The document discusses guidelines for setting up and managing a Drug and Therapeutics Committee (DTC) in a hospital. It outlines 10 steps to starting a DTC where none currently exists, including doing groundwork, gaining support from administration, measuring current drug use problems, presenting findings to stakeholders, implementing interventions, and planning the formal start of a DTC. The roles and objectives of a DTC are to ensure cost-effective, safe, and quality medication use and monitoring. Key activities include developing and maintaining a formulary list and treatment guidelines.