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Sunderland Joint Formulary
NHS Sunderland Clinical Commissioning Group
South Tyneside and Sunderland NHS Foundation Trust
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 Formulary Chapter 9: Nutrition and blood - Full Chapter
09.01  Expand sub section  Anaemias and some other blood disorders
09.01.01  Expand sub section  Iron-deficiency anaemias
09.01.01.01  Expand sub section  Oral iron
 note 

Prescribers should prescribe the product with the lowest acquisition cost

Ferrous Fumarate (Fersaday®)
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Formulary

Tablets: 210mg (68mg iron)
Syrup 140mg/5ml

 
   
Ferrous Sulphate
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Formulary

Tablets: 200mg (65mg elemental iron)

 
   
Sodium Feredetate (Sytron®)
Formulary

Sugar-free elixir: 190mg/5ml (27.5mg elemental iron/5ml)

 
   
Ferric maltol (Feraccru)
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Formulary
Green +

Capsules: 30mg

 
   
09.01.01.01  Expand sub section  Iron and folic acid
09.01.01.01  Expand sub section  Compound iron preparations to top
09.01.01.02  Expand sub section  Parenteral iron
Ferric Carboxymaltose (Ferinject®)
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Formulary
Red

Solution for injection: 100mg/2ml, 500mg/10ml

 
   
Iron Isomaltose 1000 (Diafer)
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Formulary
Red

Solution for injection: 50mg/ml

 
   
Iron Isomaltoside 1000 (Monofer®)
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Formulary
Red

Solution for injection: 100mg/1ml (1ml,5ml, 10ml vials)

 
   
09.01.02  Expand sub section  Drugs used in megaloblastic anaemias
Folic Acid
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Formulary

Tablets: 400micrograms, 5mg
Oral solution: 2.5mg/5ml (sugar-free available)
unlicensed unlicensed Injection: 15mg/1ml

 
   
Hydroxocobalamin
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Formulary

Injection: 1mg/1ml

 
   
09.01.03  Expand sub section  Drugs used in hypoplastic, haemolytic, and renal anaemias
Eculizumab
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Formulary
Red
High Cost Medicine

Solution for infusion: 300mg

 
   
09.01.03  Expand sub section  Erythropoietin
Darbepoetin Alfa (Aranesp®)
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Formulary
Red
High Cost Medicine

Prefilled syringes: 10, 15, 20,30, 40, 50, 60, 80, 100, 150, 300 micrograms
Sureclick pens: 20,40,60,80, 100, 150, 300micrograms

 
Link  NICE TA323: Erythropoiesis‑stimulating agents (epoetin and darbepoetin) for treating anaemia in people with cancer having chemotherapy
   
Epoetin beta (NeoRecormon®)
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Formulary
Red
High Cost Medicine

Injection (pre-filled syringe): 500 units, 2,000 units, 3,000 units, 4,000 units, 5,000 units, 6,000 units, 10,000 units, 20,000 units, 30,000 units

 
Link  NICE TA 323: Erythropoiesis‑stimulating agents (epoetin and darbepoetin) for treating anaemia in people with cancer having chemotherapy
   
Methoxy Polyethylene Glycol-Epoetin Beta (Mircera®)
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Formulary
Red
High Cost Medicine

Injection (pre-filled syringe): 30 micrograms/0.3 mL, 50 micrograms/0.3 mL, 75 micrograms/0.3 mL, 100 micrograms/0.3 mL, 120 micrograms/0.3 mL, 150 micrograms/0.3 mL, 200 micrograms/0.3 mL, 250 micrograms/0.3 mL, 360 micrograms/0.6 Ml

 
Link  NICE TA 323: Erythropoiesis‑stimulating agents (epoetin and darbepoetin) for treating anaemia in people with cancer having chemotherapy
   
Epoetin alfa (Eprex®)
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Alternatives
Red
High Cost Medicine

Injection (pre-filled syringe): 1000, 2000, 3000, 4000, 5000, 6000, 8000, 10000, 20000, 30000, 40000units

 
Link  NICE TA 323: Erythropoiesis‑stimulating agents (epoetin and darbepoetin) for treating anaemia in people with cancer having chemotherapy
   
Epoetin Zeta
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Alternatives
Red

Injection (pre-filled syringe): 1000 units, 2000 units, 3000 units, 4000 units, 5000 units, 6000 units, 8000 units, 10000 units, 20000 units, 30000 units, 40000 units

 
Link  NICE TA 323: Erythropoiesis‑stimulating agents (epoetin and darbepoetin) for treating anaemia in people with cancer having chemotherapy
   
