Formulary Search

Not assessed for inclusion on the formulary. Contact pharmacy team for advice on making an application.

On advice from specialist

NHSE do not recommend the routine prescription of vitamins and mineral preparations, with the exceptions of patients with medically diagnosed deficiency, including those with lifelong or chronic conditions, or post surgery resulting in malabsorption (e.g.  Whipple’s procedure and some other GI surgeries), calcium and vitamin D for osteoporosis, prescription-only vitamin D analogues or malnutrition. Continuing need should be reviewed on a regular basis. Not for use for prevention of deficiency  

https://www.toxbase.org/

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If a patient with diabetes were on insulin and on multiple other treatments, a discussion with the specialist team may be prudent prior to dapagliflozin initiation.

Type 2 diabetes. Trusts restrict to diabetic team initiation only.

Not licensed in Type 1 diabetes. Not to be initiated in new Type 1 patients. Shared care remains in place for existing patients only.

Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136

Treatment should be initiated or recommended by a heart failure specialist 

Dapagliflozin is the preferred SGLT2. Reserve combination products for patients in whom separate components are less appropriate.

Heamatology team only. 
NOT for dialysis-induced anaemia - this is not commissoned from any Surrey Heartlands Trusts. 

NHSE commissioned services only. This is NOT commissoned from any Surrey Heartlands Trusts. 

On recommendation from specialist sleep clinics (locally at RSFT/QVH) only.

For Transfusion-related iron overload.

Not for use in thalassemia or sickle cell - NHSE commissioned services only.

NHSE commissioned services only. This is NOT commissoned from any Surrey Heartlands Trusts. 

Only licensed for the NHSE commissioned indications. Therefore, not for use in Surrey Heartlands Trusts

NHSE commissioned services only. This is NOT commissoned from any Surrey Heartlands Trusts. 

Initiation and 1st month supply by the specialist team before any request for primary care prescribing.

ONLY after post single anastomosis duodenal illeal bypass with sleeve (SADI-S) or duodenal switch surgery.

Prescribing by primary care on recommendation from specialist team.

Not assessed for inclusion on the formulary. NICE guidance is anticipated in Aug 25. Advice will be updated post-NICE.

Initiation and stabilisation by the specialist team for a minimum of 3 months before any request for primary care prescribing.

Biosimilar - prescribe by brand.

Rheumatology only in secondary care. 
Restricted to use in patients for whom bisphosphonates are unsuitable.

Use only if 1st and 2nd line have failed.

Consider if self-care appropriate.

Use only if skin is infected. Prescribe short term only up to 4 weeks, for patients with eczema where recurrent infections are a problem.

Consider if self-care is appropriate

Use only if skin is infected. Prescribe short term only up to 4 weeks, for patients with eczema where recurrent infections are a problem.

Consider if self-care is appropriate

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For Transfusion-related iron overload.

Not for use in thalassemia or sickle cell - NHSE commissioned services only.

NHSE commissioned services only. This is NOT commissoned from any Surrey Heartlands Trusts. 

Prescribe generically.

Initiation in Primary Care on recommendation from the specialist team.

Prescribe generically.

Initiation in Primary Care on recommendation from the specialist team.

Note - In Primary Care, sublingual tablets are lower cost than oral lyophilisates. Consider the use of sublingual tablets if appropriate.

Initiation in Primary Care on recommendation from the specialist team.

10mcg nasal spray.

Initiation in Primary Care on recommendation from the specialist team.

4mcg/ml injection.

For haemophilic / von Willebrand patients undergoing surgery / following trauma.

Available as:
4mcg/ml (DDAVP)
15mcg/ml (Octim) - much more expensive. Useful when lower volume is required

Initiation in Primary Care on recommendation from the specialist paediatric team.

Prescribe generically.

Initiation in Primary Care on recommendation from the specialist paediatric team.

Prescribe generically.

Initiation in Primary Care on recommendation from the specialist paediatric team.

Note - In Primary Care, sublingual tablets are lower cost than oral lyophilisates. Consider the use of sublingual tablets if appropriate.

Initiation and 1 month supply by the specialist before any request for primary care prescribing.

Women - 25mcg dose

Men - 50mcg dose

NOTE - Trusts are unlikely to initiate oral contraceptives but will obtain supplies for the continuation of treatment during in-patient episodes.

Prescribe generically - not to be prescribed by brand.

12 hour missed pill window with higher risk of irregular bleeding

Option for endometriosis

NOTE - Trusts are unlikely to initiate oral contraceptives but will obtain supplies for the continuation of treatment during in-patient episodes.

Desorex, Zelletta, Feanolla, Cerelle, Desomono, Cerazette, Lovima -Do NOT prescribe by brand

On recommendation of palliative care team

Recommended in NICE NG191

On advice from palliative care specialist team.