The aim of the work is to evaluate selected aspects of the State pharmaceutical policy for the years 2004–2008, relating to its objectives and the proposed implementation tools. Pharmaceutical policy should be complemented in the following respects: establishing of goals hierarchy, indices of the goals fulfilment, tools for pharmaceutical policy implementation. The latter should be extended by three systems: (1) monitoring system for health services, including prescriptions/drugs refunded from public funds, (2) health information system for physicians about refunded drugs sold on their prescriptions, (3) information system on drugs for patients and physicians.

The key issue is to implement an effective monitoring system for the refunded prescriptions/drugs, which should be an integral part of health services monitoring system. To achieve the optimum quality of prescriptions and drugs monitoring, it is necessary: (1) to reintroduce the principle of writing one prescription for each disease and including the ICD-10 code, (2) to introduce writing or printing the patient’s ID (PESEL) on each prescription. These data should be recorded at the pharmacy in the electronic form and transmitted to the payer.

Pharmacies should record and transfer to the payer (National Health Fund), in the electronic form, information not only about the drugs sold, but also about all prescribed pharmaceuticals, marking resignations and substitutions.

Reliability of the data should be guaranteed not only by their validation, but also by mechanisms preventing or limiting unauthorised or unjustified prescribing (authorisation by the patient).

The Health Service Register should be the chosen system for prescriptions and drugs monitoring.