
The analysis of the Qualifar-SUS program showed that it was built in line with the principles of the SUS. It has proved to be innovative in terms of valuing the workforce and making it possible to transfer federal funds beyond those earmarked for the purchase of medicines. However, progress is still needed, such as the effective updating of the financial amount, which will help not only to maintain the workforce, but also to qualify PS activities.
Considering the scope and guidelines of the program, it is important to propose the creation of PS indicators in primary care to evaluate and monitor its results. However, it is necessary to monitor the related paths and discussions, so that they do not stray from the objectives of the PNAF, especially the points already raised, such as budgetary constraints for the transfer of resources, the updating of values, investment without situational diagnosis and planning.
It is possible to point out events over the ten years of Qualifar-SUS, and from this, reflect on the future of the program and which actors and arenas should be monitored, so that it is, in fact, a tool for strengthening PS in the SUS.
DATA AVAILABILITY STATEMENT
All data is available within the article or its supplementary materials.
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Brasil; Ministério Da Saúde; Gabinete Do Ministro; Institui a Base Nacional de Dados de ações e serviços da Assistência Farmacêutica e regulamenta o conjunto de dados, fluxo e cronograma de envio referente ao Componente Básico da Assistência Farmacêutica no âmbito do Sistema Único de Saúde (SUS). Portaria 271, 27 fev 2013. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0271_27_02_2013.html Acesso: 21 jan. 2023.
» https://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0271_27_02_2013.html -
Brasil; Ministério da Saúde; Conselho Nacional dos Secretários de Saúde; Conselho Nacional de Secretarias Municipais de Saúde. principais discussões e consensos da 3ª reunião ordinária da comissão intergestores tripartite de 2014a. Disponível em: https://www.gov.br/saude/pt-br/acesso-a-informacao/gestao-do-sus/articulacao-interfederativa/cit/pautas-de-reunioes-eresumos/2014/abril/resumo-executivo-cit-24-04-2014.pdf/view Acesso em: 20 jan. 2023.
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Brasil; Ministério do Planejamento, Orçamento e Gestão; Secretaria de Planejamento e Investimentos Estratégicos. Relatório Anual de Avaliação do PPA 2012-2015: ano base 2013. Brasília: SPI/MP; 2014b. 654 p. Relatório Anual de Avaliação Vol. 2 Tomo I. 654p. Disponível em: https://bibliotecadigital.economia.gov.br/bitstream/777/57/2/Rel_Aval_Vol_2Tomo_1-Sociais2013.pdf Acesso em: 20 jan. 2023.
» https://bibliotecadigital.economia.gov.br/bitstream/777/57/2/Rel_Aval_Vol_2Tomo_1-Sociais2013.pdf -
Brasil; Ministério Da Saúde; Gabinete Do Ministro; Dispõe sobre o Processo de Fortalecimento Institucional Progressivo e sobre o incentivo financeiro de investimento do Eixo Estrutura do Programa Nacional de Qualificação da Assistência Farmacêutica - QUALIFAR-SUS, para o ano de 2017. Portaria 3364, 08 dez. 2017. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt3364_11_12_2017.html Acesso: 13 jan. 2025.
» https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt3364_11_12_2017.html -
Brasil; Ministério da Saúde; Secretaria de Ciência, Tecnologia e Insumos Estratégicos; Departamento de Assistência Farmacêutica e Insumos Estratégicos. Assistência Farmacêutica no SUS: 20 anos de políticas e propostas para desenvolvimento e qualificação: relatório com análise e recomendações de gestores, especialistas e representantes da sociedade civil organizada. Brasilia: MS; 2018a. 125 p. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/assistencia_farmaceutica_sus_relatorio_recomendacoes.pdf Acesso em: 21 jan. 2023.
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Brasil; Ministério Da Saúde; Gabinete Do Ministro; Regulamenta a transferência de recursos destinados ao Eixo Estrutura do Programa Nacional de Qualificação da Assistência Farmacêutica (QUALIFAR-SUS) no âmbito do Sistema Único de Saúde (SUS) para o ano de 2018. Portaria 3749, 23 nov. 2018b. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2018/prt3749_26_11_2018.html Acesso: 13 jan. 2025.
» https://bvsms.saude.gov.br/bvs/saudelegis/gm/2018/prt3749_26_11_2018.html -
Brasil; Ministério Da Saúde; Gabinete Do Ministro; Habilita 652 Municípios a receber recursos destinados ao Programa Nacional de Qualificação da Assistência Farmacêutica (QUALIFAR-SUS). Portaria 3586, 19 dez 2019. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2019/prt3586_20_12_2019.html Acesso: 21 jan. 2023.
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Associate Editor:
Inajara Rotta