09.01.03  Expand sub section  Iron overload to top
Deferasirox (Exjade®)
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Formulary
Red
High Cost Medicine

Tablets:  90mg, 180mg, 360mg

 
   
Desferrioxamine Mesilate
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Formulary
Red
High Cost Medicine

Injection: 500mg, 2g

 
   
09.01.04  Expand sub section  Drugs used in autoimmune thrombocytopenic purpura
Rituximab
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Formulary
Red

(1st line for ITP -Intravenous with oral Prednisolone or Dexamethasone)
Injection: 100mg, 500mg

 
   
Anagrelide (Xagrid®)
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Formulary
Red

2nd line for ITP and patients at risk of essential thrombocythaemia
Capsules: 500micrograms

 
   
Avatrombopag
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Formulary
Red
 
Link  NICE TA 626: Avatrombopag for treating thrombocytopenia in people with chronic liver disease needing a planned invasive procedure
   
Caplacizumab (Cablivi®)
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Formulary
Red
High Cost Medicine
NHS England

Vial: powder and solvent for injection 10 mg

 
Link  NICE TA 667: Caplacizumab with plasma exchange and immunosuppression for treating acute acquired thrombotic thrombocytopenic purpura
   
Eltrombopag (Revolade®)
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Formulary
Red
High Cost Medicine

1st line for ITP patients who require treatment for bleeding, profound thrombocytopenia or to cover surgery during the Covid-19 pandemic
3rd line for severe, refractory ITP – choice according to patient preference

Tablets: 25mg, 50mg, 75mg

 
Link  Interim Clinical Commissioning Policy: Thrombopoietin receptor agonists as first line therapy for new or relapsed immune thrombocytopenia in adults and children over the age of 1 year during the COVID-19 pandemic
Link  NICE TA 293: Eltrombopag for treating chronic immune (idiopathic) thrombocytopenic purpura (review of technology appraisal 205)
   
Lusutrombopag
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Formulary
Red

3mg film-coated tablets

Approved for use according to criteria in NICE TA617

 
Link  NICE TA 617: Lusutrombopag for treating thrombocytopenia in people with chronic liver disease needing a planned invasive procedure
   
Romiplostim (Nplate®)
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Formulary
Red
High Cost Medicine

1st line for ITP patients who require treatment for bleeding, profound thrombocytopenia or to cover surgery during the Covid-19 pandemic
3rd line for severe, refractory ITP – choice according to patient preference

Injection: 250 micrograms

 
Link  Interim Clinical Commissioning Policy: Thrombopoietin receptor agonists as first line therapy for new or relapsed immune thrombocytopenia in adults and children over the age of 1 year during the COVID-19 pandemic
Link  NICE TA 221: Thrombocytopenic purpura - romiplostim
   
09.01.05  Expand sub section  G6PD deficiency
09.01.06  Expand sub section  Drugs used in neutropenia
Filgrastim (Neupogen®)
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Formulary
Red
High Cost Medicine

(1st line) Injection (Nivestim® - biosimilar): 12 million units (120 micrograms)/0.2mL, 30 million units (300 micrograms)/0.5mL, 48 million units (480 micrograms)/0.5mL


Injection (Neupogen®): 30 million units (300 micrograms)/mL


Injection (pre-filled pen, Neupogen® Singleject®): 30 million units (300 micrograms)/0.5mL, 48 million units (480 micrograms)/0.5 mL

 
   
Lenograstim (Granocyte®)
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Formulary
Red
High Cost Medicine

(1st line for stem cell harvesting only)


Injection: 13.4 million-unit (105 micrograms), 33.6 million-unit (263 micrograms)

 
   
09.01.07  Expand sub section  Drugs used to mobilise stem cells
Plerixafor (Mozobil®)
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Formulary
Red
High Cost Medicine

(2nd line for stem cell harvesting – needs Cancer Drugs Fund application)


Injection: 24 mg/1.2 mL

 
   
09.02  Expand sub section  Fluids and electrolytes to top
09.02.01  Expand sub section  Oral preparations for fluid and electrolyte imbalance
09.02.01.01  Expand sub section  Oral potassium
Potassium Chloride
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Formulary

Effervescent tablets: equivalent to potassium 12 mmol per tablet (Sando-K®)
Syrup (sugar-free):  equivalent to potassium 1 mmol/mL (Kay-Cee-L®)

 
   
Potassium Chloride
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Formulary
Green +

Modified-release tablets: equivalent to potassium 8 mmol per tablet (Slow-K®)

 
   
09.02.01.01  Expand sub section  Potassium removal
Patiromer calcium (Veltassa ®)
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Formulary
Green +
High Cost Medicine

