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Formulary Book : Contents NHS Canterbury And Coastal CCG

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1.1.2.1 Gastro-intestinal system | Dyspep&Gastro-Oesophageal Reflux Disease | Other Drugs for Dyspepsia and GORD 8 1.2 Gastro-intestinal system | Antispasmod.&Other Drgs Alt.Gut Motility 9 1.3.1 Gastro-intestinal system | Antisecretory Drugs+Mucosal Protectants | H2-Receptor Antagonists 10 1.3.5 Gastro-intestinal system | Antisecretory Drugs+Mucosal Protectants | Proton Pump Inhibitors 10 1.4.2 Gastro-intestinal system | Acute Diarrhoea | Antimotility Drugs 13 1.4.3 Gastro-intestinal system | Acute Diarrhoea | Inhibitors 13 1.5 Gastro-intestinal system | Chronic Bowel Disorders 13 1.5.1 Gastro-intestinal system | Chronic Bowel Disorders | Aminosalicylates 13 1.5.2 Gastro-intestinal system | Chronic Bowel Disorders | Corticosteroids 16 1.6.2 Gastro-intestinal system | Laxatives | Stimulant Laxatives 16 1.6.4 Gastro-intestinal system | Laxatives | Osmotic Laxatives 17 1.6.6 Gastro-intestinal system | Laxatives | Peripheral receptor antagonists 18 1.6.7 Gastro-intestinal system | Laxatives | 5HT4-receptor agonists 18 1.7.2 Gastro-intestinal system | Local Prepn for Anal & Rectal Disorders | Co Haemorrhoidal Prep's + Corticosteroid 19 1.7.4 Gastro-intestinal system | Local Prepn for Anal & Rectal Disorders | Management of Anal Fissures 19 1.9.1 Gastro-intestinal system | Drugs Affecting Intestinal Secretions | Drugs Affecting Biliary Composition&Flow 19 2.1.1 Cardiovascular system | Positive Inotropic Drugs | Cardiac Glycosides 19 2.1.2 Cardiovascular system | Positive Inotropic Drugs | Phosphodiesterase Inhibitors 20 2.2.1 Cardiovascular system | Diuretics | Thiazides And Related Diuretics 20 2.2.2 Cardiovascular system | Diuretics | Loop Diuretics 21 2.2.3 Cardiovascular system | Diuretics | Pot-Sparing Diuretics&Aldosterone Antag 22 2.2.4 Cardiovascular system | Diuretics | Potassium Sparing Diuretics & Compounds 23 2.3.2 Cardiovascular system | Anti-Arrhythmic Drugs | Drugs For Arrhythmias 23 2.4 Cardiovascular system | Beta-Adrenoceptor Blocking Drugs 24 2.5.1 Cardiovascular system | Hypertension and Heart Failure | Vasodilator Antihypertensive Drugs 28 2.5.4 Cardiovascular system | Hypertension and Heart Failure | Alpha-Adrenoceptor Blocking Drugs 29 2.5.5.1 Cardiovascular system | Hypertension and Heart Failure | Angiotensin-Converting Enzyme Inhibitors 30 2.5.5.2 Cardiovascular system | Hypertension and Heart Failure | Angiotensin-II Receptor Antagonists 34 2.5.5.3 Cardiovascular system | Hypertension and Heart Failure | Renin Inhibitors 39 2.6.1 Cardiovascular system | Nit,Calc Block & Other Antianginal Drugs | Nitrates 39 2.6.2 Cardiovascular system | Nit,Calc Block & Other Antianginal Drugs | Calcium-Channel Blockers 40 2.6.3 Cardiovascular system | Nit,Calc Block & Other Antianginal Drugs | Other Antianginal Drugs 47 2.6.4 Cardiovascular system | Nit,Calc Block & Other Antianginal Drugs | Peripheral Vasodilators & Related Drugs 47 2.8.1 Cardiovascular system | Anticoagulants And Protamine | Parenteral Anticoagulants 47 2.8.2 Cardiovascular system | Anticoagulants And Protamine | Oral Anticoagulants 50 2.9 Cardiovascular system | Antiplatelet Drugs 52 2.10.2 Cardiovascular system | Stable angina, acute coronary syndromes, and fibrinolysis | Fibrinolytic drugs 53 2.12 Cardiovascular system | Lipid-Regulating Drugs 53 3.1.1.1 Respiratory system | Bronchodilators | Selective Beta(2)-Agonists 59 3.1.1.2 Respiratory system | Bronchodilators | Other Andrenoceptor Agonists 60 3.1.2 Respiratory system | Bronchodilators | Antimuscarinic Bronchodilators 61 3.1.3 Respiratory system | Bronchodilators | Theophylline 62 3.1.4 Respiratory system | Bronchodilators | Compound Bronchodilator Preparations 63 3.2 Respiratory system | Corticosteroids (Respiratory) 63 3.3.1 Respiratory system | Cromoglycate,Rel,Leukotriene Antagonists | Cromoglycate and Related Therapy 68 3.3.2 Respiratory system | Cromoglycate,Rel,Leukotriene Antagonists | Leukotriene Receptor Antagonists 68 Formulary Book : Contents NHS Canterbury And Coastal CCG 3.4.1 Respiratory system | Antihist, Hyposensit & Allergic Emergen | Antihistamines 69 3.4.2 Respiratory system | Antihist, Hyposensit & Allergic Emergen | Allergen Immunotherapy 72 3.4.3 Respiratory system | Antihist, Hyposensit & Allergic Emergen | Allergic Emergencies 73 3.5.2 Respiratory system | Respiratory stimulants and pulmonary surfactants | Pulmonary surfactants 74 3.7 Respiratory system | Mucolytics 74 3.8 Respiratory system | Aromatic Inhalations 76 3.9.1 Respiratory system | Cough Preparations | Cough Suppressants 76 3.9.2 Respiratory system | Cough Preparations | Expectorant & Demulcent Cough Prep's 77 3.10 Respiratory system | Systemic Nasal Decongestants 77 3.11 Respiratory system | Antifibrotics 78 4.1.1 Central nervous system | Hypnotics And Anxiolytics | Hypnotics 78 4.1.2 Central nervous system | Hypnotics And Anxiolytics | Anxiolytics 80 4.2.1 Central nervous system | Drugs Used In Psychoses & Rel.Disorders | Antipsychotic Drugs 80 4.2.2 Central nervous system | Drugs Used In Psychoses & Rel.Disorders | Antipsychotic Depot Injections 92 4.2.3 Central nervous system | Drugs Used In Psychoses & Rel.Disorders | Antimanic Drugs 94 4.3.1 Central nervous system | Antidepressant Drugs | Tricyclic & Related Antidepressant Drugs 95 4.3.3 Central nervous system | Antidepressant Drugs | Selective Serotonin Re-Uptake Inhibitors 97 4.3.4 Central nervous system | Antidepressant Drugs | Other Antidepressant Drugs 100 4.4 Central nervous system | CNS Stimulants and drugs used for ADHD 102 4.5.1 Central nervous system | Drugs used in the Treatment of Obesity | Gastro-Intestinal Anti-Obesity Drugs 109 4.5.2 Central nervous system | Drugs used in the Treatment of Obesity | Centrally-Acting Appetite Suppressants 109 4.6 Central nervous system | Drugs Used In Nausea And Vertigo 109 4.7.1 Central nervous system | | Non-Opioid Analgesics 110 4.7.2 Central nervous system | Analgesics | Opioid Analgesics 113 4.7.3 Central nervous system | Analgesics | Neuropathic Pain 133 4.7.4.1 Central nervous system | Analgesics | Treatment Of Acute Migraine 133 4.7.4.2 Central nervous system | Analgesics | Prophylaxis Of Migraine 136 4.8.1 Central nervous system | Antiepileptics | Control Of Epilepsy 136 4.8.2 Central nervous system | Antiepileptics | Drugs Used In Status Epilepticus 150 4.9.1 Central nervous system | Drugs Used In Park'ism/Related Disorders | Dopaminergic Drugs Used In Parkinsonism 151 4.9.2 Central nervous system | Drugs Used In Park'ism/Related Disorders | Antimuscarinic Drugs Used In Parkin'ism 157 4.9.3 Central nervous system | Drugs Used In Park'ism/Related Disorders | Essentialtremor,Chorea,Tics&Reldisorders 158 4.10 Central nervous system | Drugs Used In Substance Dependence 158 4.10.2 Central nervous system | Drugs Used In Substance Dependence | Nicotine Dependence 166 4.11 Central nervous system | Drugs for Dementia 166 5.1 Infections | Antibacterial Drugs | Skin Conditions 170 5.1.1.1 Infections | Antibacterial Drugs | Benzylpenicillin&Phenoxymethylpenicillin 170 5.1.1.2 Infections | Antibacterial Drugs | Penicillinase-Resistant Penicillins 171 5.1.1.3 Infections | Antibacterial Drugs | Broad-Spectrum Penicillins 171 5.1.1.5 Infections | Antibacterial Drugs | Mecillinams 174 5.1.2 Infections | Antibacterial Drugs | Cephalosporins and other Beta-Lactams 175 5.1.3 Infections | Antibacterial Drugs | Tetracyclines 180 5.1.4 Infections | Antibacterial Drugs | Aminoglycosides 182 5.1.5 Infections | Antibacterial Drugs | Macrolides 182 5.1.6 Infections | Antibacterial Drugs | Clindamycin and Lincomycin 184 5.1.7 Infections | Antibacterial Drugs | Some Other Antibiotics 184 5.1.8 Infections | Antibacterial Drugs | Sulphonamides And Trimethoprim 186 5.1.9 Infections | Antibacterial Drugs | Antituberculosis Drugs 187 Formulary Book : Contents NHS Canterbury And Coastal CCG 5.1.10 Infections | Antibacterial Drugs | Antileprotic Drugs 187 5.1.11 Infections | Antibacterial Drugs | Metronidazole, Tinidazole & Ornidazole 188 5.1.12 Infections | Antibacterial Drugs | Quinolones 188 5.1.13 Infections | Antibacterial Drugs | Urinary-Tract Infections 190 5.2 Infections | Antifungal Drugs 191 5.3.1 Infections | Antiviral Drugs | HIV Infection 193 5.3.2.1 Infections | Antiviral Drugs | Herpes Simplex and Varicella-Zoster 195 5.3.2.2 Infections | Antiviral Drugs | Cytomegalovirus Infection 196 5.3.3 Infections | Antiviral Drugs | Viral Hepatitis 196 5.3.3.2 Infections | Antiviral Drugs | Chronic hepatitis C 197 5.3.4 Infections | Antiviral Drugs | Influenza 197 5.3.5 Infections | Antiviral Drugs | Respiratory Syncytial Virus 197 5.4.1 Infections | Antiprotozoal Drugs | Antimalarials 197 5.5.1 Infections | Anthelmintics | Drugs For Threadworms 198 6.1.1.1 Endocrine system | Drugs Used In Diabetes | Short-Acting Insulins 198 6.1.1.2 Endocrine system | Drugs Used In Diabetes | Intermediate And Long-Acting Insulins 200 6.1.1.3 Endocrine system | Drugs Used In Diabetes | Hypodermic equipment 202 6.1.2.1 Endocrine system | Drugs Used In Diabetes | Sulfonylureas 209 6.1.2.2 Endocrine system | Drugs Used In Diabetes | Biguanides 210 6.1.2.3 Endocrine system | Drugs Used In Diabetes | Other Antidiabetics 212 6.1.4 Endocrine system | Drugs Used In Diabetes | Treatment Of Hypoglycaemia 216 6.1.5 Endocrine system | Drugs Used In Diabetes | Treatment of diabetic nephropathy and neuropathy 217 6.1.6 Endocrine system | Drugs Used In Diabetes | Screening and Monitoring Agents 217 6.2.1 Endocrine system | Thyroid And Antithyroid Drugs | Thyroid Hormones 223 6.2.2 Endocrine system | Thyroid And Antithyroid Drugs | Antithyroid Drugs 224 6.3.1 Endocrine system | Corticosteroids (Endocrine) | Replacement Therapy 224 6.3.2 Endocrine system | Corticosteroids (Endocrine) | Use of Corticosteroids 224 6.4.1.1 Endocrine system | Sex Hormones | Oestrogens And Hrt 226 6.4.1.2 Endocrine system | Sex Hormones | Progestogens 229 6.4.2 Endocrine system | Sex Hormones | Male Sex Hormones And Antagonists 230 6.5.1 Endocrine system | Hypothalamic&Pituitary Hormones&Antioest | Hypothalamic&Ant Pituit Hormone&Antioest 231 6.5.2 Endocrine system | Hypothalamic&Pituitary Hormones&Antioest | Posterior Pituitary Hormones&Antagonists 233 6.6.1 Endocrine system | Drugs Affecting Bone Metabolism | Calcitonin and Parathyroid Hormone 234 6.6.2 Endocrine system | Drugs Affecting Bone Metabolism | Biphosphonates and Other Drugs 234 6.7.1 Endocrine system | Other Endocrine Drugs | Bromocriptine & Other Dopaminergic Drugs 236 6.7.2 Endocrine system | Other Endocrine Drugs | Drugs affecting Gonadotrophins 237 6.7.3 Endocrine system | Other Endocrine Drugs | Metyrapone And Trilostane 237 7.1.1 Obstetrics, gynaecology, & urinary-tract disorders | Drugs Used In Obstetrics | Prostaglandins And Oxytocics 237 7.1.2 Obstetrics, gynaecology, & urinary-tract disorders | Drugs Used In Obstetrics | Mifepristone 238 7.1.3 Obstetrics, gynaecology, & urinary-tract disorders | Drugs Used In Obstetrics | Myometrial relaxants 238 7.2.1 Obstetrics, gynaecology, & urinary-tract disorders | Treatment Of Vaginal & Vulval Conditions | Preparations For Vaginal Atrophy 238 7.2.2 Obstetrics, gynaecology, & urinary-tract disorders | Treatment Of Vaginal & Vulval Conditions | Vaginal and Vulval Infections 238 7.3.1 Obstetrics, gynaecology, & urinary-tract disorders | Contraceptives | Combined Hormonal Contraceptives 239 7.3.2.1 Obstetrics, gynaecology, & urinary-tract disorders | Contraceptives | Oral Progestogen-only Contraceptives 241 7.3.2.2 Obstetrics, gynaecology, & urinary-tract disorders | Contraceptives | Parenteral Progestogen-only Contracep 242 7.3.2.3 Obstetrics, gynaecology, & urinary-tract disorders | Contraceptives | IUD Progestogen-only Device 242 7.3.4 Obstetrics, gynaecology, & urinary-tract disorders | Contraceptives | Contraceptive Devices 243 7.3.5 Obstetrics, gynaecology, & urinary-tract disorders | Contraceptives | Emergency contraception 243 Formulary Book : Contents NHS Canterbury And Coastal CCG 7.4.1 Obstetrics, gynaecology, & urinary-tract disorders | Drugs For Genito-Urinary Disorders | Drugs For Urinary Retention 243 7.4.2 Obstetrics, gynaecology, & urinary-tract disorders | Drugs For Genito-Urinary Disorders | Drugs/Urin'y Frequ'cy Enuresis & Incont 244 7.4.3 Obstetrics, gynaecology, & urinary-tract disorders | Drugs For Genito-Urinary Disorders | Drugs Used In Urological Pain 246 7.4.5 Obstetrics, gynaecology, & urinary-tract disorders | Drugs For Genito-Urinary Disorders | Drugs For Erectile Dysfunction 246 8.1 Malignant desease & immunosuppression | Cytotoxic Drugs | Drugs for Cytotoxic-Induced side-effects 249 8.1.1 Malignant desease & immunosuppression | Cytotoxic Drugs | Alkylating Drugs 249 8.1.2 Malignant desease & immunosuppression | Cytotoxic Drugs | Anthracyclines & Cytotoxic Antibiotics 250 8.1.3 Malignant desease & immunosuppression | Cytotoxic Drugs | Antimetabolites 250 8.1.5 Malignant desease & immunosuppression | Cytotoxic Drugs | Other Antineoplastic Drugs 251 8.2.1 Malignant desease & immunosuppression | Drugs Affecting The Immune Response | Antiproliferative Immunosuppressants 252 8.2.2 Malignant desease & immunosuppression | Drugs Affecting The Immune Response | Cortico'oids & Other Immunosuppressants 253 8.2.3 Malignant desease & immunosuppression | Drugs Affecting The Immune Response | Anti-lymphocyte monoclonal antibodies 258 8.2.4 Malignant desease & immunosuppression | Drugs Affecting The Immune Response | Other Immunomodulating Drugs 258 8.3.4.1 Malignant desease & immunosuppression | Sex Hormones & Antag In Malig Disease | Breast Cancer 260 8.3.4.2 Malignant desease & immunosuppression | Sex Hormones & Antag In Malig Disease | Prostate Cancer & Gonadorelin Analogues 261 8.3.4.3 Malignant desease & immunosuppression | Sex Hormones & Antag In Malig Disease | Somatostatin Analogues 262 9.1.1.1 Nutrition & blood | Anaemias + Other Blood Disorders | Oral Iron 263 9.1.1.2 Nutrition & blood | Anaemias + Other Blood Disorders | Parenteral Iron 264 9.1.2 Nutrition & blood | Anaemias + Other Blood Disorders | Drugs used in Megaloblastic Anaemias 264 9.1.3 Nutrition & blood | Anaemias + Other Blood Disorders | Hypoplastic/Haemolytic & Renal Anaemias 265 9.1.4 Nutrition & blood | Anaemias + Other Blood Disorders | Drugs used in Platelet Disorders 268 9.1.6 Nutrition & blood | Anaemias + Other Blood Disorders | Drugs used in Neutropenia 268 9.2.1.2 Nutrition & blood | Fluids And Electrolytes | Oral Sodium And Water 269 9.2.2.1 Nutrition & blood | Fluids And Electrolytes | Electrolytes and Water 269 9.4.1 Nutrition & blood | Oral Nutrition | Foods For Special Diets 269 9.4.2 Nutrition & blood | Oral Nutrition | Enteral Nutrition 275 9.5.1.1 Nutrition & blood | Minerals | Calcium Supplements 291 9.5.1.2 Nutrition & blood | Minerals | Hypercalcaemia 292 9.5.1.3 Nutrition & blood | Minerals | Magnesium 292 9.5.2.2 Nutrition & blood | Minerals | Phosphate Binding Agents 293 9.5.5 Nutrition & blood | Minerals | Selenium 294 9.6.1.1 Nutrition & blood | Vitamins | Vitamin A 294 9.6.2.4 Nutrition & blood | Vitamins | Pyridoxine Hydrochloride (B6) 294 9.6.2.6 Nutrition & blood | Vitamins | Thiamine Hydrochloride (B1) 294 9.6.2.7 Nutrition & blood | Vitamins | Vitamin B Compound 294 9.6.3.1 Nutrition & blood | Vitamins | Vitamin C (Ascorbic Acid) 295 9.6.4 Nutrition & blood | Vitamins | Vitamin D 295 9.6.6 Nutrition & blood | Vitamins | Vitamin K 295 9.6.7 Nutrition & blood | Vitamins | Multivitamin Preparations 299 9.8.1 Nutrition & blood | Metabolic Disorders | Drugs Used in Metabolic Disorders 299 9.9 Nutrition & blood | Foods 301 9.10 Nutrition & blood | Compound Vit/Mineral Formulations 301 9.11.1 Nutrition & blood | Health Supplements | Amino Acids & Nutritional Agents 302 9.11.2 Nutrition & blood | Health Supplements | Enzymes 302 9.11.4 Nutrition & blood | Health Supplements | Digestive Aids 302 9.12 Nutrition & blood | Other Health Supplements 302 10.1.1 Musculoskeletal & joint diseases | Drugs Used In Rheumatic Diseases & Gout | Non-Steroidal Anti-Inflammatory Drugs 303 10.1.2.2 Musculoskeletal & joint diseases | Drugs Used In Rheumatic Diseases & Gout | Local Corticosteroid Injections 307 Formulary Book : Contents NHS Canterbury And Coastal CCG 10.1.3 Musculoskeletal & joint diseases | Drugs Used In Rheumatic Diseases & Gout | Rheumatic Disease Suppressant Drugs 315 10.1.4 Musculoskeletal & joint diseases | Drugs Used In Rheumatic Diseases & Gout | Gout & Cytotoxic Induced Hyperiuicaemia 315 10.2.1 Musculoskeletal & joint diseases | Drugs Used In Neuromuscular Disorders | Dgs Which Enhance Neuromus'ar Transmi'on 319 10.2.2 Musculoskeletal & joint diseases | Drugs Used In Neuromuscular Disorders | Skeletal Muscle Relaxants 319 10.3.1 Musculoskeletal & joint diseases | Drugs For Relief Of Soft-Tissue Inflamm | Enzymes 320 10.3.2 Musculoskeletal & joint diseases | Drugs For Relief Of Soft-Tissue Inflamm | Rubefacients & Other Top.Antirheumatics 320 11.1 Eye | Administration of drugs to the eye 321 11.2 Eye | Control of microbial contamination 323 11.4.1 Eye | Corti'roids & Other Anti-Inflamm.Preps. | Corticosteroids 323 11.6 Eye | Treatment Of Glaucoma 323 11.8.1 Eye | Miscellaneous Ophthalmic Preparations | Tear Deficiency,Eye Lubricant/Astringent 323 11.8.2 Eye | Miscellaneous Ophthalmic Preparations | Ocular Diagnos/Peri-op Prepn&Photodyn Tt 326 12.1.1 Ear, nose & oropharynx | Drugs Acting On The Ear | Otitis Externa 327 12.1.3 Ear, nose & oropharynx | Drugs Acting On The Ear | Removal of Ear Wax & other Substances 327 12.2.1 Ear, nose & oropharynx | Drugs Acting On The Nose | Drugs Used In Nasal Allergy 328 12.2.2 Ear, nose & oropharynx | Drugs Acting On The Nose | Topical Nasal Decongestants 328 12.2.3 Ear, nose & oropharynx | Drugs Acting On The Nose | Nasal Prepn for Infection 330 12.3.1 Ear, nose & oropharynx | Drugs Acting On The Oropharynx | Drugs For Oral Ulceration & Inflammation 331 12.3.2 Ear, nose & oropharynx | Drugs Acting On The Oropharynx | Oropharyngeal Anti-Infective Drugs 331 12.3.3 Ear, nose & oropharynx | Drugs Acting On The Oropharynx | Lozenges & Sprays 332 12.3.4 Ear, nose & oropharynx | Drugs Acting On The Oropharynx | Mouth-Washes, Gargles, And Dentifrices 332 12.3.5 Ear, nose & oropharynx | Drugs Acting On The Oropharynx | Treatment Of Dry Mouth 332 13.1.1 Skin | Vehicles and Emulsifying Agents 332 13.2.1 Skin | Emollient & Barrier Preparations | Emollients 333 13.2.1.1 Skin | Emollient & Barrier Preparations | Emollient Bath Additives 333 13.2.2 Skin | Emollient & Barrier Preparations | Barrier Preparations 336 13.3 Skin | Top Local Anaesthetics & Antipruritics 337 13.4 Skin | Topical Corticosteroids 338 13.5.1 Skin | Preparations For Eczema And Psoriasis | Preparations For Eczema 338 13.5.2 Skin | Preparations For Eczema And Psoriasis | Preparations For Psoriasis 342 13.5.3 Skin | Preparations For Eczema And Psoriasis | Drugs Affecting The Immune Response 342 13.6.1 Skin | Acne and Rosacea | Topical Preparations For Acne 344 13.6.2 Skin | Acne and Rosacea | Oral Preparations For Acne 344 13.7 Skin | Preparations For Warts And Calluses 347 13.8.1 Skin | Sunscreens And Camouflagers | Sunscreening Preparations 347 13.8.2 Skin | Sunscreens And Camouflagers | Camouflagers 348 13.9 Skin | Shampoo&Other Preps For Scalp&Hair Cond | Shampoos And Some Other Scalp Prep's 349 13.10.1.1 Skin | Anti-Infective Skin Preparations | Antibacterial Preps Only Used Topically 349 13.10.1.2 Skin | Anti-Infective Skin Preparations | Antibac'ial Preps Also Used Systemically 349 13.10.2 Skin | Anti-Infective Skin Preparations | Antifungal Preparations 349 13.10.3 Skin | Anti-Infective Skin Preparations | Antiviral Preparations 350 13.10.4 Skin | Anti-Infective Skin Preparations | Parasiticidal Preparations 351 13.10.5 Skin | Anti-Infective Skin Preparations | Prep's For Minor Cuts & Abrasions 351 13.11.3 Skin | Skin Cleansers And Antiseptics | Skin cleansers, antiseptics, and desloughing agents 351 13.11.6 Skin | Skin Cleansers And Antiseptics | Oxidisers & Dyes 352 13.12 Skin | Antiperspirants 352 13.13.1 Skin | Wound Management Products | Medicated Stockings 352 13.13.8 Skin | Wound Management Products | Gel And Colloid Dressings 352 Formulary Book : Contents NHS Canterbury And Coastal CCG 13.15 Skin | Miscellaneous Topical Preparations 352 14.4 Immunological products & vaccines | Vaccines And Antisera 352 14.5.2 Immunological products & vaccines | Immunoglobulins | Disease-specific immunoglobulins 353 14.5.3 Immunological products & vaccines | Immunoglobulins | Anti-D (Rh0) immunoglobulin 358 15.2.1 Anaesthesia | Local Anaesthesia | Local Anaesthetics 358 19.2.7 Other drugs and preparations | Selective Preparations | Poisoning Antidotes 358 19.14.1 Other drugs and preparations | Waters | Sterile Water 358 20.2.2 Dressings | Arm Sling/Bandages 358 20.3.1 Dressings | Wound Management & other Dressings 358 20.3.2 Dressings | Wound Management & other Dressings 362 20.3.4 Dressings | Wound Management & other Dressings 371 20.3.5 Dressings | Wound Management & other Dressings 372 20.3.6 Dressings | Wound Management & other Dressings 375 20.3.7 Dressings | Wound Management & other Dressings 376 20.3.8 Dressings | Wound Management & other Dressings 383 20.3.9 Dressings | Wound Management & other Dressings 383 20.3.10 Dressings | Wound Management & other Dressings 384 20.3.11 Dressings | Wound Management & other Dressings 388 20.3.12 Dressings | Wound Management & other Dressings 388 20.3.13 Dressings | Wound Management & other Dressings 388 20.3.14 Dressings | Wound Management & other Dressings 389 20.3.16 Dressings | Wound Management & other Dressings 389 20.3.17 Dressings | Wound Management & other Dressings 389 20.3.19 Dressings | Wound Management & other Dressings 390 20.4.2 Dressings | Gauzes & Gauze Tissue 390 20.8 Dressings | Plasters 390 20.9 Dressings | Stockinette 390 20.10 Dressings | Surgical Adhesive Tape 391 20.11 Dressings | Surgical Sutures 391 20.12 Dressings | Swabs 393 20.13 Dressings | Unspecified Dressing 394 21.1.1 Appliances | Other Appliances 394 21.1.2.3 Appliances | Other Appliances 394 21.1.9 Appliances | Other Appliances 395 21.1.11 Appliances | Other Appliances 395 21.12 Appliances | Peak Flow Meters 396 21.23 Appliances | Vaginal Moisturisers 400 22.30.58.5 Incontinence appliances | Incontinence Sheaths 400 22.50.5 Incontinence appliances | Leg Bags 401 23.80.1 Stoma appliances | Skin Fillers And Protectives 401 23.80.29.5 Stoma appliances | Skin Fillers And Protectives 401 23.80.31 Stoma appliances | Skin Fillers And Protectives 402

