Does anyone have a process that allows providers to obtain medications for use outside of hospital-approved protocol?

We had a provider requesting a medication for use outside of a protocol one evening and was told no. Provider did nothing however escalated the day with the request going to the P&T Committee. After much discussion around pharmacy just giving the medication with subsequent review, the decision was made to table while more research is gathered. One task was to see how other institutions handle these situations so reaching out for options. Thank you.

Carol