Oral powder sachetes 8.4g, 16.8g, 25.2g

Recommended for use according to NICE criteria

 
Link  NICE TA623: Patiromer for treating hyperkalaemia
   
Polystyrene Sulphonate Resins (Calcium Resonium®)
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Formulary

Powder: 300g

 
   
Sodium polystyrene sulfonate (Resonium A®)
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Formulary

Powder: 454g

 
   
Sodium zirconium cyclosilicate (Lokelma ®)
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Formulary
Red

Sodium zirconium cyclosilicate is recommended as an option for treating hyperkalaemia in adults only if used:

  • in emergency care for acute life-threatening hyperkalaemia alongside standard care or

  • in outpatient care for people with persistent hyperkalaemia and chronic kidney disease stage 3b to 5 or heart failure, if they:

     

    • have a confirmed serum potassium level of at least 6.0 mmol/litre

    • are not taking an optimised dosage of renin-angiotensin-aldosterone system (RAAS) inhibitor because of hyperkalaemia and

    • are not on dialysis.

       

  • Sodium zirconium cyclosilicate is recommended only if the company provides it according to the commercial arrangement.
 
Link  NICE TA 599: Sodium zirconium cyclosilicate for treating hyperkalaemia
   
09.02.01.02  Expand sub section  Oral sodium and water
Sodium Chloride (Slow Sodium®)
Formulary

SR tablets: 600mg (equivalent to approximately 10mmol sodium)

 
   
Sodium Chloride Oral solution
Formulary
Red

unlicensed unlicensed oral solution (for use in paediatrics): 5mmol/mL

 
   
09.02.01.02  Expand sub section  Oral rehydration therapy (ORT) to top
Oral Rehydration Salts (Dioralyte®)
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Formulary

Oral powder: sachets containing sodium chloride 470 mg, potassium chloride 300 mg, disodium hydrogen citrate 530 mg, glucose 3.56 g/sachet (Dioralyte®)

 
   
09.02.01.03  Expand sub section  Oral bicarbonate
Sodium Bicarbonate
Formulary

(to provide around 6-7 mmol)


Tablets: 600 mg
Capsules: 500 mg


Prescribers should prescribe the product with lowest acquisition cost

 
   
Sodium Bicarbonate
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Formulary
Red

unlicensed unlicensed Oral solution (For use in paediatrics): 1mmol/1ml (100ml)

 
   
09.02.02  Expand sub section  Parenteral preparations for fluid and electrolyte imbalance
09.02.02.01  Expand sub section  Electrolytes and water
09.02.02.01  Expand sub section  Intravenous sodium
Sodium Chloride
Formulary

Sodium Chloride 0.9%(normal saline)
Injection: 5ml, 10ml & 20ml
IV infusion: 100ml, 250ml, 500ml & 1000ml
Irrigation: 1000ml & 3000ml



Sodium Chloride 0.18%
IV infusion: 500ml


Sodium Chloride 0.45%
IV infusion: 500ml


Sodium Chloride1.8%
IV infusion: 500ml


Sodium Chloride 2.7%
IV infusion: 500ml


Sodium Chloride 5%
IV infusion: 500ml


Sodium Chloride 30%
Injection: 10ml

 
   
Sodium Chloride and Glucose Intravenous Infusion
Formulary

IV infusion: 0.9%/5% 500ml
IV infusion: 0.18%/4% 500ml & 1000ml
IV infusion: 0.18%/10% 500ml
Infusion: 0.45%/5% 500ml

 
   
Hartmann's solution (compound sodium lactate)
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Formulary

Infusion: 500ml, 1000ml

 
   
09.02.02.01  Expand sub section  Intravenous glucose to top
Glucose Intravenous
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Formulary

IV infusion: 5% 100ml, 250ml, 500ml & 1000ml
IV infusion: 10% 500ml & 1000ml
IV infusion: 20% 500ml
IV infusion: 40% 500ml
IV infusion: 50% 500ml
Injection: 50% 50ml

 
   