Formulary Status Key

Preferred

Initiated/Recommended By Specialist Formulary Book : Contents NHS Canterbury And Coastal CCG

On Formulary

Shared Care

Exceptional Use Only (see guidance/notes)

Hospital Only

Hospital Only / Shared Care

Not Recommended

Not Assessed / Not Recommended

No comment available Formulary Book [1: Gastro-intestinal system] NHS Canterbury And Coastal CCG 1.1.2.1 - Gastro-intestinal system | Dyspep&Gastro-Oesophageal Reflux Disease | Other Drugs for Dyspepsia and GORD

Current Status Drug Tariff

Peptac £1.95 250 mg / 5mls (original) Pack of 500

Peptac £1.95 250 mg / 5mls (peppermint) Pack of 500

Gaviscon (Gaviscon Infant) £4.82 225 mg/sachet oral powder (15 dual dose sachets) Pack of 15

Sodium alginate / Potassium bicarbonate (Gaviscon Advance Mint ) £4.46 500 mg/100mg chewable tablets s/f Pack of 24

Acidex £2.56 250 mg / 5mls (Aniseed) Pack of 500

Acidex £2.56 250 mg / 5mls (Peppermint) Pack of 500

Famotidine /CaCO3/ MgO (Pepcidtwo) £1.37 1 pack (6 chewable tabs) Pack of 6

Gastrocote £3.51 200 mg / tab Pack of 100 Gaviscon tablets more cost effective

Gastrocote £2.67 220 mg / 5mls Pack of 500

Gaviscon £2.58 150 mg/5ml (150ml peppermint) Pack of 150 Peptac is a more cost effective option

