Report : A-Z HCD items in Formulary 16/01/2021 06:27:22

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Section Status HCD Name 05.03.01 Formulary Abacavir Ziagen® 05.03.01 Formulary Abacavir and Lamivudine Kivexa® 05.03.01 Formulary Abacavir,Lamivudine and Zidovudine Trizivir® 10.01.03 Formulary Abatacept  08.03.04.01 Formulary Abemaciclib Verzenios® 08.03.04.02 Formulary Abiraterone  01.05.03 Formulary Adalimumab  10.01.03 Formulary Adalimumab Amgevita®(biosimilar) or Humira® 13.05.03 Formulary Adalimumab  05.03.03.01 Non Formulary Adefovir Dipivoxil Hepsera® 08.01.05 Formulary Aflibercept Zaltrap® 11.08.02 Formulary Aflibercept  08.02.04 Non Formulary Aldesleukin Proleukin® 13.05.01 Formulary Alitretinoin Toctino® 02.05.01 Non Formulary Ambrisentan  10.02.01 Non Formulary Amifampridine Firdapse 05.02 Formulary Amphotericin  10.01.04 Formulary Anakinra  05.02.04 Non Formulary Anidulafungin  02.11 Non Formulary Antithrombin III Kybemin® 08.02.02 Formulary Antithymocyte immunoglobulin (rabbit)   13.05.03 Formulary Apremilast Otezla® 05.03.01 Formulary Atazanavir Reyataz® 08.01.05 Formulary Avelumab  Bavencio ® 08.01.05 Formulary Axicabtagene ciloleucel  08.01.05 Formulary Axitinib  08.01.03 Formulary Azacitidine Vidaza® 08.02.02 Formulary Basiliximab Simulect® 08.02.04 Formulary BCG Connaught  05.01.09 Non Formulary Bedaquiline Sirturo® 08.02.02 Non Formulary Belatacept Nulojix® 10.01.03 Formulary Belimumab Benlysta® 03.04.02 Formulary Benralizumab Fasenra® 03.05.02 Non Formulary Beractant Survanta® 08.01.05 Formulary Bevacizumab Avastin® 01.05.03 Formulary Biosimilar Infliximab Inflectra® 08.01.05 Formulary Bortezomib  02.05.01 Formulary Bosentan  08.01.05 Formulary Bosutinib  08.01.05 Formulary Brentuximab vedotin Adcetris® 08.01.05 Formulary Brigatinib Alunbrig® 08.02.04 Formulary Brodalumab Kyntheum ® 03.04.03 Non Formulary C1 esterase inhibitor Cinryze® 03.04.03 Formulary C1 Esterase Inhibitor Berinert® 08.01.05 Formulary Cabazitaxel  08.01.05 Formulary Cabozantinib  08.02.04 Non Formulary Canakinumab Ilaris® 04.06 Formulary Cannabidiol  Epidyolex® 18 Non Formulary Carboxypeptidase  Glucarpidase 05.02.04 Formulary Caspofungin  02.11 Non Formulary Catridecacog NovoThirteen® 08.01.05 Formulary Ceritinib  10.01.03 Formulary Certolizumab Pegol  08.01.05 Formulary Cetuximab  08.02.02 Formulary Ciclosporin Neoral® 05.03.02.02 Non Formulary Cidofovir infusion Vistide® 09.05.01.02 Formulary Cinacalcet Mimpara® 08.01.03 Formulary Cladribine  08.01.03 Non Formulary Clofarabine Evoltra® 05.03.01 Formulary Cobicistat Tybost® 09.05.02.02 Non Formulary Colestilan BindRen® 05.01.07 Formulary Colistimethate inhaler Colobreathe® 05.01.07 Formulary Colistimethate sodium  03.04.03 Non Formulary Conestat Alfa Ruconest® 08.01.05 Formulary Crizotinib  08.01.05 Formulary Dabrafenib Tafinlar® 08.01.05 Formulary Daratumumab Darzalex ® 09.01.03 Formulary Darbepoetin Alfa Aranesp® 05.03.01 Formulary Darunavir Prezista® 05.03.01 Formulary Darunavir and cobicistat Rezolsta® 05.03.03.02 Non Formulary Dasabuvir Exviera® 20 Non Formulary DAUNORUBICIN saline pre-filled syringe  08.01.03 Formulary Daunorubicin/ cytarabine Vyxeos 08.01.03 Non Formulary Decitabine Dacogen® 09.01.03 Formulary Deferasirox Exjade® 09.01.03 Non Formulary Deferiprone Ferriprox® 20 Non Formulary DEFIBROTIDE Capsules 400 mg  20 Non Formulary DEFIBROTIDE Injection 