09.02.02.01  Expand sub section  Intravenous potassium
Premixed potassium infusion bags
View adult BNF
Formulary

Infusion: 0.15% (10 mmol) potassium chloride & 0.9% sodium chloride 500ml
Infusion: 0.15% (20 mmol) potassium chloride & 0.9% sodium chloride 1000ml
Infusion: 0.15% (10 mmol) potassium chloride & 5% glucose 500ml
Infusion: 0.15% (20 mmol) potassium chloride & 5% glucose 1000ml
Infusion: 0.15% (10 mmol) potassium chloride & 10% glucose 500ml
Infusion:  0.15% (10 mmol) potassium chloride, 0.18% sodium chloride & 4%  glucose 500ml
Infusion:  0.15% (20 mmol) potassium chloride, 0.18% sodium chloride & 4%  glucose 1000ml
Infusion:  0.15% (10 mmol) potassium chloride, 0.9% sodium chloride & 5%  glucose 500ml
Infusion:  0.2% (13.5 mmol) potassium chloride & 0.9% sodium chloride 500ml
Infusion: 0.2% (27 mmol) potassium chloride & 0.9% sodium chloride 1000ml
Infusion:  0.2% (13.5 mmol) potassium chloride & 5% glucose 500ml
Infusion:  0.2% (27 mmol) potassium chloride & 5% glucose 1000ml
Infusion:  0.2% (13.5 mmol) potassium chloride, 0.18% sodium chloride & 4% glucose 500ml
Infusion: 0.2% (27 mmol) potassium chloride, 0.18% sodium chloride & 4% glucose 1000ml
Infusion:  0.3% (20 mmol) potassium chloride & 0.9% sodium chloride 500ml
Infusion: 0.3% (40 mmol) potassium chloride & 0.9% sodium chloride 1000ml
Infusion: 0.3% (20 mmol) potassium chloride & 5% glucose 500ml
Infusion:  0.3% (40 mmol) potassium chloride & 5% glucose 1000ml
Infusion: 0.3% (20 mmol) potassium chloride & 10% glucose 500ml
Infusion:  0.3% (20 mmol) potassium chloride & 20% glucose 500ml
Infusion:  0.3% (20 mmol) potassium chloride, 0.18% sodium chloride & 4% glucose 500ml
Infusion: 0.3% (40 mmol) potassium chloride, 0.18% sodium chloride & 4% glucose 1000ml
Infusion:  0.3% (20 mmol) potassium chloride, 0.45% sodium chloride & 5% glucose 500ml
Infusion:  0.3% (20 mmol) potassium chloride, 0.9% sodium chloride & 5% glucose 500ml
Infusion:  0.6% (40 mmol) potassium chloride & 0.9% sodium chloride 500ml
Infusion:  0.6% (40 mmol) potassium chloride & 5% glucose 500ml

 
   
09.02.02.01  Expand sub section  Bicarbonate and lactate
Sodium Bicarbonate
Formulary

Infusion: 1.26% 500ml
Infusion: 4.2% 500ml
Infusion: 8.4% 500ml

 
   
09.02.02.01  Expand sub section  Water
Water for Injection
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Formulary

Injection: 2ml, 5ml, 10ml, 20ml, 100ml & 500ml
Irrigation: 1000ml
Oral: 100ml

 
   
09.02.02.02  Expand sub section  Plasma and plasma substitutes
Human Albumin Solution
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Formulary
Red

Solution 4.5%: 50ml, 100ml, 500ml
Solution 20%: 50ml, 100ml


(Obtain via blood bank)

 
   
09.02.02.02  Expand sub section  Plasma substitutes to top
Gelatin (Gelofusine®)
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Formulary
Red

Isoplex Intravenous Infusion: 500 mL
Volplex Intravenous Infusion: 500 mL
Gelofusine Intravenous Infusion: 500 mL

 
   
09.03  Expand sub section  Intravenous nutrition - Contact CHS Pharmacy for advice
09.03  Expand sub section  Supplementary preparations
09.04  Expand sub section  Oral nutrition - contact CHS dietetics for advice
09.04.01  Expand sub section  Foods for special diets
09.04.02  Expand sub section  Enteral nutrition to top
09.05  Expand sub section  Minerals
09.05.01  Expand sub section  Calcium and magnesium
09.05.01.01  Expand sub section  Calcium supplements
Calcium Chloride
View adult BNF
Formulary
Red

Injection:10% equivalent to calcium 6.8 mmol/10 mL

 
   
Calcium Gluconate
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Formulary
Red

Injection: 10%, equivalent to calcium 2.25 mmol/10 mL

 
   
Calcium Salts
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Formulary

Chewable tablets (as carbonate 1.5 g): equivalent to calcium 600 mg, 15 mmol (Adcal®)


Effervescent tablets: equivalent to calcium 1 g, 25 mmol (Sandocal 1000®)


Syrup (per 5 mL): equivalent to calcium 102 mg, 2.55 mmol (Alliance Calcium Syrup)

 
   
09.05.01.02  Expand sub section  Hypercalcaemia and hypercalciuria
Cinacalcet (Mimpara®)
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Formulary
High Cost Medicine