Gaviscon £2.70 250 mg/5mls s.f. Pack of 500 Peptac is a more cost effective option

Simethicone Tablet (Rennie Deflatine) £2.51 1 pack (18 tabs) Pack of 18

Sodium Alginate Compound Suspn (Gaviscon Advance) £3.07 500 mg/tab (60tab peppermint) Pack of 60

Sodium Alginate Compound Suspn (Gaviscon Advance) £2.56 500 mg/5ml (250ml aniseed) Pack of 250 Peptac is a more cost effective option

Sodium Alginate Compound Suspn (Gaviscon Advance) £5.12 500 mg/5ml (500ml original) Pack of 500 Peptac is a more cost effective option

22 January 2020 8/403 Formulary Book [1: Gastro-intestinal system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Sodium Alginate Compound Suspn (Gaviscon Advance) £5.12 500 mg/5ml (500ml peppermint) Pack of 500 Peptac is a more cost effective option

Topal Tablet £1.67 42 Tab Pack Pack of 42 1.2 - Gastro-intestinal system | Antispasmod.&Other Drgs Alt.Gut Motility

Current Status Drug Tariff

Alverine Citrate £8.69 60 mg cap Pack of 100

Alverine Citrate £23.29 120 mg cap Pack of 60

Hyoscine Tablets (Buscopan) £2.49 10 mg tab (IBS Relief) Pack of 20

Hyoscine Tablets (Buscopan) £3.00 10 mg tab Pack of 56

Mebeverine £4.82 135 mg tab Pack of 100

Mebeverine oral suspension £187.00 50 mg/5ml SF Pack of 300

Mebeverine SR (Colofac MR) £6.92 200 mg cap Pack of 60

Peppermint Oil Caps (Colpermin) £14.33 0.2 ml e/c caps (M/R) Pack of 100

Peppermint Oil Caps (Mintec) £7.04 0.2 ml e/c cap Pack of 84

Propantheline (Pro-Banthine) £20.74 15 mg Tab Pack of 112 Not recommended for treatment of over active bladder

Dicycloverine £224.22 10 mg tab Pack of 100 Please consider more cost effective options

Dicycloverine £174.55 10 mg / 5ml Oral solution Pack of 120 Please ask your medicines management technician to provide further information regarding crushing of dicycloverine tablets.

Dicycloverine £235.99 20 mg tab Pack of 84 Please consider more cost effective options

22 January 2020 9/403 Formulary Book [1: Gastro-intestinal system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Mebeverine (Colofac) £3.15 50 mg / 5mls SF Pack of 300 Prescribing generically is more cost effective

Mebeverine (Colofac) £9.02 135 mg tab Pack of 100 Prescribing generically is more cost effective

1.3.1 - Gastro-intestinal system | Antisecretory Drugs+Mucosal Protectants | H2-Receptor Antagonists

Current Status Drug Tariff

Ranitidine £0.80 75 mg tab Pack of 12

Ranitidine £1.55 150 mg tab Pack of 60

Ranitidine £1.55 300 mg tab Pack of 30 1.3.5 - Gastro-intestinal system | Antisecretory Drugs+Mucosal Protectants | Proton Pump Inhibitors

Current Status Drug Tariff

Lansoprazole / Amoxicillin / Clarithromycin (HeliClear) £35.01 30 mg / 500mg / 500mg Pack of 1

Lansoprazole / Clarithromycin / Metronidazole (HeliMet) £33.69 30 mg / 500mg / 400mg Pack of 1

Lansoprazole Capsules £0.94 15 mg caps Pack of 28

Lansoprazole Capsules £1.21 30 mg caps Pack of 28

Omeprazole Capsules £1.03 10 mg caps Pack of 28

Omeprazole Capsules £1.02 20 mg caps Pack of 28

Pantoprazole Tablets £2.80 20 mg tab Pack of 28

Pantoprazole Tablets £3.60 40 mg tab Pack of 28

Omeprazole IV Powder £26.00 40 mg powder Pack of 5

Omeprazole IV Powder (Losec IV) £6.49 40 mg powder & solvent Pack of 1

Esomeprazole £25.19 10 mg gastro-resistant granules sachets Pack of 28

22 January 2020 10/403 Formulary Book [1: Gastro-intestinal system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Esomeprazole (Nexium) £25.19 10 mg gastro-resistant granules sachets Pack of 28

Esomeprazole (Nexium Control) £4.37 20 mg gastro-resistant tablets Pack of 7

Esomeprazole (Ventra) £2.55 20 mg gastro-resistant capsules Pack of 28

Esomeprazole (Ventra) £2.97 40 mg gastro-resistant capsules Pack of 28

Esomeprazole Caps £1.83 20 mg caps Pack of 28

Esomeprazole Caps £2.13 40 mg caps Pack of 28

Esomeprazole Caps (Emozul) £2.18 20 mg caps Pack of 28

Esomeprazole Caps (Emozul) £2.78 40 mg caps Pack of 28

Esomeprazole Tabs £2.53 20 mg tab Pack of 28

Esomeprazole Tabs £3.54 40 mg tab Pack of 28

Esomeprazole Tabs (Nexium) £18.50 20 mg tab Pack of 28

Esomeprazole Tabs (Nexium) £25.19 40 mg tab Pack of 28

Lansoprazole Capsules (Zoton) £12.92 15 mg caps Pack of 28 Prescribing generically is more cost effective

Lansoprazole Capsules (Zoton) £23.63 30 mg caps Pack of 28 Prescribing generically is more cost effective

Lansoprazole Dispersible (Zoton Fastab) £2.99 15 mg tab Pack of 28 Prescribing generically is more cost effective

Lansoprazole Dispersible (Zoton Fastab) £5.50 30 mg tab Pack of 28 Prescribing generically is more cost effective

Lansoprazole Orodispersible £3.05 15 mg tab Pack of 28 Reserved for use only where swallowing difficulties are present

22 January 2020 11/403 Formulary Book [1: Gastro-intestinal system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Lansoprazole Orodispersible £4.75 30 mg tab Pack of 28 Reserved for use only where swallowing difficulties are present

Lansoprazole Suspension (Zoton) £33.97 30 mg sachet Pack of 28 Prescribing generically is more cost effective

Omeprazole Capsules £0.77 40 mg caps Pack of 7 Prescribing OMEPRAZOLE gastro-resistant capsules 20mg represents better value for money.

Omeprazole Capsules (Losec) £11.16 10 mg caps Pack of 28

Omeprazole Capsules (Losec) £16.70 20 mg caps Pack of 28

Omeprazole Capsules (Losec) £8.35 40 mg caps Pack of 7

Omeprazole Dispersible £7.75 10 mg disp tab Pack of 28 Reserved for use only where swallowing difficulties are present

Omeprazole Dispersible £11.60 20 mg disp tab Pack of 28 Reserved for use only where swallowing difficulties are present

Omeprazole Dispersible £5.80 40 mg disp tab Pack of 7 PRESCRIBE AS 2x 20mg omeprazole. Reserved for use only where swallowing difficulties are present

Omeprazole Tablets £7.90 10 mg tab Pack of 28

Omeprazole Tablets £6.72 20 mg tab Pack of 28

Omeprazole Tablets £6.91 40 mg tab Pack of 7

Omeprazole Tablets (Losec (MUPS)) £9.30 10 mg tab Pack of 28

Omeprazole Tablets (Losec (MUPS)) £13.92 20 mg tab Pack of 28

Omeprazole Tablets (Losec (MUPS)) £6.96 40 mg tab Pack of 7

Pantoprazole (Protium) £11.83 20 mg e/c tab Pack of 28

22 January 2020 12/403 Formulary Book [1: Gastro-intestinal system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pantoprazole (Protium) £20.57 40 mg e/c tab Pack of 28

Rabeprazole £1.39 10 mg tab Pack of 28

Rabeprazole £1.64 20 mg tab Pack of 28

Rabeprazole (Pariet) £5.78 10 mg tab Pack of 28

Rabeprazole (Pariet) £11.34 20 mg tab Pack of 28 1.4.2 - Gastro-intestinal system | Acute Diarrhoea | Antimotility Drugs

Current Status Drug Tariff

Loperamide £0.99 2 mg caps Pack of 30

Co-Phenotrope £10.74 2.5 /0.025 tabs Pack of 100

Co-Phenotrope () (Lomotil) £10.74 2.5 /0.025 tab Pack of 100

Kaolin & Mixture £1.71 200 ml unit Pack of 200 1.4.3 - Gastro-intestinal system | Acute Diarrhoea | Enkephalinase Inhibitors

Current Status Drug Tariff

Racecadotril (Hidrasec Children) £8.42 30 mg granules sachets Pack of 20 Not currently assessed. Scottish Medicines Consortium (SMC) have not recommended.

Racecadotril (Hidrasec Infants) £8.42 10 mg granules sachets Pack of 20 Not currently assessed. Scottish Medicines Consortium (SMC) have not recommended.

1.5 - Gastro-intestinal system | Chronic Bowel Disorders

Current Status Drug Tariff

Sulfasalazine (Sulphasalazine) £47.01 250 mg/5ml suspension sugar free Pack of 500 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation under shared care agreement.

1.5.1 - Gastro-intestinal system | Chronic Bowel Disorders | Aminosalicylates

Current Status Drug Tariff

22 January 2020 13/403 Formulary Book [1: Gastro-intestinal system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Mesalazine MR Tablet (Octasa) £16.58 400 mg tab Pack of 90 Prescribe by brand

Mesalazine MR Tablet (Octasa) £40.38 800 mg tab Pack of 90 Prescribe by brand

Mesalazine (Pentasa) £17.73 1 g enema (each 100ml) Pack of 7

Mesalazine (Pentasa) £40.01 1 g Suppositories Pack of 28

Mesalazine (Pentasa) £30.74 500 mg S/R tab Pack of 100 Prescribe by brand

Mesalazine (Salofalk) £29.92 2 g Enema (each 59ml) Pack of 7 Prescribe by brand

Mesalazine (Salofalk) £16.19 250 mg E/C Tab Pack of 100 Prescribe by brand

Mesalazine (Salofalk) £32.38 500 mg E/C Tab Pack of 100 Prescribe by brand

Mesalazine Foam Enema (Asacol) £26.72 1 g / dose (14 dose aerosol) Pack of 1 Prescribe by brand

Mesalazine Foam Enema (Salofalk) £30.17 1 g / dose (14 dose cannister) Pack of 1 Prescribe by brand

Mesalazine Sachet (Pentasa) £30.74 1 g granules / Sachet (SR granules) Pack of 50 Prescribe by brand

Mesalazine Sachet (Pentasa) £73.78 2 g granules / Sachet (SR granules) Pack of 60 Prescribe by brand

Mesalazine Sachet (Salofalk) £48.85 1.5 g granules / Sachet (e/c granules) Pack of 60 Prescribe by brand

22 January 2020 14/403 Formulary Book [1: Gastro-intestinal system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Mesalazine Sachet (Salofalk) £97.70 3 g PR granules / Sachet (e/c granules) Pack of 60 Prescribe by brand

Mesalazine Sachet (Salofalk) £28.74 500 mg granules / Sachet (e/c granules) Pack of 100 Prescribe by brand

Mesalazine Sachet (Salofalk) £28.74 1000 mg granules / Sachet (e/c granules) Pack of 50 Prescribe by brand

Mesalazine SR Tablet (Asacol MR) £29.41 400 mg tab Pack of 90 Prescribe by brand

Mesalazine SR Tablet (Asacol MR) £117.62 800 mg tab Pack of 180 Prescribe by brand

Mesalazine SR Tablet (Ipocol) £17.68 400 mg tab (e/c) Pack of 120 Prescribe by brand

Mesalazine SR Tablet (Mezavant XL) £42.95 1200 mg ec SR tab Pack of 60 Prescribe by brand

Mesalazine Suppository (Asacol) £4.82 250 mg Supp Pack of 20 Prescribe by brand

Mesalazine Suppository (Asacol) £4.82 500 mg Supp Pack of 10 Prescribe by brand

Mesalazine Suppository (Salofalk) £14.81 500 mg supp Pack of 30 Prescribe by brand

Mesalazine Suppository (Salofalk) £29.62 1000 mg supp Pack of 30

Sulfasalazine (Sulphasalazine) £6.58 500 mg tab Pack of 112 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation under shared care agreement.

22 January 2020 15/403 Formulary Book [1: Gastro-intestinal system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Sulfasalazine (Sulphasalazine) £8.53 500 mg E/C tab Pack of 112 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation under shared care agreement.

Sulfasalazine (Sulphasalazine) (Salazopyrin) £18.84 250 mg / 5mls Pack of 500 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation under shared care agreement.

Sulfasalazine (Sulphasalazine) (Salazopyrin) £6.22 500 mg tab Pack of 100 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation under shared care agreement.

Sulfasalazine (Sulphasalazine) (Salazopyrin EN-Tabs) £8.43 500 mg e/c tab Pack of 112 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation under shared care agreement.

Sulfasalazine Suppositories (Salazopyrin) £3.30 500 mg suppositories Pack of 10 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation under shared care agreement.

Mesalazine SR Tablet (Mesren MR) £29.41 400 mg tab Pack of 90 Discontinued - Octasa is recommended alternative

Olsalazine (Dipentum) £19.77 250 mg Cap Pack of 112 Dipentum has been discontinued.

Olsalazine (Dipentum) £21.18 500 mg Tab Pack of 60 Dipentum has been discontinued.

1.5.2 - Gastro-intestinal system | Chronic Bowel Disorders | Corticosteroids

Current Status Drug Tariff

Budesonide Rectal Foam (Budenofalk) £58.22 2 mg / 20ml Pack of 14

Prednisolone Oral Solution £11.41 5 mg/5ml oral solution Pack of 10 For children who cannot swallow standard tablets only

1.6.2 - Gastro-intestinal system | Laxatives | Stimulant Laxatives

Current Status Drug Tariff

Senna Oral Solution (Senokot Liquid) £0.95 7.5 mg/5ml Pack of 100

22 January 2020 16/403 Formulary Book [1: Gastro-intestinal system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Senna Oral Solution (Senokot Liquid) £4.76 7.5 mg/5ml Pack of 500

Senna Tab £2.11 7.5 mg tab Pack of 60

Senna Granules (Senokot) £3.04 15 mg/5ml granules Pack of 100

Senna / Ispaghula (Manevac) £9.50 400 g granules (12.4% / 54.2%) Pack of 400 1.6.4 - Gastro-intestinal system | Laxatives | Osmotic Laxatives

Current Status Drug Tariff

Macrogol (CosmoCol) £3.95 30 plain oral powder sachets Pack of 30

Macrogol (CosmoCol ) £3.95 1 Sachet (Lemon and Lime) Pack of 30

Macrogol (CosmoCol ) £3.95 1 Sachet (Orange) Pack of 30

Macrogol (CosmoCol ) £3.95 1 Sachet (Orange, Lemon and Lime) Pack of 30

Macrogol compound (CosmoCol Half) £2.99 6.9 g oral powder sachets Pack of 30

Macrogol compound (CosmoCol Paediatric) £2.99 6.9 g oral powder sachets Pack of 30

Lactulose Solution £2.89 1 unit (500mls) Pack of 500

Macrogol compound half-strength (Laxido Paediatric) £2.99 6.9 g oral powder sachets Pack of 30

Macrogol Laxative (Laxido Natural) £6.95 1 sachet Pack of 30

Macrogol Laxative (Laxido Orange) £3.95 1 sachet Pack of 30

Macrogol Laxative (Movicol) £4.38 6.9 g / sachet (Paediactric Plain) Pack of 30 Prescribing Cosmocol paediatric plain powder is a more cost effective alternative.