200 mg  05.01.09 Non Formulary Delamanid Deltyba® 09.01.03 Formulary Desferrioxamine Mesilate  11.04.01 Formulary Dexamethasone intravitreal implant  08.01 Formulary Dexrazoxane Savene® 05.03.01 Formulary Didanosine Videx® 02.01.01 Non Formulary Digoxin specific antibody fragments Digifab® 18 Non Formulary Digoxin specific antibody fragments Digifab® 08.02.04 Formulary Dimethyl fumarate  08.02.04 Formulary Dinutuximab beta Qarziba® 05.03.01 Formulary Dolutegravir Tivicay® 05.03.01 Formulary Dolutegravir, abacavir and lamivudine Triumeq® 03.07 Formulary Dornase Alfa Pulmozyme® 09.01.03 Formulary Eculizumab  05.03.01 Formulary Efavirenz Sustiva® 09.08.01 Non Formulary Eliglustat Cerdelga® 09.01.04 Formulary Eltrombopag Revolade® 05.03.01 Formulary Emtricitabine Emtriva® 05.03.01 Formulary Emtricitabine rilpivirine and tenofovir Eviplera® 08.01.05 Formulary Encorafenib Braftovi® 05.03.01 Formulary Enfuvirtide Fuzeon® 05.03.03.01 Formulary Entecavir  08.03.04.02 Formulary Enzalutamide  09.01.03 Formulary Epoetin alfa Eprex® 09.01.03 Formulary Epoetin beta NeoRecormon® 02.08.01 Non Formulary Epoprostenol Flolan® 20 Non Formulary Eptotermin Alfa  Osigraft® 08.01.05 Formulary Eribulin Halaven® 08.01.05 Formulary Erlotinib Tarceva® 13.05.03 Formulary Etanercept  05.03.01 Formulary Etravirine Intelence® 08.01.05 Formulary Everolimus Votubia® 02.11 Non Formulary Factor IX Fraction, Dried  02.11 Non Formulary Factor VIIa (Recombinant) Novo 7® 02.11 Non Formulary Factor VIII Fraction, Dried  02.11 Non Formulary Factor VIII Inhibitor Bypassing Fraction  02.11 Non Formulary Factor XIII Fraction, Dried  08.02.04 Non Formulary Fampridine  09.01.06 Formulary Filgrastim Neupogen® 11.04.01 Formulary Fluocinolone intravitreal implant  18 Non Formulary Fomepizole  05.03.01 Formulary Fosamprenavir Telzir® 05.03.02.02 Non Formulary Foscarnet Sodium Foscavir® 05.03.02.02 Formulary Ganciclovir  08.01.05 Formulary Gefitinib Iressa® 08.02.04 Formulary Glatiramer Acetate  01.05.03 Formulary Golimumab  10.01.03 Formulary Golimumab  08.01.05 Formulary Ibrutinib Imbruvica® 03.04.03 Formulary Icatibant Firazyr® 02.05.01 Formulary Iloprost injection   08.01.05 Formulary Imatinib  05.03.01 Formulary Indinavir Crixivan® 01.05.03 Formulary Infliximab See 10.01.03 for preparations 10.01.03 Formulary Infliximab  13.05.03 Formulary Infliximab   06.07 Formulary Inotersen  08.01.05 Formulary Inotuzumab ozogamicin Besponsa® 03.07 Non Formulary Ivacaftor  10.01.03 Formulary Ixekizumab Taltz® 05.03.01 Formulary Lamivudine Epivir®, Zeffix® 08.03.04.03 Formulary Lanreotide  09.05.02.02 Formulary Lanthanum Fosrenol ® 05.03.03.02 Formulary Ledipasvir and Sofosbuvir Harvoni® 08.02.04 Formulary Lenalidomide  09.01.06 Formulary Lenograstim Granocyte® 02.12 Non Formulary Lomitapide Lojuxta®▼ 05.03.01 Formulary Lopinavir and ritonavir Kaletra® 02.05.01 Non Formulary Macitentan Opsumit® 03.07 Non Formulary Mannitol inhalation Bronchitol ® 05.03.01 Formulary Maraviroc Celsentri® 06.07.04 Non Formulary Mecasermin Increlex® 03.04.02 Formulary Mepolizumab Nucala 09.01.03 Formulary Methoxy Polyethylene Glycol-Epoetin Beta Mircera® 05.02.04 Non Formulary Micafungin Mycamine® 08.02.01 Formulary Mycophenolate Mofetil  08.02.04 Formulary Natalizumab  08.01.05 Non Formulary Necitumumab  08.01.03 Non Formulary Nelarabine Atriance® 05.03.01 Non Formulary Nelfinavir Viracept® 05.03.01 