Please note the RAG status of cinacelet is dependent on indication


Amber Cinacalcet for the treatment of primary hyperparathyrodism


Red Cinacalcet for the treatment of secondary hyperparahyrodism


Tablets: 30 mg, 60 mg, 90 mg

 
Link  NICE TA117: Hyperparathyroidism - cinacalcet
   
Etelcalcitide
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Formulary
Red

Vials: 2.5mg in 0.5ml, 5mg in 1ml, 10mg in 1ml

 
Link  NICE TA 448: Etelcalcetide for treating secondary hyperparathyroidism
   
Disodium pamidronate
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Formulary

Injection: 30mg

 
   
09.05.01.03  Expand sub section  Magnesium to top
Magnesium Aspartate (Magnaspartate®)
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Formulary

Oral powder: 6.5g (10 mmol/sachet)

 
   
Magnesium Glycerophosphate
Formulary

Magnesium glycerophosphate tablets (Neomag)
Tablets: 4mmol (97mg)


unlicensed unlicensed 


Liquid: equivalent to magnesium 5 mmol; also contains phosphate 5 mmol /5 mL


 


Prescribers should prescribe the product with lowest acquisition cost

 
   
Magnesium Sulphate
Formulary
Red

10%, 1 g in 10 mL (equivalent to magnesium 4 mmol/10 mL
50%, 1 g in 2 mL (equivalent to magnesium 4 mmol/2 mL)
50%, 2.5 g in 5 mL (equivalent to magnesium 10 mmol/5 mL)
50%, 5 g in 10 mL (equivalent to magnesium 20 mmol/10 mL)

 
   
09.05.02  Expand sub section  Phosphorus
09.05.02.01  Expand sub section  Phosphate supplements
Phosphate (oral supplements)
Formulary

Effervescent tablets: equivalent to phosphorus 500 mg, 16.1 mmol; sodium 468.8 mg, 20.4 mmol; potassium 123 mg, 3.1 mmol (Phosphate-Sandoz®)

 
   
Potassium acid phosphate
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Formulary
Red

unlicensed unlicensed Oral solution (for use in paediatrics): 1mmol/1ml, 100ml

 
   
Phosphate Polyfusor®
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Formulary
Red

Intravenous infusion: 500 mL

 
   
09.05.02.02  Expand sub section  Phosphate-binding agents
Calcium Acetate
Formulary

Tablets: 1 g (Phosex)
Tablets: 475mg, 950mg (Renacet)

 
   
Calcium carbonate
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Formulary

Tablets: 1.5 g (Adcal)


Please note preferred brands may vary between primary and secondary care

 
   
Calcium/Magnesium Salts
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Formulary
Green +

Tablets: Calcium acetate 435 mg and Magnesium carbonate 235 mg (Osvaren)

 
   
Lanthanum (Fosrenol ®)
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Formulary
Green +
High Cost Medicine

Tablets: 500 mg, 750 mg, 1 g (as carbonate hydrate)
Powder: 750 mg, 1 g

 
   
Sevelamer Carbonate (Renvela®)
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Formulary
Green +
High Cost Medicine

Powder for oral suspension: 2.4 g

 
   
Sevelamer Hydrochloride  (Renagel®)
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Formulary
Green +
High Cost Medicine

Tablets: 800 mg

 
   
09.05.03  Expand sub section  Fluoride
09.05.04  Expand sub section  Zinc to top
Zinc acetate
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Formulary
Red

Capsules: 25mg

 
   
Zinc Sulphate
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Formulary

Effervescent tablets: 125 mg (Solvazinc)

 
   
09.05.05  Expand sub section  Selenium
Selenium
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Formulary

Tablets: 200 micrograms
Oral solution available

 
   
Selenium
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Formulary
Red

Injection: 100micrograms in 2ml

 
   
09.06  Expand sub section  Vitamins
09.06.01  Expand sub section  Vitamin A
Vitamins A and D
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Formulary

Capsules: containing vitamin A 4,000 units, vitamin D 400 units (10 micrograms)

 
   
09.06.02  Expand sub section  Vitamin B group
Thiamine
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Formulary

Tablets: 50 mg, 100 mg

 
   
Vitamins B+C (Pabrinex® High Potency IV and IM)
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Formulary

IM High Potency Injection: 7 mL
IV High Potency Injection: 10 mL

 
   
Pyridoxine Hydrochloride
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Formulary
Green +

Tablets: 10 mg, 20 mg, 50mg

 
   
Pyridoxine Hydrochloride
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Formulary
Red

unlicensed unlicensed Injection: 50 mg/2 mL
Paediatric use only

 
   
09.06.02  Expand sub section  Oral vitamin B complex preparations to top
09.06.02  Expand sub section  Other compounds
09.06.03  Expand sub section  Vitamin C
Ascorbic Acid
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Formulary

Tablets: 50 mg, 100 mg, 200 mg, 500 mg

 
   
09.06.04  Expand sub section  Vitamin D
 note 

Preparations may contain peanut and soya oil (suitable for vegetarians). Check allergy status prior to prescribing.