Macrogol Laxative (Movicol) £4.38 6.9 g / sachet (Paediactric Chocolate) Pack of 30 Prescribing Cosmocol paediatric plain powder is a more cost effective alternative (although not chocolate flavoured).

Macrogol Laxative Sugar Free (Laxido Orange) £3.95 1 sachet SF Pack of 30

22 January 2020 17/403 Formulary Book [1: Gastro-intestinal system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Phosphate Enema (Fletchers) £0.41 128 ml with standard tube Pack of 1

Phosphate Enema (Fletchers) £0.57 128 ml with long tube Pack of 1

Sodium Citrate Micro-enema (Micolette Micro-enema) £4.50 5 ml enema Pack of 12

Sodium Citrate Micro-enema (Micralax Micro-enema) £0.41 5 ml enema Pack of 1

Macrogol Laxative £3.76 13.8 g sachet Sugar Free Pack of 30

Macrogol Laxative (Idrolax) £4.84 10 g / sachet (orange / grapefruit flavour) Pack of 20

Macrogol Laxative (Molaxole) £5.68 13.8 g sachet Pack of 30 Prescribe laxido

Macrogol Laxative (Movicol) £3.54 6.9 g / sachet (Half) Pack of 20

Macrogol Laxative (Movicol) £8.11 13.8 g / sachet (Lemon & Lime) Pack of 30 Prescribe laxido

Macrogol Laxative (Movicol) £8.11 13.8 g / sachet (Chocolate) Pack of 30 Prescribe laxido

Macrogol Laxative (Movicol) £8.11 13.8 g / sachet (Plain) Pack of 30

Magnesium oxide (Oromag) £19.95 160 mg capsules Pack of 30 Please prescribe the ONLY LICENSED formulation of oral magnesium supplementation ‘Magnaspartate sachets’ as first line. Consider magnesium glycerophosphate 97.2mg chewable tablets instead where fluid load could be significant, e.g. renal or cardiac patients. 1.6.6 - Gastro-intestinal system | Laxatives | Peripheral antagonists

Current Status Drug Tariff

Naloxegol (Moventig) £55.20 12.5 mg tablets Pack of 30

Naloxegol (Moventig) £55.20 25 mg tablets Pack of 30 1.6.7 - Gastro-intestinal system | Laxatives | 5HT4-receptor agonists

Current Status Drug Tariff

22 January 2020 18/403 Formulary Book [1: Gastro-intestinal system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Lubiprostone (Amitiza) £29.68 24 mcg caps Pack of 28

Prucalopride (Resolor) £38.69 1 mg tab Pack of 28 For prescribing guidelines see http://bit.ly/Categ1

Prucalopride (Resolor) £59.52 2 mg tab Pack of 28 For prescribing guidelines see http://bit.ly/Categ1

Linaclotide (Constella) £37.56 290 microgram caps Pack of 28 Not recommended -Although Linaclotide has been included as an option for treatment in NICE CG61 for IBS with constipation, use has NOT been approved in Kent following review by the Policy Recommendation and Guidance Committee (PRGC) in March 2016 as the evidence base for its use does NOT appear compelling. 1.7.2 - Gastro-intestinal system | Local Prepn for Anal & Rectal Disorders | Co Haemorrhoidal Prep's + Corticosteroid

Current Status Drug Tariff

Hydrocortisone / Cinchocaine HCL Ointment (Uniroid-HC) £4.23 30 g unit (with applicator) Pack of 30 Prescribing Uniroid HC ointment represents better value for money.

1.7.4 - Gastro-intestinal system | Local Prepn for Anal & Rectal Disorders | Management of Anal Fissures

Current Status Drug Tariff

Diltiazem topical preparations (Anoheal) £73.83 2 2mg cream Pack of 30 Unlicensed. Uncontrolled costGuidance on use available on following link. Information provided as an alternative to referral For short term use only ie maximum duration of supply1 tube on 2-3 occasions http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?assetdet7576137=452109&categoryesctl10344807=9693

Rectal GTN Ointment (Rectogesic) £39.30 0.4 % Ointment Pack of 30 1.9.1 - Gastro-intestinal system | Drugs Affecting Intestinal Secretions | Drugs Affecting Biliary Composition&Flow

Current Status Drug Tariff

Ursodeoxycholic Acid £19.02 150 mg tab Pack of 60

Ursodeoxycholic Acid £13.17 250 mg cap Pack of 60

Ursodeoxycholic Acid £55.47 300 mg tab Pack of 60 2.1.1 - Cardiovascular system | Positive Inotropic Drugs | Cardiac Glycosides

Current Status Drug Tariff

22 January 2020 19/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Digoxin £1.53 62.5 mcg tab Pack of 28

Digoxin £1.54 125 mcg tab Pack of 28

Digoxin £1.55 250 mcg tab Pack of 28

Digoxin (Lanoxin) £5.35 50 mcg/ml elixir Pack of 60 2.1.2 - Cardiovascular system | Positive Inotropic Drugs | Phosphodiesterase Inhibitors

Current Status Drug Tariff

Pitolisant (Wakix) £310.00 4.5 mg tablets Pack of 30 This drug has not been assessed and is not on the East Kent formulary.

Pitolisant (Wakix) £310.00 18 mg tablets Pack of 30 This drug has not been assessed and is not on the East Kent formulary.

2.2.1 - Cardiovascular system | Diuretics | Thiazides And Related Diuretics

Current Status Drug Tariff

Bendroflumethiazide (Bendrofluazide) £0.75 2.5 mg tab Pack of 28

Bendroflumethiazide (Bendrofluazide) £0.80 5 mg tab Pack of 28

Chlortalidone £88.04 50 mg tab Pack of 30 Please consider more cost effective options if possible

Indapamide £2.36 2.5 mg tab Pack of 28

Indapamide (Slow release) (Natrilix SR) £3.40 1.5 mg SR tab Pack of 30 .

Chlorothiazide £1.00 250 mg/5ml suspension Available on a named patient basis Pack of 1

Metolazone £1.00 2.5 mg tablets Pack of 1

Metolazone (Metenix ) £18.20 5 mg tab Pack of 100

22 January 2020 20/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Bendrofluazide (Neo-naclex) £3.30 5 mg tab Pack of 100

Indapamide (Natrilix) £3.40 2.5 mg tab Pack of 30

Indapamide XL (Rawel XL) £2.89 1.5 mg tab Pack of 30

Chlortalidone (Hygroton) £1.64 50 mg tab Pack of 28 Discontinued

Xipamide (Diurexan) £19.46 20 mg tab Pack of 140 2.2.2 - Cardiovascular system | Diuretics | Loop Diuretics

Current Status Drug Tariff

Bumetanide £2.08 1 mg tab Pack of 28

Bumetanide £9.59 5 mg tab Pack of 28

Furosemide (Frusemide) Tablets £0.81 20 mg Tab Pack of 28

Furosemide (Frusemide) Tablets £0.82 40 mg Tab Pack of 28

Bumetanide £198.00 1 mg / 5ml oral solution S/F Pack of 150 Tablets can be crushed- ask your Medicine Management team for information. Reserved for use only where swallowing difficulties are present

Bumetanide (Burinex) £1.52 1 mg tab Pack of 28

Furosemide (Frusemide) Oral Solution £14.81 20 mg / 5ml SF Solution | Pack of 150 Reserved for use only where swallowing difficulties are present

Furosemide (Frusemide) Oral Solution (Frusol) £12.07 20 mg / 5 ml SF Solution Pack of 150 Reserved for use only where swallowing difficulties are present

Furosemide (Frusemide) Oral Solution (Frusol) £15.58 40 mg /5 ml SF Solution Pack of 150 Reserved for use only where swallowing difficulties are present

Furosemide (Frusemide) Oral Solution (Frusol) £16.84 50 mg / 5 ml SF Solution Pack of 150 Reserved for use only where swallowing difficulties are present

22 January 2020 21/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Furosemide (Frusemide) Tablets £39.02 500 mg Tab Pack of 28

Torasemide £5.53 5 mg tab Pack of 28

Torasemide £8.14 10 mg tab Pack of 28

Torasemide (Torem) £3.78 2.5 mg tab Pack of 28

Torasemide (Torem) £5.53 5 mg tab Pack of 28

Torasemide (Torem) £8.14 10 mg tab Pack of 28 2.2.3 - Cardiovascular system | Diuretics | Pot-Sparing Diuretics&Aldosterone Antag

Current Status Drug Tariff

Amiloride £11.94 5 mg tab Pack of 28

Eplerenone £4.53 25 mg tablets Pack of 28 Only to be used if intolerant to spironalactone

Eplerenone £6.28 50 mg tablets Pack of 28 Only to be used if intolerant to spironalactone

Spironolactone £1.23 25 mg tab Pack of 28

Spironolactone £4.81 50 mg tab Pack of 28

Spironolactone £2.17 100 mg tab Pack of 28

Amiloride Oral Solution £42.34 5 mg/5mls Pack of 150 Reserved for use only where swallowing difficulties are present. Tablets can be crushed- ask your Medicine Management team for information.

Eplerenone (Inspra) £42.72 25 mg tab Pack of 28

Eplerenone (Inspra) £42.72 50 mg tab Pack of 28

Spironolactone (Aldactone) £8.89 25 mg tab Pack of 100

22 January 2020 22/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Spironolactone (Aldactone) £9.96 100 mg tab Pack of 28 2.2.4 - Cardiovascular system | Diuretics | Potassium Sparing Diuretics & Compounds

Current Status Drug Tariff

Co-amilofruse £8.57 2.5 /20mg tab Pack of 28

Co-amilofruse £5.29 5 /40mg tab Pack of 28

Co-amilofruse £15.52 10 /80mg tab Pack of 28

Amiloride/ Hydrochlorothiazide (Moduretic) £1.29 5 /50mg tab Pack of 28

Triamterene/ Hydrochlorothiazide (Dyazide) £0.95 50 /25 mg tab Pack of 30

Amiloride / Bumetanide £56.00 5 mg / 1mg Pack of 28 2.3.2 - Cardiovascular system | Anti-Arrhythmic Drugs | Drugs For Arrhythmias

Current Status Drug Tariff

Amiodarone £1.63 100 mg tab Pack of 28

Amiodarone £1.63 200 mg tab Pack of 28

Disopyramide Capsule £26.51 100 mg cap Pack of 84

Disopyramide Capsule £33.08 150 mg cap Pack of 84

Disopyramide SR Tablets (Rythmodan Retard) £27.72 250 mg SR tab Pack of 56

Dronedarone (Multaq) £67.50 400 mg tab Pack of 60 Specialist Initiation Only

Flecainide Acetate £4.40 50 mg tab Pack of 60

Flecainide Acetate £4.45 100 mg tab Pack of 60

Propafenone Tablet (Arythmol) £4.91 150 mg tab Pack of 60

22 January 2020 23/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Propafenone Tablet (Arythmol) £9.34 300 mg tab Pack of 60

Mexiletine (Mexitil) £4.95 50 mg cap Pack of 100 For new patients from EKHUFT this should remain as hospital only. Shared care could be considered for patients from tertiary centres and the tertiary centres must then provide the required documentation

Mexiletine (Mexitil) £11.87 200 mg cap Pack of 100 For new patients from EKHUFT this should remain as hospital only. Shared care could be considered for patients from tertiary centres and the tertiary centres must then provide the required documentation

Amiodarone (Cordarone X) £6.99 200 mg tab Pack of 28 Prescribe generically

Disopyramide Capsule (Rythmodan) £14.14 100 mg cap Pack of 84 Prescribe generically

Disopyramide Capsule (Rythmodan) £18.76 150 mg cap Pack of 84 Prescribe generically

Flecainide (Tambocor) £11.57 50 mg tab Pack of 60 Prescribe generically

Flecainide (Tambocor) £16.53 100 mg tab Pack of 60 Prescribe generically

2.4 - Cardiovascular system | Beta-Adrenoceptor Blocking Drugs

Current Status Drug Tariff

Atenolol £0.72 25 mg tab Pack of 28

Atenolol £0.73 50 mg tab Pack of 28

Atenolol £0.82 100 mg tab Pack of 28

Bisoprolol £0.93 1.25 mg Tab Pack of 28

Bisoprolol £0.86 2.5 mg Tab Pack of 28

Bisoprolol £1.12 3.75 mg Tab Pack of 28

22 January 2020 24/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Bisoprolol £0.85 5 mg Tab Pack of 28

Bisoprolol £1.20 7.5 mg Tab Pack of 28

Bisoprolol £0.98 10 mg Tab Pack of 28

Carvedilol £1.20 3.125 mg tab Pack of 28

Carvedilol £1.34 6.25 mg tab Pack of 28

Carvedilol £1.93 12.5 mg tab Pack of 28

Carvedilol £2.41 25 mg tab Pack of 28

Celiprolol £5.57 200 mg tab Pack of 28

Celiprolol £9.83 400 mg tab Pack of 28

Co-tenidone £1.60 50 /12.5 mg tab Pack of 28

Co-tenidone £2.02 100 /25 mg tab Pack of 28

Co-tenidone (Atenolol/ Chlortalidone) (Tenoretic) £10.36 100 /25 mg Pack of 28

Labetalol Tablets £6.76 100 mg tab Pack of 56

Labetalol Tablets £9.82 200 mg tab Pack of 56

Labetalol Tablets £19.12 400 mg tab Pack of 56

Metoprolol £4.35 50 mg tab Pack of 28

Metoprolol £3.87 100 mg tab Pack of 28

Nebivolol Tablets £3.70 5 mg tab Pack of 28

Oxprenolol £5.37 20 mg tab Pack of 56

Oxprenolol £7.22 40 mg tab Pack of 56

22 January 2020 25/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Oxprenolol £6.20 80 mg tab Pack of 56

Propranolol £1.01 10 mg tab Pack of 28

Propranolol £1.07 40 mg tab Pack of 28

Propranolol £2.31 80 mg tab Pack of 56

Propranolol £5.88 160 mg tab Pack of 56

Propranolol MR £4.95 80 mg capsules Pack of 28

Propranolol SR (Propranolol SR) £4.88 160 mg SR cap Pack of 28

Sotalol £1.26 40 mg tab Pack of 28

Sotalol £1.42 80 mg tab Pack of 28

Sotalol £4.79 160 mg tab Pack of 28

Timolol Tablet (Betim) £2.08 10 mg Tab Pack of 30

Acebutolol / Hydrochlorothiazide (DISC) (Secadrex (disc)) £17.59 200 / 12.5mg Tab Pack of 28

Metoprolol / Hydrochlorothiazide (Co-Betaloc) £5.59 100 mg / 12.5mg Tab Pack of 28

Metoprolol / Hydrochlorothiazide (Co-Betaloc SA) £6.89 200 mg / 25 mg Tab MR Pack of 28

Acebutolol (Sectral) £14.97 100 mg caps Pack of 84

Acebutolol (Sectral) £19.18 200 mg caps Pack of 56

Acebutolol (Sectral) £18.62 400 mg tab Pack of 28

Atenolol (Tenormin) £1.28 25 mg tab Pack of 28

Atenolol (Tenormin) £10.22 50 mg LS tab Pack of 28

Atenolol (Tenormin) £12.98 100 mg tab Pack of 28

22 January 2020 26/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Atenolol /Hydrochlorothiazide/ Amiloride (Kalten) £10.58 50 mg/25mg/2.5mg caps (red & cream) Pack of 28

Atenolol and Nifedipine (MR) (Tenif) £15.30 50 / 20 mg (MR) cap Pack of 28 Prescribing as separate medicines is more cost effective

Atenolol Syrup £5.60 25 mg/5ml SF Pack of 300 Reserved for use only where swallowing difficulties are present. Tablets can be crushed- ask your Medicine Management team for information.

