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A to Z of Drugs : V
Records returned : 37 (on 29 May 2025 at 01:19:56).
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Icon Key
NFD1
Non formulary
NFD2
Not assessed for formulary status. Apply to APC / DTC before use.
CD
Controlled drug. Prescribing and/or storage requirements may apply
R
Restrictions apply

Safety Alert

Unlicensed - no UK marketing license in place
Un
Off-label use. Not licensed for this indication.
NHSE
Treatment commissioned by NHS England
CDF
Cancer Drugs Fund
ICB
Treatment commissioned by the ICB
Link to the NICE website

Low carbon device
Status Key
Red
Specialist ONLY drugs - treatment initiated and continued by specialist clinicians
Amber
Prescribing initiated and stabilised by specialist but has potential to transfer to primary care under a formal shared care agreement
Green
GPs (or non-medical prescribers in primary care) are able to take full responsibility for initiation and continuation of prescribing.
Green (see narrative)
GPs (or non-medical prescribers in primary care) are able to take full responsibility for initiation and continuation of prescribing.
Please refer to the narrative on the Drug Profile page where additional information may be conveyed as to the place in therapy or restrictions for use that have been locally agreed.
Non Formulary
Not recommended for use in any health setting across the Surrey Heartlands Integrated Care System
Blue
Prescribing initiated and stabilised by specialist but has potential to transfer to primary care WITHOUT a formal shared care agreement. Please note that in some circumstances a specialist may recommend that prescribing can be started in primary care.
See narrative
See narrative - may be applied in instances where a traffic light status has not yet been agreed but an entry to the formulary has been made to clarify interim arrangements.
Drug
Indication
Status
Restrictions/Comments
Formulary Status
Links
Indication :
Status :
Green
Formulations :
- Not Specified
Restrictions / Comments:
Important
Treatments for ED on the NHS require an SLS endorsement.
Links :
Indication :
Status :
Non Formulary
Formulations :
- Not Specified
Restrictions / Comments:
Formulary Status :
Links :
SPC
NFD1
Indication :
Status :
Blue
Formulations :
- Vaginal insert
Restrictions / Comments:
Important
Prescribing in primary care on recommendation from the specialist NHS Pelvic Health Physiotherapy Team only.
DIVEEN - 3rd line - consider if other devices are unsuitable. Efemia is the preferred device.
Formulary Status :
Links :
Indication :
Status :
Blue
Formulations :
- Vaginal insert
Restrictions / Comments:
Important
Preferred
Prescribing in primary care on recommendation from the specialist NHS Pelvic Health Physiotherapy Team only.
EFEMIA - 1st line. Reusable product. Preferred choice for daily or intermittent use
Formulary Status :
Links :
Indication :
Status :
Blue
Formulations :
- Vaginal insert
Restrictions / Comments:
Important
Prescribing in primary care on recommendation from the specialist NHS Pelvic Health Physiotherapy Team only.
CONTIFORM - 2nd line choice for daily or intermittent use.
Formulary Status :
Links :
Indication :
Status :
Blue
Formulations :
- Vaginal insert
Restrictions / Comments:
Important
Prescribing in primary care on recommendation from the specialist NHS Pelvic Health Physiotherapy Team only.
CONTRELLE ACTIVGARD - not a preferred device. Single-use and more costly than alternatives.
Formulary Status :
Links :
Indication :
Status :
Green
Formulations :
- Tablets
Restrictions / Comments:
Important
Follow local guidelines on the use of antimicrobials
Formulary Status :
Links :
Indication :
Status :
Red
Formulations :
- Oral solution
Restrictions / Comments:
Important
Restricted antimicrobial to be used under advice of Microbiology consultant
Formulary Status :
Links :
SPC
R
Indication :
Status :
Green
Formulations :
- Capsules
Restrictions / Comments:
Formulary Status :
Links :
Indication :
Status :
Green
Formulations :
- Capsules
Restrictions / Comments:
Formulary Status :
Links :
Indication :
Status :
Green (see narrative)
Formulations :
- Tablets
Restrictions / Comments:
Important
MHRA alert: Hydrochlorothiazide risk of non-melanoma skin cancer
Links :
Indication :
Status :
Red
Formulations :
- Infusion
Restrictions / Comments:
Important
Restricted Use - for use when indicated by local trust antimicrobial guidelines or specialist microbiology recommendation. This drug requires therapeutic monitoring.