Colecalciferol
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Formulary

Capsules: 800 units, 20,000 units
Tablets: 800units, 1000units, 25,000 units


Liquid: Secondary care: contact pharmacy for advice regarding available brands. Primary care: use most clinically and cost effective option


Note,Green +  for bariatric indications

 
   
Colecalciferol and Calcium Carbonate
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Formulary

Please note, the following preparations are listed generically. Please be aware that the branded products issued by primary and secondary care, and patients may be changed onto an equivalent preparation depending on which products are most cost-effective.


Tablets: 1.5g Calcium Carbonate (600mg Calcium) and 400 units (10mcg) Colecalciferol
Chewable tablets: 1.5g Calcium Carbonate (600mg Calcium) and 400 units (10mcg) Colecalciferol
Eff Tablets: 1.5g Calcium Carbonate (600mg Calcium) and 400 units (10mcg)
Caplets: 750mg calcium carbonate (300mg Calcium) an 200units (5mcg) – used by secondary care, review use in primary care as more cost-effective options are available.             



Secondary care: contact pharmacy for advice regarding available brands. Primary care: use most clinically and cost effective option

 
   
Alfacalcidol
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Formulary

Capsules: 0.25 micrograms, 0.5 micrograms, 1 microgram
Oral drops (sugar-free): 2 micrograms/1 mL
Injection: 1 microgram/0.5 mL, 2 micrograms/1 mL

 
   
Calcitriol
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Formulary
Green +

Capsules: 0.25 micrograms, 0.5 micrograms

 
   
Ergocalciferol
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Formulary
Red

Injection: 300,000 units/1 mL, 600,000 units/2 mL

 
   
Paricalcitol (Zemplar®)
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Formulary
Red

Capsules: 1 microgram, 2 micrograms, 4 micrograms
Injection: 5 micrograms/1 mL

 
   
09.06.05  Expand sub section  Vitamin E
Alpha Tocopheryl Acetate
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Formulary
Green +

Suspension:  500 mg/5 mL
Capsules: 200units (for use in children with cystic fibrosis)

 
   
Alpha Tocopheryl Acetate
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Formulary
Red

unlicensed unlicensed Injection: 100mg/2ml 

 
   
09.06.06  Expand sub section  Vitamin K to top
Menadiol Sodium Phosphate
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Formulary

Tablets: 10 mg

 
   
Phytomenadione (Konakion® MM)
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Formulary
Green +

Capsules: 1 mg (in oily basis)
Injection: 10 mg/1 mL (Konakion® MM), 2 mg/0.2 mL (Konakion® MM Paediatric)
NB) Konakion® MM Paediatric can be given orally, by intramuscular injection or be intravenous injection. Oral dispensers are provided in each pack for safe administration.

 
   
09.06.07  Expand sub section  Multivitamin preparations
Mutivitamin
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Formulary

Capsules: Multivitamins BPC

 
   
Multivitamin preparations (Abidec®)
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Formulary

Abidec drops, 25mL
Contains Vitamins A (1,333 units as palmitate per 0.6mL dose), B group, C and D. Includes arachis (peanut) oil

 
   
Multivitamin preparations (Dalivit®)
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Formulary

Drops, 25mL
Contains Vitamins A (5,000 units as palmitate per 0.6mL dose), B group, C and D

 
   
Multivitamin preparations (Ketovite®)
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Formulary

Tablets: contains Ascorbic acid, Riboflavin, Thiamine, Pyridoxine, Nicotinamide, Calcium pantothenate, Alpha tocopheryl acetate, Inositol, Biotin, Folic acid and Acetomenaphthone
Liquid (sugar-free 150mL): contains Vitamin A, Ergocalciferol, Choline chloride and Cyanocobalamin

 
   
Multivitamin preparations (Renavit ®)
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Formulary

Tablets: contains ascorbic acid 60 mg, thiamine 1.5 mg, riboflavin 1.7 mg, nicotinamide 20 mg, pyridoxine hydrochloride 10 mg, folic acid 800 micrograms, cyanocobalamin 6 micrograms, D-biotin 300 micrograms, pantothenic acid 10 mg


For patients on dialysis

 
   
09.06.07  Expand sub section  Vitamin and mineral supplements and adjuncts to synthetic diets
Multivitamins and minerals (Valupak®)
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Formulary