Atenolol Syrup (Tenormin Syrup) £13.55 25 mg/5ml Pack of 300 Reserved for use only where swallowing difficulties are present. Tablets can be crushed- ask your Medicine Management team for information.

Atenolol/ Nifedipine (Beta-Adalat) £9.00 50 / 20mg cap Pack of 28

Bisoprolol (Cardicor) £2.35 1.25 mg tab Pack of 28

Bisoprolol (Cardicor) £2.35 2.5 mg tab Pack of 28

Bisoprolol (Cardicor) £4.90 3.75 mg tab Pack of 28

Bisoprolol (Cardicor) £5.90 5 mg tab Pack of 28

Bisoprolol (Cardicor) £5.90 7.5 mg tab Pack of 28

Bisoprolol (Cardicor) £5.90 10 mg tab Pack of 28

Bisoprolol (Emcor) £11.30 5 mg tab (Emcor LS) Pack of 28

Bisoprolol (Emcor) £12.68 10 mg tab Pack of 28

Carvedilol (Eucardic) £7.13 3.125 mg tab Pack of 28

Carvedilol (Eucardic) £7.92 6.25 mg tab Pack of 28

Carvedilol (Eucardic) £8.81 12.5 mg tab Pack of 28

Carvedilol (Eucardic) £11.00 25 mg tab Pack of 28

Celiprolol (Celectol) £19.83 200 mg tab Pack of 28

22 January 2020 27/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Celiprolol (Celectol) £39.65 400 mg tab Pack of 28

Metoprolol (Lopresor) £2.57 50 mg tab Pack of 56

Metoprolol (Lopresor) £6.68 100 mg tab Pack of 56

Metoprolol (Lopresor) £9.80 200 mg tab SR Pack of 28

Nadolol (Corgard) £6.00 80 mg tab Pack of 28

Nebivolol (Nebilet) £9.23 5 mg tab Pack of 28

Nebivolol Tablets £11.78 2.5 mg tab Pack of 28

Oxprenolol (Slow-Trasicor) £7.96 160 mg M/R tab Pack of 28

Propranolol Solution £23.51 5 mg / 5ml sugar free Pack of 150 Reserved for use only where swallowing difficulties are present

Propranolol Solution £28.45 10 mg / 5ml sugar free Pack of 150 Reserved for use only where swallowing difficulties are present

Propranolol Solution £36.51 40 mg / 5ml sugar free Pack of 150 Reserved for use only where swallowing difficulties are present

Propranolol Solution £38.51 50 mg / 5ml sugar free Pack of 150 Reserved for use only where swallowing difficulties are present

Propranolol SR (Inderal LA / Half-Inderal LA) £5.94 80 mg cap Pack of 28

Propranolol SR (Inderal LA / Half-Inderal LA) £4.59 160 mg cap Pack of 28

Sotalol (Beta-Cardone) £1.29 40 mg tab Pack of 56 2.5.1 - Cardiovascular system | Hypertension and Heart Failure | Vasodilator Antihypertensive Drugs

Current Status Drug Tariff

Ambrisentan (Volibris) £1618.08 5 mg tab Pack of 30

22 January 2020 28/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ambrisentan (Volibris) £1618.08 10 mg tab Pack of 30

Bosentan Monohydrate (Tracleer) £1510.21 62.5 mg tab Pack of 56

Bosentan Monohydrate (Tracleer) £1510.21 125 mg tab Pack of 56

Sildenafil (Revatio) £446.33 20 mg Pack of 90 2.5.4 - Cardiovascular system | Hypertension and Heart Failure | Alpha-Adrenoceptor Blocking Drugs

Current Status Drug Tariff

Doxazosin £1.00 1 mg tab Pack of 28

Doxazosin £0.99 2 mg tab Pack of 28

Doxazosin £1.18 4 mg tab Pack of 28

Doxazosin (Doxadura) £0.79 1 mg tab Pack of 28

Doxazosin (Doxadura) £0.75 2 mg tab Pack of 28

Doxazosin (Doxadura) £0.90 4 mg tab Pack of 28

Prazosin £2.70 1 mg tab Pack of 56

Prazosin £2.09 500 mcg tab Pack of 56

Terazosin £1.88 2 mg tab Pack of 28

Terazosin £2.51 5 mg tab Pack of 28

Terazosin £8.01 10 mg tab Pack of 28

Doxazosin (Cardura) £10.56 1 mg tab Pack of 28

Doxazosin (Cardura) £14.08 2 mg tab Pack of 28

Doxazosin (Cascor) £7.72 4 mg tab Pack of 28

22 January 2020 29/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Doxazosin SR (Cardura XL) £5.00 4 mg SR tab Pack of 28 Use non XL version

Doxazosin SR (Cardura XL) £9.98 8 mg SR tab Pack of 28 Use non XL version

Doxazosin SR (Doxadura XL) £4.75 4 mg SR tabs Pack of 28

Indoramin (Baratol) £9.00 25 mg Tab Pack of 84

Prazosin £3.90 2 mg tab Pack of 56 Prescribing as multiples of 1mg is significantly more cost effective. Prazosin 2mg has been removed from the drug tariff and high cost specials are now in circulation

Prazosin (Hypovase) £3.23 1 mg tab Pack of 56

Prazosin (Hypovase) £4.39 2 mg tab Pack of 56 Prescribing as multiples of 1mg is significantly more cost effective. Prazosin 2mg has been removed from the drug tariff and high cost specials are now in circulation

Terazosin (Hytrin) £2.20 2 mg tab Pack of 28

Terazosin (Hytrin) £4.13 5 mg tab Pack of 28

Terazosin (Hytrin) £7.87 10 mg tab Pack of 28 2.5.5.1 - Cardiovascular system | Hypertension and Heart Failure | Angiotensin-Converting Enzyme Inhibitors

Current Status Drug Tariff

Captopril £1.54 12.5 mg tab Pack of 56

Captopril £1.76 25 mg tab Pack of 56

Captopril £1.51 50 mg tab Pack of 56

Enalapril £5.87 2.5 mg tab Pack of 28

Enalapril £1.52 5 mg tab Pack of 28

Enalapril £1.99 10 mg tab Pack of 28

22 January 2020 30/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Enalapril £2.23 20 mg tab Pack of 28

Lisinopril £0.77 2.5 mg tab Pack of 28

Lisinopril £0.90 5 mg tab Pack of 28

Lisinopril £0.92 10 mg tab Pack of 28

Lisinopril £1.00 20 mg tab Pack of 28

Perindopril £1.85 2 mg tab Pack of 30

Perindopril £2.20 4 mg tab Pack of 30

Perindopril £2.43 8 mg tab Pack of 30

Quinapril £8.60 5 mg tab Pack of 28

Quinapril £8.60 10 mg tab Pack of 28

Quinapril £10.79 20 mg tab Pack of 28

Quinapril £4.96 40 mg tab Pack of 28

Ramipril Capsules £0.91 1.25 mg cap Pack of 28

Ramipril Capsules £0.93 2.5 mg cap Pack of 28

Ramipril Capsules £0.89 5 mg cap Pack of 28

Ramipril Capsules £0.99 10 mg cap Pack of 28

Captopril / Hydrochlorothiazide (Acezide) £13.15 50 mg / 25mg tab Pack of 28

Captopril / Hydrochlorothiazide (Capozide) £7.02 50 mg / 25mg tab Pack of 28

Lisinopril / Hydrochlorothiazide (Caralpha) £4.20 10 /12.5 mg tab Pack of 28

Lisinopril / Hydrochlorothiazide (Caralpha) £4.20 20 /12.5 mg tab Pack of 28

22 January 2020 31/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Quinapril / Hydrochlorothiazide (Accuretic) £11.75 10 / 12.5mg tab Pack of 28

Cilazapril (Vascace) £3.51 0.5 mg tab Pack of 28

Cilazapril (Vascace) £5.78 1 mg tab Pack of 28

Cilazapril (Vascace) £7.20 2.5 mg tab Pack of 28

Cilazapril (Vascace) £51.80 5 mg tab Pack of 28

Enalapril (Innovace) £5.35 2.5 mg tab Pack of 28

Enalapril (Innovace) £7.51 5 mg tab Pack of 28

Enalapril (Innovace) £10.53 10 mg tab Pack of 28

Enalapril (Innovace) £12.51 20 mg tab Pack of 28

Enalapril/ hydrochlorothiazide £19.99 20 /12.5mg tab Pack of 28

Enalapril/ hydrochlorothiazide (Innozide) £13.90 20 /12.5mg tab Pack of 28

Fosinopril £4.98 10 mg tab Pack of 28

Fosinopril £3.67 20 mg tab Pack of 28

Imidapril (Tanatril) £6.40 5 mg tab Pack of 28

Imidapril (Tanatril) £7.22 10 mg tab Pack of 28

Imidapril (Tanatril) £8.67 20 mg tab Pack of 28

Lisinopril (Carace) £6.79 2.5 mg tab Pack of 28

Lisinopril (Carace) £8.18 5 mg tab Pack of 28

Lisinopril (Carace) £10.10 10 mg tab Pack of 28

Lisinopril (Carace) £11.43 20 mg tab Pack of 28

22 January 2020 32/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Lisinopril (Zestril) £1.78 2.5 mg tab Pack of 28

Lisinopril (Zestril) £9.42 5 mg tab Pack of 28

Lisinopril (Zestril) £14.76 10 mg tab Pack of 28

Lisinopril (Zestril) £13.02 20 mg tab Pack of 28

Lisinopril / Hydrochlorothiazide £2.50 10 /12.5 mg tab Pack of 28

Lisinopril / Hydrochlorothiazide £2.44 20 /12.5 mg tab Pack of 28

Lisinopril / Hydrochlorothiazide (Carace 10 Plus) £10.10 10 /12.5 mg tab Pack of 28

Lisinopril / Hydrochlorothiazide (Carace 20 Plus) £11.43 20 /12.5 mg tab Pack of 28

Lisinopril / Hydrochlorothiazide (Zestoretic) £13.62 10 /12.5 mg tab Pack of 28

Lisinopril / Hydrochlorothiazide (Zestoretic) £13.82 20 /12.5 mg tab Pack of 28

Perindopril (Coversyl) £11.36 2 mg tab Pack of 30

Perindopril (Coversyl) £11.36 4 mg tab Pack of 30

Perindopril (Coversyl) £11.36 8 mg tab Pack of 30

Perindopril / Indapamide (Coversyl Plus) £14.49 4 mg / 1.25mg tab Pack of 30

Perindopril Arginine (Coversyl Arginine) £4.43 2.5 mg tab Pack of 30

Perindopril Arginine (Coversyl Arginine) £6.28 5 mg tab Pack of 30

Perindopril Arginine (Coversyl Arginine) £10.65 10 mg tab Pack of 30

Perindopril arginine / Indapamide (Coversyl Arginine Plus) £9.51 5 mg / 1.25mg Pack of 30

Ramipril Tablets £2.10 1.25 mg tab Pack of 28

Ramipril Tablets £2.06 2.5 mg tab Pack of 28

22 January 2020 33/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ramipril Tablets £2.09 5 mg tab Pack of 28

Ramipril Tablets £2.12 10 mg tab Pack of 28

Ramipril Tablets (Tritace) £5.09 1.25 mg tab Pack of 28

Ramipril Tablets (Tritace) £7.22 2.5 mg tab Pack of 28

Ramipril Tablets (Tritace) £10.05 5 mg tab Pack of 28

Ramipril Tablets (Tritace) £13.68 10 mg tab Pack of 28

Ramipril Tablets (Tritace) £13.00 35 day titration pack (7*2.5, 21*5, 7*10mg) Pack of 35

Trandolapril £20.20 1 mg caps Pack of 28

Trandolapril £2.68 2 mg caps Pack of 28

Trandolapril £13.39 4 mg caps Pack of 28

Trandolapril £1.68 500 mcg caps Pack of 14

Trandolapril (Gopten) £6.46 1 mg caps Pack of 28

Trandolapril (Gopten) £6.46 2 mg caps Pack of 28

Trandolapril (Gopten) £2.80 500 mcg caps Pack of 28

Trandolapril / Verapamil (Tarka) £10.29 2 mg / 180mg SR caps Pack of 28 2.5.5.2 - Cardiovascular system | Hypertension and Heart Failure | Angiotensin-II Receptor Antagonists