Formulary Status :
Links :
SPC
R
Indication :
Status :
Red
Formulations :
- Eye drops (preservative free)
Restrictions / Comments:
Important
5% preservative free eye drops (unlicensed). Under microbiology guidance. Ophthalmology only.
Formulary Status :
Links :
Indication :
Status :
Green
Formulations :
- Capsules
Restrictions / Comments:
Important
Restricted Use - for use when indicated by local trust antimicrobial guidelines, NICE condensed summary table of antimicrobial guidance or specialist microbiology recommendation. The APC notes that although current NICE guidelines recommend vancomycin first line for treatment of C diff, 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.
Formulary Status :
Links :
SPC
R
Indication :
Status :
Red
Formulations :
- Intravitreal injection
Restrictions / Comments:
Important
Ophthalmology specialists only.
Formulary Status :
Links :
SPC
Un
Indication :
Status :
Non Formulary
Formulations :
- Not Specified
Restrictions / Comments:
Formulary Status :
Links :
SPC
NFD1
Indication :
Status :
Non Formulary
Formulations :
- Not Specified
Restrictions / Comments:
Formulary Status :
Links :
Indication :
Status :
Non Formulary
Formulations :
- Not Specified
Restrictions / Comments:
Formulary Status :
Links :
SPC
NFD1
Indication :
Status :
Non Formulary
Formulations :
- Not Specified
Restrictions / Comments:
Formulary Status :
Links :
SPC
NFD1
Indication :
Status :
Green (see narrative)
Formulations :
- Tablets
Restrictions / Comments:
Formulary Status :
Links :
Indication :
Status :
Red
Formulations :
- Intravenous infusion
- Subcutaneous injection (sc)
Restrictions / Comments:
Important
Only after steroids and infliximab (1st-line) have been ineffective
Formulary Status :
Links :
Indication :
Status :
Red
Formulations :
- Infusion
- Subcutaneous injection (sc)
Restrictions / Comments:
Important
Not 1st line.
Only in patients where steroids and/or TNF inhibitor not effective / appropriate
Formulary Status :
Links :
Indication :
Status :
See narrative
Formulations :
- Not Specified
Restrictions / Comments:
Important
This drug, for this indication, has not yet been assessed for formulary status. Contact your pharmacy team for advice on making an application to APC.
Formulary Status :
Links :
SPC
NFD2
Indication :
Status :
Green (see narrative)
Formulations :
- Modified release tablets
Restrictions / Comments:
Important
Off-label use.
Formulary Status :
Links :
Indication :
Status :
Green
Formulations :
- Modified release capsules
- Modified release tablets
- Tablets
Restrictions / Comments:
Formulary Status :
Links :
Indication :
Status :
Green
Formulations :
- Oral solution
Restrictions / Comments:
Links :
Indication :
Status :
Green
Formulations :
- Tablets
Restrictions / Comments:
Formulary Status :
Links :
Indication :
Status :
Red
Formulations :
- Injection
Restrictions / Comments:
Formulary Status :
Links :
Indication :
Status :
Green (see narrative)
Formulations :
- Tablets
Restrictions / Comments:
Important
Mirabegron is the preferred option where an antimuscarinic is not suitable. Vibegron should have a very limited place in therapy.
Formulary Status :
Links :
Indication :
Status :
Blue
Formulations :
- Sachets (powder)
- Tablets
Restrictions / Comments:
Important
Specialist initiation before transfer of prescribing to primary care
Formulary Status :
Links :
Indication :
Status :
Non Formulary
Formulations :
- Soluble tablets
Restrictions / Comments:
Formulary Status :
Links :
SPC
NFD1
Indication :
Status :
Non Formulary
Formulations :
- Tablets
Restrictions / Comments:
Important
Existing patients would not be expected to change therapy unless appropriate to do so.
Formulary Status :
Links :
Indication :
Status :
Red
Formulations :
- Intravenous infusion
Restrictions / Comments:
Important
https://www.toxbase.org/ . Unlicensed. Store in the fridge.
Can be ordered from Public Health England (PHE) by email vaccinesupply@phe.gov.uk
https://www.toxbase.org/
Formulary Status :
Links :
Indication :
Status :
Formulations :
- Not Specified
Restrictions / Comments:
Formulary Status :
Links :
Indication :
Status :
Non Formulary
Formulations :
- Not Specified
Restrictions / Comments:
Important
NHS England - specialist centres only
Formulary Status :
Links :
Indication :
Status :
Red
Formulations :
- Not Specified
Restrictions / Comments:
Important
NHS England - specialist centres only
Formulary Status :
Links :
SPC
NHSE