Tablets: contains vitamin A 800 mcg (2666 units), vitamin B1 (thiamine) 1.1 mg, vitamin B2 (riboflavin) 1.4 mg, vitamin B3 (niacin) 16 mg, vitamin B6 (pyridoxine) 1.4 mg, vitamin B12 (cyanocobalamin) 2.5 mcg, vitamin C (ascorbic acid) 80 mg, vitamin D2 (ergocalciferol) 200 units, vitamin E (α-tocopheryl) 12 mg, pantothenic acid (Vitamin B5) 6 mg, folic acid 200 mcg, calcium 50 mg, copper 1 mg, iodine 450 mcg, iron 14 mg, manganese 2 mg, magnesium 16.5 mg, phosphorous 38.5 mg, zinc 10 mg

 
   
Multivitamins and minerals (Forceval Soluble®)
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Formulary
Green +
High Cost Medicine

Soluble tablets: contains vitamin A 2,500 units, vitamin B1 (thiamine) 1.2 mg, vitamin B2 (riboflavin) 1.6 mg, vitamin B3 (niacin) 18 mg, vitamin B6 (pyridoxine) 2 mg, vitamin B12 (cyanocobalamin) 3 mcg, vitamin C (ascorbic acid) 60 mg, vitamin D2 (ergocalciferol) 400 units, vitamin E (α-tocopheryl) 10 mg, biotin (vitamin H) 100 mcg, pantothenic acid (Vitamin B5) 4 mg, folic acid 400 mcg, calcium 100 mg, chromium 200 mcg, copper 2 mg, iodine 140 mcg, iron 12 mg, manganese 3 mg, magnesium 30 mg, molybdenum 250 mcg, phosphorous 77 mg, potassium 4 mg, selenium 50 mcg, zinc 15 mg

 
   
09.07  Expand sub section  Bitters and tonics
09.08  Expand sub section  Metabolic disorders - Contact CHS Pharmacy for advice
09.08.01  Expand sub section  Drugs used in metabolic disorders to top
09.08.01  Expand sub section  Wilsons disease
09.08.01  Expand sub section  Carnitine deficiency
09.08.01  Expand sub section  Fabry's disease
09.08.01  Expand sub section  Gaucher's disease
09.08.01  Expand sub section  Mucopolysaccharidosis I to top
09.08.01  Expand sub section  Pompe disease
09.08.01  Expand sub section  Nephropathic cystinosis
09.08.01  Expand sub section  Urea cycle disorders
09.08.02  Expand sub section  Acute porphyrias
09.08.02  Expand sub section  Drugs unsafe for use in acute porphyrias to top
 ....
 Non Formulary Items
Aluminium Hydroxide  (Alu-Cap®)

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Non Formulary
 
Asfotase alfa  (Strensiq®)

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Non Formulary
 
Betaine

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Non Formulary
 
Biotin

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Non Formulary
 
Bitters and tonics

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Non Formulary
 
Bitters and tonics  (Effico®)

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Non Formulary
 
Bitters and tonics  (Labiton®)

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Non Formulary
 
Bitters and tonics  (Metatone®)

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Non Formulary
 
Calcitriol  (Calcijex®)

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Non Formulary
 
Calcitriol  (Rocaltrol®)

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Non Formulary
 
Colestilan  (BindRen®)

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Non Formulary
High Cost Medicine
 
Compound iron preparations  (Givitol®)

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Non Formulary
 
Compound Sodium Lactate Intravenous Infusion

Non Formulary
 
Cyanocobalamin

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Non Formulary
 
Deferiprone  (Ferriprox®)

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Non Formulary
High Cost Medicine
 
Dextran 40®

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Non Formulary
 
Dextran 70  (RescueFlow®)

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Non Formulary
 
Dextran 70®

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Non Formulary
 
Dihydrotachysterol  (AT 10®)

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Non Formulary
 
Efmoroctocog alfa  (Elocta®)

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Non Formulary
 
Eliglustat  (Cerdelga®)

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Non Formulary
High Cost Medicine
 
Etherified Starch

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Non Formulary
 
Etherified Starch

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Non Formulary
 
Etherified Starch  (HAES-steril®)

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Non Formulary
 
Etherified Starch  (Hemohes®)

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Non Formulary
 
Etherified Starch  (Infukoll®)

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Non Formulary
 
Ferric citrate coordination complex  (Fexeric®)

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Non Formulary
 
Ferumoxytol Injection  (Rienso ®)

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Non Formulary
 
Fluoride

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Non Formulary
 
Flurides  (Duraphat® (Mouthwash))

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Non Formulary
 
Flurides  (Duraphat® (Toothpaste))

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Non Formulary
 
Flurides  (En-De-Kay® (Mouthwash))