Current Status Drug Tariff

Candesartan £1.31 2 mg tab Pack of 7

Candesartan £0.79 4 mg tab Pack of 7

Candesartan £1.63 8 mg tab Pack of 28

22 January 2020 34/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Candesartan £1.78 16 mg tab Pack of 28

Candesartan £2.09 32 mg tab Pack of 28

Irbesartan £2.74 75 mg tab Pack of 28

Irbesartan £4.73 150 mg tab Pack of 28

Irbesartan £4.25 300 mg tab Pack of 28

Losartan £5.09 12.5 mg tab Pack of 28

Losartan £1.81 25 mg tab Pack of 28

Losartan £1.90 50 mg tab Pack of 28

Losartan £2.51 100 mg tab Pack of 28

Telmisartan £2.64 20 mg tab Pack of 28

Telmisartan £5.22 40 mg tab Pack of 28

Telmisartan £5.68 80 mg tab Pack of 28

Valsartan £7.13 40 mg tab Pack of 7

Valsartan £5.49 40 mg cap Pack of 28

Valsartan £12.93 80 mg cap Pack of 28

Valsartan £16.66 160 mg cap Pack of 28

Irbesartan / Hydrochlorothiazide £2.14 300 /12.5mg tab Pack of 28

Irbesartan / Hydrochlorothiazide £7.65 300 /25mg tab Pack of 28

Losartan / Hydrochlorothiazide Tablet £1.61 50 /12.5mg tab Pack of 28

Losartan / Hydrochlorothiazide Tablet £1.73 100 /25mg tab Pack of 28

22 January 2020 35/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Olmesartan / Amlodipine / Hydrochlorothiazide (Sevikar HCT) £16.95 40 mg / 10mg /12.5mg tab Pack of 28

Olmesartan / Amlodipine / Hydrochlorothiazide (Sevikar HCT) £16.95 40 mg / 10mg /25mg tab Pack of 28

Olmesartan / Amlodipine / Hydrochlorothiazide (Sevikar HCT) £16.95 40 mg / 5mg /12.5mg tab Pack of 28

Olmesartan / Amlodipine / Hydrochlorothiazide (Sevikar HCT) £16.95 40 mg / 5mg /25mg tab Pack of 28

Azilsartan (Edarbi) £16.80 20 mg tab Pack of 28 More cost effective ARB's availbale

Azilsartan (Edarbi) £16.80 40 mg tab Pack of 28 More cost effective ARB's availbale

Azilsartan (Edarbi) £19.95 80 mg tab Pack of 28 More cost effective ARB's availbale

Candesartan (Amias) £3.58 2 mg tab Pack of 7

Candesartan (Amias) £9.78 4 mg tab Pack of 28

Candesartan (Amias) £9.89 8 mg tab Pack of 28

Candesartan (Amias) £12.72 16 mg tab Pack of 28

Candesartan (Amias) £16.13 32 mg tab Pack of 28

Eprosartan (Teveten) £7.31 300 mg tab Pack of 28

Eprosartan (Teveten) £15.77 400 mg tab Pack of 56

Eprosartan (Teveten) £14.31 600 mg tab Pack of 28

Irbesartan (Aprovel) £9.69 75 mg tab Pack of 28

Irbesartan (Aprovel) £11.84 150 mg tab Pack of 28

Irbesartan (Aprovel) £15.93 300 mg tab Pack of 28

22 January 2020 36/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Irbesartan / Hydrochlorothiazide £6.50 150 /12.5mg tab Pack of 28

Irbesartan / Hydrochlorothiazide (Co-Aprovel) £11.84 150 /12.5mg tab Pack of 28

Irbesartan / Hydrochlorothiazide (Co-Aprovel) £15.93 300 /12.5mg tab Pack of 28

Irbesartan / Hydrochlorothiazide (Co-Aprovel) £6.54 300 /25mg tab Pack of 28

Losartan (Cozaar) £9.70 12.5 mg tab Pack of 28

Losartan (Cozaar) £16.18 25 mg tab Pack of 28

Losartan (Cozaar) £12.80 50 mg tab Pack of 28

Losartan (Cozaar) £16.18 100 mg tab Pack of 28

Losartan / Hydrochlorothiazide (Cozaar Compound) £12.80 50 /12.5mg tab Pack of 28

Losartan / Hydrochlorothiazide (Cozaar Compound) £16.18 100 /25mg tab Pack of 28

Losartan / Hydrochlorothiazide (Cozaar Compound) £13.74 100 /12.5mg tab Pack of 28

Losartan / Hydrochlorothiazide Tablet £13.64 100 /12.5mg tab Pack of 28

Olmesartan (Olmetec) £10.95 10 mg tab Pack of 28 Losartan is the ARB drug of choice when initiating to treat hypertension.Losartan 50mg is the usual starting dose. See BNF section 2.5.5.2 for initiation dosing information.

Olmesartan (Olmetec) £12.95 20 mg tab Pack of 28 Losartan is the ARB drug of choice when initiating to treat hypertension.Losartan 50mg is the usual starting dose. See BNF section 2.5.5.2 for initiation dosing information.

Olmesartan (Olmetec) £17.50 40 mg tab Pack of 28 Losartan is the ARB drug of choice when initiating to treat hypertension.Losartan 50mg is the usual starting dose. See BNF section 2.5.5.2 for initiation dosing information.

Olmesartan / Amlodipine (Sevikar) £16.95 20 / 5mg tab Pack of 28 Losartan is the ARB drug of choice when initiating to treat hypertension.Losartan 50mg is the usual starting dose. See BNF section 2.5.5.2 for initiation dosing information.Single component drugs are more cost effective than combinations

22 January 2020 37/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Olmesartan / Amlodipine (Sevikar) £16.95 40 / 5mg tab Pack of 28 Losartan is the ARB drug of choice when initiating to treat hypertension.Losartan 50mg is the usual starting dose. See BNF section 2.5.5.2 for initiation dosing information.Single component drugs are more cost effective than combinations

Olmesartan / Amlodipine (Sevikar) £16.95 40 / 10mg tab Pack of 28 Losartan is the ARB drug of choice when initiating to treat hypertension.Losartan 50mg is the usual starting dose. See BNF section 2.5.5.2 for initiation dosing information.Single component drugs are more cost effective than combinations

Olmesartan / Hydrochlorothiazide (Olmetec Plus) £12.95 20 / 12.5mg tab Pack of 28

Olmesartan / Hydrochlorothiazide (Olmetec Plus) £12.95 20 / 25mg tab Pack of 28

Olmesartan / Hydrochlorothiazide (Olmetec Plus) £17.50 40 / 12.5mg tab Pack of 28

Telmisartan (Micardis) £11.10 20 mg tab Pack of 28

Telmisartan (Micardis) £13.61 40 mg tab Pack of 28

Telmisartan (Micardis) £17.00 80 mg tab Pack of 28

Telmisartan / Hydrochlorothiazide (Micardis Plus) £13.61 40 / 12.5mg tab Pack of 28

Telmisartan / Hydrochlorothiazide (Micardis Plus) £17.00 80 / 12.5mg tab Pack of 28

Telmisartan / Hydrochlorothiazide (Micardis Plus) £17.00 80 / 25mg tab Pack of 28

Valsartan £13.69 80 mg tab Pack of 28

Valsartan £14.69 160 mg tab Pack of 28

Valsartan £18.25 320 mg tab Pack of 28

Valsartan (Diovan) £3.49 40 mg tab (divisible) Pack of 7

Valsartan (Diovan) £17.92 40 mg cap Pack of 28

Valsartan (Diovan) £13.97 80 mg cap Pack of 28

Valsartan (Diovan) £18.41 160 mg cap Pack of 28

22 January 2020 38/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Valsartan (Diovan) £19.77 320 mg tab Pack of 28

Valsartan / Amlodipine (Exforge) £20.11 80 / 5mg tab Pack of 28

Valsartan / Amlodipine (Exforge) £26.51 160 / 10mg tab Pack of 28

Valsartan / Amlodipine (Exforge) £26.51 160 / 5mg tab Pack of 28

Valsartan / Hydrochlorothiazide £16.96 80 /12.5mg tab Pack of 28

Valsartan / Hydrochlorothiazide £22.12 160 /25mg tab Pack of 28

Valsartan / Hydrochlorothiazide £7.02 160 /12.5mg tab Pack of 28

Valsartan / Hydrochlorothiazide (Co-Diovan) £13.80 80 /12.5 mg tablets Pack of 28

Valsartan / Hydrochlorothiazide (Co-Diovan) £22.09 160 /12.5 mg tablets Pack of 28

Valsartan / Hydrochlorothiazide (Co-Diovan) £22.09 160 /25 mg tablets Pack of 28 2.5.5.3 - Cardiovascular system | Hypertension and Heart Failure | Renin Inhibitors

Current Status Drug Tariff

Sacubitril / Valsartan (Entresto) £45.78 24 mg tablets Pack of 28 Specialist initiation ONLY. Please see guidelines here: http://tinyurl.com/qbfx36u

Sacubitril / Valsartan (Entresto) £45.78 49 mg tablets Pack of 28 Specialist initiation ONLY. Please see guidelines here: http://tinyurl.com/qbfx36u

Sacubitril / Valsartan (Entresto) £91.56 97 mg tablets Pack of 56 Specialist initiation ONLY. Please see guidelines here: http://tinyurl.com/qbfx36u

Aliskiren (Rasilez) £28.51 150 mg tab Pack of 28

Aliskiren (Rasilez) £34.27 300 mg tab Pack of 28 2.6.1 - Cardiovascular system | Nit,Calc Block & Other Antianginal Drugs | Nitrates

Current Status Drug Tariff

22 January 2020 39/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Isosorbide Mononitrate (Monomil XL (Teva)) £3.49 60 mg SR tab Pack of 28

Isosorbide Mononitrate / ISMN MR (Chemydur XL) £3.49 60 mg tab MR Pack of 28

Glyceryl Trinitrate Spray (GTN) £3.14 400 mcg / spray (200 dose unit) Pack of 1

Glyceryl Trinitrate Spray (GTN) (Nitromin Spray) £2.63 400 mcg / spray (180 dose unit) Pack of 1

Glyceryl Trinitrate Spray (GTN) (Nitromin Spray) £2.71 400 mcg / spray (200 dose unit) Pack of 1

Isosorbide Mononitrate / ISMN MR £10.50 60 mg Tab MR Pack of 28

Isosorbide Mononitrate / ISMN MR £8.86 60 mg Cap MR Pack of 28

Isosorbide Mononitrate / ISMN MR (Cibral XL) £7.61 60 mg Tab MR Pack of 28

Isosorbide Mononitrate / ISMN MR (Imdur) £10.50 60 mg tab MR Pack of 28

Isosorbide Mononitrate / ISMN MR (Isib) £8.15 60 mg tab MR Pack of 28

Isosorbide Mononitrate / ISMN MR (Isotard XL) £5.75 60 mg tab MR Pack of 28

Isosorbide Mononitrate / ISMN MR (Monomax) £8.86 60 mg cap MR Pack of 28

Isosorbide Mononitrate / ISMN MR (Monomax XL) £5.25 60 mg tab MR Pack of 28

Isosorbide Mononitrate / ISMN MR (Monosorb) £15.53 60 mg tab MR Pack of 28

Isosorbide Mononitrate / ISMN MR (Xismox) £5.51 60 mg tab MR Pack of 28 2.6.2 - Cardiovascular system | Nit,Calc Block & Other Antianginal Drugs | Calcium-Channel Blockers

Current Status Drug Tariff

Amlodipine £0.83 5 mg tab Pack of 28

Amlodipine £0.87 10 mg tab Pack of 28

Felodipine (Cardioplen XL) £5.68 2.5 mg MR tab Pack of 28 Amlodipine is the most cost-effective dihydropyridine . However where amlodipine is inappropriate, prescribing Felodipine MR as either Cardioplen XL or Felotens XL represents better value for money.

22 January 2020 40/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Felodipine (Cardioplen XL) £3.87 5 mg MR tab Pack of 28 Amlodipine is the most cost-effective dihydropyridine calcium channel blocker. However where amlodipine is inappropriate, prescribing Felodipine MR as either Cardioplen XL or Felotens XL represents better value for money.

Felodipine (Cardioplen XL) £4.81 10 mg MR tab Pack of 28 Amlodipine is the most cost-effective dihydropyridine calcium channel blocker. However where amlodipine is inappropriate, prescribing Felodipine MR as either Cardioplen XL or Felotens XL represents better value for money.

Felodipine (Felotens XL) £5.11 2.5 mg MR tab Pack of 28 Amlodipine is the most cost-effective dihydropyridine calcium channel blocker. However where amlodipine is inappropriate, prescribing Felodipine MR as either Cardioplen XL or Felotens XL represents better value for money.

Felodipine (Felotens XL) £3.79 5 mg MR tab Pack of 28 Amlodipine is the most cost-effective dihydropyridine calcium channel blocker. However where amlodipine is inappropriate, prescribing Felodipine MR as either Cardioplen XL or Felotens XL represents better value for money.

Felodipine (Felotens XL) £5.10 10 mg MR tab Pack of 28 Amlodipine is the most cost-effective dihydropyridine calcium channel blocker. However where amlodipine is inappropriate, prescribing Felodipine MR as either Cardioplen XL or Felotens XL represents better value for money.