Formulary Nevirapine Viramune® 08.01.05 Formulary Nilotinib  03.11 Non Formulary Nintedanib Vargatef 20 Non Formulary Nitazoxanide  14.05.01 Formulary Normal immunoglobulin  08.02.03 Formulary Obinutuzumab Gazyvaro ® 08.02.03 Formulary Ocrelizumab Ocrevus® 11.08.02 Formulary Ocriplasmin  08.03.04.03 Formulary Octreotide  08.03.04.03 Formulary Octreotide  03.04.02 Formulary Omalizumab Xolair® 05.03.03.02 Formulary Ombitasvir/ paritaprevir/ ritonavir Viekirax® 05.03.05 Non Formulary Palivizumab Synagis® 08.01.05 Non Formulary Panitumumab Vectibix® 06.06.01 Non Formulary Parathyroid Hormone Preotact® 06.05 Non Formulary Pasireotide  09.02.01.01 Formulary Patiromer calcium Veltassa ® 08.01.05 Formulary Pazopanib  11.08.02 Non Formulary Pegaptanib Sodium Macugen® 06.05.01 Non Formulary Pegvisomant Somavert® 08.01.03 Formulary Pemetrexed  08.01.05 Formulary Pertuzumab Perjeta® 03.11 Formulary Pirfenidone Esbriet® 08.01.02 Formulary Pixantrone  09.01.07 Formulary Plerixafor Mozobil® 08.02.04 Formulary Pomalidomide Imnovid® 08.01.05 Formulary Ponatinib Iclusig® 03.05.02 Formulary Poractant Alfa  05.02 Non Formulary Posaconazole (IV) Noxafil® 05.02 Formulary Posaconazole (oral)  02.11 Non Formulary Protein C Concentrate Ceprotin® 02.11 Non Formulary Prothrombin Complex Concentrate  Octaplex® 05.03.01 Formulary Raltegravir Isentress ® 11.08.02 Formulary Ranibizumab  10.01.04 Formulary Rasburicase Fastertec® 08.01.05 Formulary Regorafenib Stivarga® 05.03.05 Formulary Ribavirin  05.03.01 Formulary Rilpivirine hydrochloride Edurant® 04.09.03 Formulary Riluzole  02.05.01 Non Formulary Riociguat Adempas® 05.03.01 Formulary Ritonavir Norvir® 08.02.03 Formulary Rituximab  10.01.03 Formulary Rituximab  09.01.04 Formulary Romiplostim Nplate® 08.01.05 Formulary Ruxolitinib  04.09.01 Formulary Safinamide Xadago 05.03.01 Formulary Saquinavir Invirase® 13.05.03 Formulary Secukinumab  09.05.02.02 Formulary Sevelamer Carbonate Renvela® 09.05.02.02 Formulary Sevelamer Hydrochloride  Renagel® 20 Non Formulary Sipuleucel- T  08.02.02 Formulary Sirolimus  04.01.01 Non Formulary Sodium Oxybate Xyrem® 05.03.03.02 Formulary Sofosbuvir  06.05.01 Formulary Somatropin  08.01.05 Formulary Sorafenib  05.03.01 Formulary Stavudine Zerit® 08.01.05 Formulary Sunitinib  20 Non Formulary Taribavirin  01.04.02 Non Formulary Teduglutide Revestive® 08.01.05 Formulary Temozolomide  05.03.01 Formulary Tenofovir and emtricitabine Truvada® 05.03.01 Formulary Tenofovir Disproxil  05.03.01 Formulary Tenofovir, cobicistat, elvitegravir and emtricitabine Stribild® 05.03.01 Formulary Tenofovir, efavirenz and emtricitabine Atripla® 08.02.04 Formulary Teriflunomide  06.06.01 Formulary Teriparatide  20 Non Formulary TETRAHYDROBIOPTERIN Tablets 10 mg  08.02.04 Formulary Thalidomide  05.03.01 Formulary Tipranavir Aptivus® 08.01.05 Formulary Tisagenlecleucel Kymriah® 05.01.04 Formulary Tobramycin inhaler TOBI Podhaler® 10.01.03 Formulary Tocilizumab  06.05.02 Formulary Tolvaptan Jinarc® 20 Non Formulary Treprostinil   13.05.03 Formulary Ustekinumab  05.03.02.02 Formulary Valganciclovir  08.01.05 Non Formulary Vandetanib Caprelsa® 08.01.05 Formulary Vemurafenib  11.08.02 Formulary Verteporfin  08.01.05 Non Formulary Vismodegib Erivedge® 05.02 Formulary Voriconazole  08.01.05 Non Formulary Vosaroxin Qinprezo 05.03.01 Formulary Zidovudine Retrovir®

Sunderland Joint Formulary