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Non Formulary
 
Flurides  (En-De-Kay® (Oral Drops))

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Non Formulary
 
Flurides  (En-De-Kay® (Tablet))

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Non Formulary
 
Flurides  (Flour-a-day® (Tablet))

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Non Formulary
 
Flurides  (FlouriGard® (Gel))

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Non Formulary
 
Flurides  (FlouriGard® (Mouthwash))

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Non Formulary
 
Flurides  (FluoriGard® (Tablet))

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Non Formulary
 
Gelatin  (Gelaspan®)

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Non Formulary
 
Gelatin  (Geloplasma®)

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Non Formulary
 
Gelatin  (Haemaccel®)

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Non Formulary
 
Gelatin  (Volplex®)

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Non Formulary
 
Glycerol phenylbutyrate  (Ravicti®)

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Non Formulary
 
Cytotoxic Drug  Hydroxycarbamide  (Siklos®)

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Non Formulary
 
Hypertonic Solution  (HyperHAES®)

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Non Formulary
 
Iron and Folic Acid  (Ferrograd Folic®)

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Non Formulary
 
Iron and Folic Acid  (Pregaday®)

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Non Formulary
 
Iron and Folic Acide  (Fefol®)

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Non Formulary
 
Iron and Folic Acide  (Galfer FA®)

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Non Formulary
 
Multivitamin  (Viteyes®)

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Non Formulary
 
Multivitamin including lutein  (PreserVision®, Vitalux Plus®)

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Non Formulary
 
Multivitamin including lutein  (Vitalux Plus®)

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Non Formulary
 
Multivitamin including lutein and zeaxanthin  (ICaps®, Macushield®, Ocuvite®)

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Non Formulary
 
Multivitamin including lutein and zeaxanthin  (Macushield®)

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Non Formulary
 
Multivitamin including lutein and zeaxanthin  (Ocuvite®)

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Non Formulary
 
Nicotinamide

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Non Formulary
 
Nitisinone

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Non Formulary
 
Oxymetholone

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Non Formulary
 
Plasma-lyte 148

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Non Formulary
 
Plasma-lyte 148 with Glucose 5%

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Non Formulary
 
Polysaccharide Iron Complex  (Miferex®)

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Non Formulary
 
Riboflavin

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Non Formulary
 
Ringer's Solution for Injection

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Non Formulary
 
Sebelipase alfa  (Kanuma®)

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Non Formulary
 
Sodium Dichloroacetate

Non Formulary
 
sucroferric oxyhydroxide  (Velphoro®)

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Non Formulary
 
Tetrastarch  (Tetraspan®)

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Non Formulary
 
Tetrastarch  (Venofundin®)

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Non Formulary
 
Tetrastarch  (Volulyte®)

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Non Formulary
 
Tetrastarch  (Voluven®)

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Non Formulary
 
Trisodium Edetate  (Limclair®)

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Non Formulary
 
Ubidecarenone

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Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to SPCs
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Red

Drugs for hospital use or use by a specialist within specialist centre only. Initiation and monitoring of treatment should remain under the total responsibility of the appropriate hospital clinician or specialist. These drugs should only be prescribed under the direct supervision of that clinician or specialist and are not suitable for shared care arrangements. The drug should be supplied via the hospital or specialist centre for the duration of treatment.   

Amber

These are specialist drugs which must be initiated by secondary care specialist prescribers, but with the potential to transfer prescribing to primary care within written and agreed shared care protocols and according to the agreed process for transfer of care. For these drugs, in order to ensure patient safety, some aspects of care must remain with the specialist due to their complexity e.g. monitoring of disease or drug response. Other more routine aspects can be transferred to the GP e.g. monitoring of adverse effects and supply of the medicine. The specific responsibilities of the specialist and GP are defined in the shared care agreement for each drug. Shared care agreements are still under development for some amber drugs. Until these are available, it would be expected that any shared care request from secondary care to a GP would be accompanied by written information which defines prescribing and monitoring responsibilities. The hospital specialist should also provide the GP with enough information and support to allow the safe transfer and ongoing management of prescribing into primary care.   

Green +

Drugs which should usually be initiated in secondary care, or by a specialist clinician, but can be safely maintained in primary care with very little or no monitoring required. In some cases there may be a further restriction for use outlined - these will be defined in each case.  

Green

These are defined as new and established drugs, which may be prescribed, initiated, changed or maintained on FP10 by the GP and, if appropriate, discontinued without recourse to secondary care. N.B. DRUGS NOT IDENTIFIED IN THE FORMULARY BY A RED, AMBER OR GREEN+ SYMBOL ARE CLASSIFIED AS GREEN.   

netFormulary