Amlodipine (Amlostin) £0.73 5 mg Tab Pack of 28

Amlodipine (Amlostin) £0.77 10 mg Tab Pack of 28

Diltiazem (Tildiem) £8.84 60 mg tab Pack of 100

Diltiazem SR (Adizem SR) £8.50 90 mg cap Pack of 56

Diltiazem SR (Adizem SR) £9.45 120 mg cap Pack of 56

Diltiazem SR (Adizem SR) £14.72 120 mg tab Pack of 56

Diltiazem SR (Adizem SR) £14.15 180 mg cap Pack of 56

Diltiazem SR (Angitil SR ) £7.03 90 mg cap Pack of 56

Diltiazem SR (Angitil SR ) £6.91 120 mg cap Pack of 56

Diltiazem SR (Angitil SR ) £13.27 180 mg cap Pack of 56

Diltiazem SR (Diltiazem SR Unspecified) £6.04 60 mg cap Pack of 56

22 January 2020 41/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Diltiazem SR (Diltiazem SR Unspecified) £8.50 90 mg cap Pack of 56

Diltiazem SR (Diltiazem SR Unspecified) £10.98 120 mg cap Pack of 56

Diltiazem SR (Diltiazem SR Unspecified) £17.63 180 mg cap Pack of 56

Diltiazem SR (Dilzem SR) £6.04 60 mg cap Pack of 56

Diltiazem SR (Dilzem SR) £11.29 90 mg cap Pack of 56

Diltiazem SR (Dilzem SR) £12.89 120 mg cap Pack of 56

Diltiazem SR (Tildiem Retard) £7.27 90 mg tab Pack of 56

Diltiazem SR (Tildiem Retard) £7.66 120 mg tab Pack of 60

Diltiazem XL £42.93 60 mg MR tab Pack of 84

Diltiazem XL (Adizem XL) £9.14 120 mg Cap Pack of 28

Diltiazem XL (Adizem XL) £10.37 180 mg Cap Pack of 28

Diltiazem XL (Adizem XL) £6.30 200 mg Cap Pack of 28

Diltiazem XL (Adizem XL) £11.52 240 mg Cap Pack of 28

Diltiazem XL (Adizem XL) £9.14 300 mg Cap Pack of 28

Diltiazem XL (Angitil XL ) £7.94 240 mg Cap Pack of 28

Diltiazem XL (Angitil XL ) £6.98 300 mg Cap Pack of 28

Diltiazem XL (Diltiazem XL Unspecified ) £6.29 200 mg cap Pack of 28

Diltiazem XL (Diltiazem XL Unspecified ) £10.93 240 mg cap Pack of 28

Diltiazem XL (Diltiazem XL Unspecified ) £8.41 300 mg cap Pack of 28

Diltiazem XL (Dilzem XL) £7.78 120 mg Cap Pack of 28

22 January 2020 42/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Diltiazem XL (Dilzem XL) £11.55 180 mg Cap Pack of 28

Diltiazem XL (Dilzem XL) £11.03 240 mg Cap Pack of 28

Diltiazem XL (Slozem) £7.00 120 mg Cap Pack of 28

Diltiazem XL (Slozem) £7.80 180 mg Cap Pack of 28

Diltiazem XL (Slozem) £8.20 240 mg Cap Pack of 28

Diltiazem XL (Slozem) £8.50 300 mg Cap Pack of 28

Diltiazem XL (Tildiem LA) £6.29 200 mg Cap Pack of 28

Diltiazem XL (Tildiem LA) £9.01 300 mg Cap Pack of 28

Diltiazem XL (Viazem XL) £6.60 120 mg Cap Pack of 28

Diltiazem XL (Viazem XL) £7.36 180 mg Cap Pack of 28

Diltiazem XL (Viazem XL) £7.74 240 mg Cap Pack of 28

Diltiazem XL (Viazem XL) £8.03 300 mg Cap Pack of 28

Diltiazem XL (Viazem XL) £13.85 360 mg Cap Pack of 28

Diltiazem XL (Zemtard XL) £6.10 120 mg Cap Pack of 28

Diltiazem XL (Zemtard XL) £6.20 180 mg Cap Pack of 28

Diltiazem XL (Zemtard XL) £6.30 240 mg Cap Pack of 28

Diltiazem XL (Zemtard XL) £6.70 300 mg Cap Pack of 28

Felodipine £5.68 2.5 mg MR tab Pack of 28

Felodipine £4.21 5 mg MR tab Pack of 28

Felodipine £5.66 10 mg MR tab Pack of 28

22 January 2020 43/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Lacidipine (Motens) £2.95 2 mg tab Pack of 28

Lacidipine (Motens) £3.10 4 mg tab Pack of 28

Lercanidipine £2.40 10 mg tab Pack of 28

Lercanidipine £2.90 20 mg tab Pack of 28

Nicardipine £7.62 20 mg cap Pack of 56

Nicardipine £9.53 30 mg cap Pack of 56

Nifedipine SR (Adalat Retard) £7.34 10 mg Tab MR Pack of 56

Nifedipine SR (Adalat Retard) £8.81 20 mg Tab MR Pack of 56

Nifedipine SR (Adipine MR) £3.73 10 mg tab MR Pack of 56

Nifedipine SR (Adipine MR) £5.21 20 mg tab MR Pack of 56

Nifedipine SR (Coracten SR) £3.90 10 mg Cap MR Pack of 60

Nifedipine SR (Coracten SR) £5.41 20 mg Cap MR Pack of 60

Nifedipine SR (Nifedipine SR Unspecified) £7.34 10 mg tab MR Pack of 56

Nifedipine SR (Nifedipine SR Unspecified) £8.81 20 mg tab MR Pack of 56

Nifedipine SR (Nifedipress MR (Teva)) £2.02 10 mg Tab MR Pack of 56

Nifedipine SR (Nifedipress MR (Teva)) £2.02 20 mg Tab MR Pack of 56

Nifedipine SR (Tensipine MR) £4.30 10 mg Tab MR Pack of 56

Nifedipine SR (Tensipine MR) £5.49 20 mg Tab MR Pack of 56

Nifedipine XL (Adalat LA) £5.27 20 mg tab MR Pack of 28

Nifedipine XL (Adalat LA) £6.85 30 mg tab MR Pack of 28

22 January 2020 44/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Nifedipine XL (Adalat LA) £9.03 60 mg tab MR Pack of 28

Nifedipine XL (Adipine XL) £4.70 30 mg Tab MR Pack of 28

Nifedipine XL (Adipine XL) £7.10 60 mg Tab MR Pack of 28

Nifedipine XL (Coracten XL) £4.89 30 mg Cap MR Pack of 28

Nifedipine XL (Coracten XL) £7.34 60 mg Cap MR Pack of 28

Nifedipine XL (Fortipine LA 40) £14.40 40 mg Tab MR Pack of 30

Nifedipine XL (Nifedipine XL Unspecified) £6.85 30 mg Tab MR Pack of 28

Nifedipine XL (Nifedipine XL Unspecified) £9.03 60 mg Tab MR Pack of 28

Verapamil £1.90 40 mg tab Pack of 84

Verapamil £2.38 80 mg tab Pack of 84

Verapamil £4.43 120 mg tab Pack of 28

Verapamil £14.74 160 mg tab Pack of 28

Verapamil SR £7.71 120 mg tab Pack of 28

Verapamil SR £5.55 240 mg tab Pack of 28

Verapamil SR (Half Securon SR) £7.71 120 mg tab Pack of 28

Verapamil SR (Securon SR) £5.55 240 mg tab Pack of 28

Verapamil SR (Univer) £4.86 120 mg cap Pack of 28

Verapamil SR (Univer) £11.38 180 mg cap Pack of 56

Verapamil SR (Univer) £7.67 240 mg cap Pack of 28

Verapamil SR (Vertab SR) £5.45 240 mg tab Pack of 28

22 January 2020 45/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Amlodipine Besilate (Istin) £11.08 5 mg tab Pack of 28

Amlodipine Besilate (Istin) £16.55 10 mg tab Pack of 28

Felodipine (Plendil) £6.31 2.5 mg MR tab Pack of 28

Felodipine (Plendil) £4.21 5 mg MR tab Pack of 28

Felodipine (Plendil) £5.66 10 mg MR tab Pack of 28

Felodipine (Vascalpha) £1.99 5 mg MR tab Pack of 28

Felodipine (Vascalpha) £1.99 10 mg MR tab Pack of 28

Isradipine (Prescal) £13.23 2.5 mg tab Pack of 56

Lercanidipine (Zanidip) £5.70 10 mg tab Pack of 28

Lercanidipine (Zanidip) £10.82 20 mg tab Pack of 28

Nicardipine (Cardene) £6.00 20 mg Cap Pack of 56

Nicardipine (Cardene) £6.96 30 mg Cap Pack of 56

Nifedipine Capsule £19.30 5 mg cap Pack of 84 Can cause reflex tachycardia & large BP variation

Nifedipine Capsule £11.55 10 mg cap Pack of 84

Nifedipine Capsule (Adalat) £5.73 5 mg cap Pack of 90

Nifedipine Capsule (Adalat) £7.30 10 mg cap Pack of 90

Nimodipine £1.00 30 mg tablets Pack of 1

Nimodipine £1.00 200 micrograms in 1mL Infusion Pack of 1

Verapamil (Securon IV) £5.41 2.5 mg/ml ampoule 2ml Pack of 5

22 January 2020 46/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Verapamil SR (Vera-til SR) £10.00 240 mg tab Pack of 28

Nicardipine MR (Cardene SR) £7.15 30 mg Cap MR Pack of 56

Nicardipine MR (Cardene SR) £10.40 45 mg Cap MR Pack of 56 2.6.3 - Cardiovascular system | Nit,Calc Block & Other Antianginal Drugs | Other Antianginal Drugs

Current Status Drug Tariff

Ivabradine Tablet (Procoralan) £40.17 5 mg tab Pack of 56 GP clinical info available on CCG website

Ivabradine Tablet (Procoralan) £40.17 7.5 mg tab Pack of 56

Ranolazine (Ranexa) £48.98 375 mg tab Pack of 60 Specialist Initiation only

Ranolazine (Ranexa) £48.98 500 mg tab Pack of 60 Specialist Initiation only

Ranolazine (Ranexa) £48.98 750 mg tab Pack of 60 Specialist Initiation only

Nicorandil £3.07 10 mg tab Pack of 60

Nicorandil £4.01 20 mg tab Pack of 60

Nicorandil (Ikorel) £7.71 10 mg tab Pack of 60

Nicorandil (Ikorel) £14.64 20 mg tab Pack of 60 2.6.4 - Cardiovascular system | Nit,Calc Block & Other Antianginal Drugs | Peripheral Vasodilators & Related Drugs

Current Status Drug Tariff

Moxisylyte (Opilon) £90.22 40 mg tab Pack of 112 2.8.1 - Cardiovascular system | Anticoagulants And Protamine | Parenteral Anticoagulants

Current Status Drug Tariff

22 January 2020 47/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Enoxaparin (Clexane) £20.86 20 mg / 0.2ml pre-filled syringe Pack of 10 Pre & post surgery should be prescribed by hospital

Enoxaparin (Clexane) £30.27 40 mg / 0.4ml pre-filled syringe Pack of 10 Pre & post surgery should be prescribed by hospital

Enoxaparin (Clexane) £39.26 60 mg / 0.6ml pre-filled syringe Pack of 10 Pre & post surgery should be prescribed by hospital

Enoxaparin (Clexane) £55.13 80 mg / 0.8ml pre-filled syringe Pack of 10 Pre & post surgery should be prescribed by hospital

Enoxaparin (Clexane) £72.30 100 mg / 1ml pre-filled syringe Pack of 10 Pre & post surgery should be prescribed by hospital

Enoxaparin (Clexane) £87.93 120 mg / 0.8ml pre-filled syringe Pack of 10 Pre & post surgery should be prescribed by hospital

Enoxaparin (Clexane) £99.91 150 mg / ml pre-filled syringe Pack of 10 Pre & post surgery should be prescribed by hospital

Enoxaparin (Clexane) £21.33 300 mg / 3ml multidose vial Pack of 1 Pre surgery should be prescribed by hospital

Tinzaparin Sodium (Innohep) £19.80 2500 iu (0.25ml pfs) Pack of 10 On EKHUFT formulary restricted use for renal patients only but may be requested from other hospitals and could be considered for prescribing in primary care

Tinzaparin Sodium (Innohep) £27.71 3500 iu (0.35ml pfs) Pack of 10 On EKHUFT formulary restricted use for renal patients only but may be requested from other hospitals and could be considered for prescribing in primary care

Tinzaparin Sodium (Innohep) £35.63 4500 iu (0.45ml pfs) Pack of 10 On EKHUFT formulary restricted use for renal patients only but may be requested from other hospitals and could be considered for prescribing in primary care

Tinzaparin Sodium (Innohep) £11.90 10000 iu (0.5ml pfs) Pack of 2 On EKHUFT formulary restricted use for renal patients only but may be requested from other hospitals and could be considered for prescribing in primary care

22 January 2020 48/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Tinzaparin Sodium (Innohep) £105.66 10000 iu/ml 2ml multidose vial Pack of 10 On EKHUFT formulary restricted use for renal patients only but may be requested from other hospitals and could be considered for prescribing in primary care

Tinzaparin Sodium (Innohep) £34.20 20000 iu/ml (2ml vial) Pack of 1 On EKHUFT formulary restricted use for renal patients only but may be requested from other hospitals and could be considered for prescribing in primary care

Tinzaparin Sodium (Innohep) £23.70 20000 iu/ml (0.7ml pfs) Pack of 2 On EKHUFT formulary restricted use for renal patients only but may be requested from other hospitals and could be considered for prescribing in primary care

Tinzaparin Sodium (Innohep) £21.42 20000 iu/ml (0.9ml pfs) Pack of 2 On EKHUFT formulary restricted use for renal patients only but may be requested from other hospitals and could be considered for prescribing in primary care

Argatroban (Exembol) £248.50 100 mg / mL, 2.5ml Vial Pack of 1 Specialist prescribing only. Not suitable for prescribing in primary care. Supply is within tariff

Bemiparin (Zibor) £18.57 2500 units (0.2ml pfs) Pack of 10 Bemiparin is not recommended for use in East Kent Health economy

Bemiparin (Zibor) £27.50 3500 units (0.2ml pfs) Pack of 10 Bemiparin is not recommended for use in East Kent Health economy

Bemiparin (Zibor) £42.20 5000 units (0.2ml pfs) Pack of 10 Bemiparin is not recommended for use in East Kent Health economy

Bemiparin (Zibor) £53.40 7500 units (0.3ml pfs) Pack of 10 Bemiparin is not recommended for use in East Kent Health economy

Epoprostenol £1.00 500 micrograms Injection Pack of 1

Fondaparinux (Arixtra) £1.00 5 mg/mL 0.5mL prefilled syringe Pack of 1

Fondaparinux Sodium (Arixtra) £6.28 1.5 mg / 0.3ml (5mg/ml) pre-filled syringe Pack of 1

Fondaparinux Sodium (Arixtra) £6.28 2.5 mg / 0.5ml (5mg/ml) pre-filled syringe Pack of 1

Fondaparinux Sodium (Arixtra) £11.65 5 mg / 0.4ml (12.5mg/ml) pre-filled syringe Pack of 1

22 January 2020 49/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fondaparinux Sodium (Arixtra) £11.65 7.5 mg / 0.6ml (12.5mg/ml) pre-filled syringe Pack of 1

Fondaparinux Sodium (Arixtra) £11.65 10 mg / 0.8ml (12.5mg/ml) pre-filled syringe Pack of 1

Heparin Solution (Hepsal) £5.36 10 units / ml (5ml Amp) Pack of 10

Hep-flush £1.00 200 units in 2 mL Pack of 1

Pump Heparin £1.00 20000 units in 20 mL Pack of 1

Dalteparin sodium Injection (Fragmin) £18.58 2500 iu / 0.2ml Syringe Pack of 10

Dalteparin sodium Injection (Fragmin) £28.23 5000 iu / 0.2ml Syringe Pack of 10

Dalteparin sodium Injection (Fragmin) £42.34 7500 iu / 0.3ml Syringe Pack of 10

Dalteparin sodium Injection (Fragmin) £28.23 10000 iu / 0.4ml Syringe Pack of 5

Dalteparin sodium Injection (Fragmin) £28.23 10000 iu / ml Graduated Syringe Pack of 5

Dalteparin sodium Injection (Fragmin) £51.22 10000 iu / 1ml Amp Pack of 10

Dalteparin sodium Injection (Fragmin) £51.22 10000 iu / 4ml Amp Pack of 10

Dalteparin sodium Injection (Fragmin) £35.29 12500 iu / 0.5ml Syringe Pack of 5

Dalteparin sodium Injection (Fragmin) £42.34 15000 iu / 0.6ml Syringe Pack of 5

Dalteparin sodium Injection (Fragmin) £50.82 18000 iu / 0.72ml Syringe Pack of 5

Dalteparin sodium Injection (Fragmin) £48.66 100000 iu / 4ml multidose vial Pack of 1 2.8.2 - Cardiovascular system | Anticoagulants And Protamine | Oral Anticoagulants

Current Status Drug Tariff

Rivaroxaban (Xarelto) £54.00 10 mg tab Pack of 30 Prescribe after haematology recommendation only for the long term prevention of DVT or PE following treatment dose. Do not prescribe 10mg strength for patients with atrial fibrillation as 10mg strength not licensed for this use.

