Formulary Search

NHSE commissioned services only. No Surrey Heartlands Trusts are commissioned to provide this.

NHSE commissioned services only. No Surrey Heartlands Trusts are commissioned to provide this.

NHSE commissioned services only. No Surrey Heartlands Trusts are commissioned to provide this.

NHSE commissioned services only. No Surrey Heartlands Trusts are commissioned to provide this.

NHSE commissioned services only. No Surrey Heartlands Trusts are commissioned to provide this.

NHS England - specialist centres only

NHSE commissioned services only. No Surrey Heartlands Trusts are commissioned to provide this.

Follow local guidelines on the use of antimicrobials

Specialist centre only

Commissioned by NHSE from specialist centres only.

For place in therapy see guidelines on PAD

For patients where allopurinol is not tolerated or contraindicated

To be initiated at Specialist centres (NHSE)

Primary care prescribing on recommendation from specialist team for Familial hypercholesterolaemia and hypertriglyceridaemia.

Prescribe by brand in Primary Care. Not for use in opioid naïve patients. Limited place in therapy - on specialist advice only

See separate listing for use in assisted ventilation and anaesthesia

100mcg in 2ml injection used intranasally in paediatrics for painful procedures.

Immediate release fentanyl preparations are non-formulary for all pain indications EXCEPT for breakthrough pain in patients receiving opioid therapy for cancer pain.

Immediate release fentanyl preparations are only on formulary for breakthrough pain in patients receiving opioid therapy for cancer pain.

Immediate release fentanyl preparations are only on formulary for breakthrough pain in patients receiving opioid therapy for cancer pain.

For use in PCA/PIEB during labour

2nd line. Preferred option in pregnancy or under 18 years.
Ferric derisomaltose is 1st line.

Ferric Maltol 30mg capsules – reserved as a last option before referral and if parenteral iron is being considered

Prescribing for children: Express the dose in terms of elemental iron and iron salt and select the most appropriate preparation; specify both the iron salt and formulation on the prescription.

Prescribing for children: Express the dose in terms of elemental iron and iron salt and select the most appropriate preparation; specify both the iron salt and formulation on the prescription.

300mg tablets.
Prescribing for children: Express the dose in terms of elemental iron and iron salt and select the most appropriate preparation; specify both the iron salt and formulation on the prescription.

Prescribing for children: Express the dose in terms of elemental iron and iron salt and select the most appropriate preparation; specify both the iron salt and formulation on the prescription.

Prescribing for children: Express the dose in terms of elemental iron and iron salt and select the most appropriate preparation; specify both the iron salt and formulation on the prescription.

BNF: Modified-release preparations of iron are licensed for once-daily dosage, but have no therapeutic advantage and should not be used. 

3rd line - for patients requiring more potent treatment

2nd line to loratadine / cetirizine tablets. 120mg tablets available to buy over the counter.180mg tablets NOT licensed for allergic rhinitis. 30mg reserved for paediatrics.

NHSE commissioned services only. No Surrey Heartlands Trusts are commissioned to provide this.

Granules (for oral suspension) should be used in patients requiring a liquid preparation. Restricted Use - for use when indicated by local trust antimicrobial guidelines, NICE condensed summary table of antimicrobial guidance or specialist microbiology recommendation. For any patient requiring a liquid preparation, fidaxomicin granules should be prescribed. The APC notes that although current NICE guidelines recommend vancomycin first line, it is recognised that this was based on cost and in exceptional cases when a liquid is required, fidaxomicin granules are appropriate to prescribe as a licensed preparation that supports timely treatment.

Ulcerative colitis - adults only

Refer to St Luke's Protocols for current indications and further detail.

NHS England - specialist centres only

Specialist initiation and at least one month supply before transfer to primary care

Unlicensed. For use or advice by cardiology consultants only.

Contra-indicated in Penicillin Allergy. Follow local guidelines on the use of antimicrobials.

Contra-indicated in Penicillin Allergy. Follow local guidelines on the use of antimicrobials.

See PAD for guidance on providing reserve supplies for dosing during acute illness

2nd line option. Requests for primary care prescribing on recommendation from specialist endocrinology team only.

For advice on dosing of glucocorticoids during acute illness please see PAD page

2nd line option. Requests for primary care prescribing on recommendation from specialist endocrinology team only.

Postural hypotension - off label use. Specialist team initiation and supply for at least 1 month before transfer of prescribing to primary care.

https://www.toxbase.org/

Restricted to use in patients who are intolerant or refractory to other treatment options

Ophthalmology specialists only. In patients who have failed to respond to prior treatments.

Ophthalmology specialists only.

Lidocaine 4% with Fluorescein 0.25%

Short-term use only. Primary Care prescribing on specialist recommendation.

Flixotide Accuhaler - specialist paediatric recommendation. 50 and 100mcg strength only.

Children only - ICS alone not recommended in adults with asthma.

Prescribe by BRAND

Flixotide Evohaler - specialist paediatric recommendation. 50 and 125 mcg strength only.

Children only - ICS alone not recommended in adults with asthma.

Prescribe by BRAND

Mometasone Furoate is the preferred intranasal steroid for allergic rhinitis. If fluticasone is required, prescribe as fluticasone furoate in Primary Care (less costly option). Prices may vary in secondary care. NOTE: ASPH restrict fluticasone furoate to use in paediatrics due to smaller nozzle size.

Mometasone Furoate is the preferred intranasal steroid for allergic rhinitis. If fluticasone is required, prescribe as fluticasone furoate in Primary Care (less costly option). Prices may vary in secondary care. NOTE: ASPH recommend fluticasone furoate in paediatrics due to smaller nozzle size.

Off-label use. Only the fluticasone drops are licensed for nasal polyps.

Reserved for use where monotherapy is inadequate. Not 1st line.

Flutiform 50/5 - For children aged 5 to 11 years needing ICS/LABA, unable to use DPI.

Not recommended for use in adults.

Prescribe by BRAND

Flutiform 125/5 and 250/10 - on request from specialist team only.

Very high carbon footprint.

Prescribe by BRAND.

Salmeterol containing preparations not recommended in asthma guideline.

Increased risk of adrenal suppression in children.

Not for initiation in new patients.

Salmeterol containing preparations not recommended in asthma guideline.

Increased risk of adrenal suppression in children.

Not for initiation in new patients.

Not recommended in Surrey Heartlands COPD guidelines.

Not for initiation in new patients.