Acenocoumarol Tablet £4.62 1 mg tab Pack of 100

22 January 2020 50/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Apixaban (Eliquis) £57.00 2.5 mg tab Pack of 60 GP clincal info available on CCG website

Apixaban (Eliquis) £53.20 5 mg tab Pack of 56

Dabigatran Etexilate (Pradaxa) £51.00 110 mg cap Pack of 60 GP clincal info available on CCG website

Dabigatran Etexilate (Pradaxa) £51.00 150 mg cap Pack of 60 GP clincal info available on CCG website

Edoxaban (Lixiana) £17.50 15 mg tablets Pack of 10

Edoxaban (Lixiana) £49.00 30 mg tablets Pack of 28

Edoxaban (Lixiana) £49.00 60 mg tablets Pack of 28

Phenindione £600.00 10 mg tab Pack of 28 Due to significant cost should be used only where alternative anticoagulants are not suitable

Phenindione £600.00 25 mg tab Pack of 28 Due to significant cost should be used only where alternative anticoagulants are not suitable

Phenindione £51.84 50 mg tab Pack of 28 Due to significant cost should be used only where alternative anticoagulants are not suitable

Rivaroxaban (Xarelto) £50.40 15 mg tab Pack of 28 when used for DVT or PE EKHFT will supply the first 7 weeks treatment. Ensure maintenance dose is 15mg or 20mg daily. GP clincal info available on CCG website

Rivaroxaban (Xarelto) £50.40 20 mg tab Pack of 28 when used for DVT or PE EKHFT will supply the first 7 weeks treatment. Ensure maintenance dose is 15mg or 20mg daily. GP clincal info available on CCG website.

Warfarin £1.45 0.5 mg tab Pack of 28

Warfarin £0.82 1 mg tab Pack of 28

Warfarin £0.87 3 mg tab Pack of 28

22 January 2020 51/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Warfarin £0.99 5 mg tab Pack of 28

Warfarin (Marevan) £0.52 0.5 mg tab Pack of 28

Warfarin (Marevan) £0.31 1 mg tab Pack of 28

Warfarin (Marevan) £0.35 3 mg tab Pack of 28

Warfarin (Marevan) £0.47 5 mg tab Pack of 28

Dabigatran Etexilate (Pradaxa) £51.00 75 mg cap Pack of 60

Pentosan polysulfate sodium (Elmiron) £450.00 100 mg capsules Pack of 90 2.9 - Cardiovascular system | Antiplatelet Drugs

Current Status Drug Tariff

Prasugrel (Efient) £47.56 5 mg tab Pack of 28

Prasugrel (Efient) £47.56 10 mg tab Pack of 28

Ticagrelor (Brilique) £54.60 90 mg tab Pack of 56 Treatment should be stopped after 12 months. Check renal function 1 month after initiation. Guidance for use available at http://www.canterburycoastalccg.nhs.uk/about-us/prescribing-advice/?categoryesctl7576148=9822

Aspirin Dispersible £0.77 75 mg tab Pack of 28

Aspirin E/C £0.84 75 mg E/C tab Pack of 28

Clopidogrel tablet £1.49 75 mg tab Pack of 28

Dipyridamole / Aspirin (Asasantin Retard) £9.84 25 /200 mg S/R caps Pack of 60 Consider use of clopidogrel for patients post ischaemic stroke as per NICE 12/10

Dipyridamole SR (Persantin Retard) £10.06 200 mg S/R caps Pack of 60 Consider use of clopidogrel for patients post ischaemic stroke as per NICE 12/10

Aspirin E/C (Caprin) £1.51 75 mg E/C tab Pack of 28

22 January 2020 52/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Aspirin E/C (Nu-Seals) £3.12 75 mg E/C tab Pack of 56

Clopidogrel tablet (Plavix) £35.31 75 mg tab Pack of 28

Clopidogrel tablet (Plavix) £142.54 300 mg tab Pack of 30

Dipyridamole £9.40 25 mg Tab Pack of 84

Dipyridamole £39.40 50 mg / 5ml Suspension SF Pack of 150

Dipyridamole £5.78 100 mg Tab Pack of 84

Dipyridamole (Persantin) £6.30 100 mg tab Pack of 84 2.10.2 - Cardiovascular system | Stable angina, acute coronary syndromes, and fibrinolysis | Fibrinolytic drugs

Current Status Drug Tariff

Alteplase (Actilyse) £144.00 10 mg (5.8 million units) vial vial Pack of 1

Alteplase (Actilyse) £300.00 50 mg (29 million units) vial Pack of 1

Streptokinase (Streptase) £83.44 1.5 million unit vial Pack of 1 2.12 - Cardiovascular system | Lipid-Regulating Drugs

Current Status Drug Tariff

Atorvastatin £0.87 10 mg tab Pack of 28

Atorvastatin £1.00 20 mg tab Pack of 28

Atorvastatin £1.24 40 mg tab Pack of 28

Atorvastatin £1.85 80 mg tab Pack of 28

Colesevelam Tablet (Cholestagel) £115.32 625 mg tab Pack of 180 Specialist initiation for patients with diarrhoea caused by bile acid malabsorption.

Bezafibrate £5.22 200 mg tab Pack of 100

22 January 2020 53/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Bezafibrate £7.63 400 mg m/r tab Pack of 30

Colestyramine £21.46 4 g oral powder sachets s/f Pack of 50

Colestyramine Powder (Questran) £10.76 4 g / sachet Pack of 50

Colestyramine SF Powder (Questran Light) £16.15 4 g / sachet Pack of 50

Ezetimibe £1.61 10 mg tabs Pack of 28

Pravastatin £0.94 10 mg tab Pack of 28

Pravastatin £1.16 20 mg tab Pack of 28

Pravastatin £1.43 40 mg tab Pack of 28

Rosuvastatin (Crestor) £18.03 5 mg tab Pack of 28 Use only in patients intolerant to at least two other statins

Rosuvastatin (Crestor) £18.03 10 mg tab Pack of 28 Use only in patients intolerant to at least two other statins

Rosuvastatin (Crestor) £26.02 20 mg tab Pack of 28 Use only in patients intolerant to at least two other statins

Rosuvastatin (Crestor) £29.69 40 mg tab Pack of 28 Use only in patients intolerant to at least two other statins

Simvastatin £0.78 10 mg tab Pack of 28

Simvastatin £0.90 20 mg tab Pack of 28

Simvastatin £1.02 40 mg tab Pack of 28

Simvastatin £1.69 80 mg tab Pack of 28

Fenofibrate (Lipantil Micro) £15.53 67 mg cap (micronised) Pack of 60

22 January 2020 54/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fenofibrate (Lipantil Micro) £14.23 200 mg cap (micronised) Pack of 28

Fenofibrate (Lipantil Micro) £21.75 267 mg cap (micronised) Pack of 28

Alirocumab (Praluent) £168.00 75 mg/1ml solution for injection pre-filled pen Pack of 1 This is a hospital only medication. Referrals should be made to an endocrinologist.EKPG Recommendation can be viewed here: http://tinyurl.com/ll4vafp

Alirocumab (Praluent) £168.00 150 mg/1ml solution for injection pre-filled pen Pack of 1 This is a hospital only medication. Referrals should be made to an endocrinologist.EKPG Recommendation can be viewed here: http://tinyurl.com/ll4vafp

Evolocumab (Repatha SureClick) £340.20 140 mg/1ml solution for injection pre-filled disposable devices Pack of 2 This is a hospital only medication. Referrals should be made to an endocrinologist.EKPG Recommendation can be viewed here: http://tinyurl.com/ll4vafp

Acipimox (Olbetam) £46.33 250 mg cap Pack of 90

Atorvastatin £24.51 30 mg tab Pack of 28 Please prescribe as 1 x 10mg Atorvastatin and 1 x 20mg Atorvastatin as 30mg tablets are substantially more expensive.

Atorvastatin £28.01 60 mg tab Pack of 28 Please prescribe as 1 x 40mg Atorvastatin and 1 x 20mg Atorvastatin as 60mg tablets are substantially more expensive.

Atorvastatin (Lipitor) £13.00 10 mg tab Pack of 28

Atorvastatin (Lipitor) £24.64 20 mg tab Pack of 28

Atorvastatin (Lipitor) £24.64 40 mg tab Pack of 28

Atorvastatin (Lipitor) £28.21 80 mg tab Pack of 28

Atorvastatin Chewable Tablet (Lipitor) £13.80 10 mg tab Pack of 30

Atorvastatin Chewable Tablet (Lipitor) £26.40 20 mg tab Pack of 30

Bezafibrate (Bezalip) £8.63 200 mg tab Pack of 100

Bezafibrate (Zimbacol XL) £3.25 400 mg MR tab Pack of 28

22 January 2020 55/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Bezafibrate M/R (Bezalip Mono) £7.63 400 mg m/r tab Pack of 30 Prescribe generically

Ciprofibrate £122.53 100 mg tab Pack of 28 Not on EKHUFT formulary

Ciprofibrate (Modalim) £17.66 100 mg tab Pack of 28

Colestipol Hcl (Colestid) £15.05 5 g sachet (orange) Pack of 30 No application for use locally -not on EKHUFT formulary May 2017

Colestipol Hcl (Colestid) £15.05 5 g sachet Pack of 30 No application for use locally -not on EKHUFT formulary May 2017

Concentrated Fish Oils (Maxepa) £21.59 150 ml Unit Pack of 150

Concentrated Fish Oils (Maxepa) £29.28 200 Cap Pack Pack of 200

Ezetimibe (Ezetrol ) £26.31 10 mg tab Pack of 28 Only to be prescribed in line with NICE TA 132 – as monotherapy if intolerant to statins or in combination with the maximally tolerated dose of statin if further cholesterol reduction required. Statins have the best evidence for reducing CVD risk so should always be used in preference.

Fenofibrate £23.21 67 mg cap Pack of 90 Not on EKHUFT formulary

Fenofibrate £3.42 160 mg tab (micronised) Pack of 28 Not on EKHUFT formulary

Fenofibrate £3.24 200 mg cap Pack of 28 Not on EKHUFT formulary

Fenofibrate £2.38 267 mg cap Pack of 28 Not on EKHUFT formulary

Fenofibrate MR (Supralip 160 ) £6.69 160 mg Tab MR Pack of 28

Fluvastatin £2.28 20 mg cap Pack of 28

22 January 2020 56/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fluvastatin £2.62 40 mg cap Pack of 28

Fluvastatin (Lescol) £15.26 20 mg cap Pack of 28

Fluvastatin (Lescol) £15.26 40 mg cap Pack of 28

Fluvastatin (Lescol) £19.20 80 mg MR tab Pack of 28

Gemfibrozil Caps £34.91 300 mg caps Pack of 112

Gemfibrozil Tablets £24.16 600 mg tab Pack of 30

Lomitapide (Lojuxta) £17765.00 5 mg capsules Pack of 28 Lomitapide is not recommended due to limited data and lack of evidence on cost effectiveness EKPG August 2013. Applications could be made by consultants via the Individual Funding Request (IFR) route if a particular patient was felt to meet the criteria for exceptionality.

Lomitapide (Lojuxta) £17765.00 10 mg capsules Pack of 28 Lomitapide is not recommended due to limited data and lack of evidence on cost effectiveness EKPG August 2013. Applications could be made by consultants via the Individual Funding Request (IFR) route if a particular patient was felt to meet the criteria for exceptionality.

Lomitapide (Lojuxta) £17765.00 20 mg capsules Pack of 28 Lomitapide is not recommended due to limited data and lack of evidence on cost effectiveness EKPG August 2013. Applications could be made by consultants via the Individual Funding Request (IFR) route if a particular patient was felt to meet the criteria for exceptionality.

Nicotinic Acid / Laropiprant (Tredaptive) £16.73 1 g / 20mg MR tab Pack of 28

Omega-3-acid (EPA/DHA) £14.24 460 mg / 380mg caps Pack of 28 NICE guidelines offer the following advice: Do not offer or advise people to use to prevent another MI: There is a lack of evidence of benefit of treatment with omega 3 fatty acids. Prescribers are advised to review omega 3 fatty acids in all patients who have been prescribed this post MI with a view to stopping treatment. http://guidance.nice.org.uk/CG172

Omega-3-acid Ester (Omacor) £14.24 1 g cap Pack of 28 NICE guidelines offer the following advice: Do not offer or advise people to use to prevent another MI: There is a lack of evidence of benefit of treatment with omega 3 fatty acids. Prescribers are advised to review omega 3 fatty acids in all patients who have been prescribed this post MI with a view to stopping treatment. http://guidance.nice.org.uk/CG172

Omega-3-acid Ester (Prestylon) £10.68 1 g cap Pack of 28 NICE guidelines offer the following advice: Do not offer or advise people to use to prevent another MI: There is a lack of evidence of benefit of treatment with omega 3 fatty acids. Prescribers are advised to review omega 3 fatty acids in all patients who have been prescribed this post MI with a view to stopping treatment. http://guidance.nice.org.uk/CG172

Omega-3-acid Ester (Teromeg) £11.39 1000 mg cap Pack of 28 NICE guidelines offer the following advice: Do not offer or advise people to use to prevent another MI: There is a lack of evidence of benefit of treatment with omega 3 fatty acids. Prescribers are advised to review omega 3 fatty acids in all patients who have been prescribed this post MI with a view to stopping treatment. http://guidance.nice.org.uk/CG172

22 January 2020 57/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pravastatin (Lipostat) £14.18 10 mg tab Pack of 28

Pravastatin (Lipostat) £26.01 20 mg tab Pack of 28

Pravastatin (Lipostat) £26.01 40 mg tab Pack of 28

Simvastatin (Zocor) £18.03 10 mg tab Pack of 28

Simvastatin (Zocor) £29.69 20 mg tab Pack of 28

Simvastatin (Zocor) £29.69 40 mg tab Pack of 28

Simvastatin (Zocor) £29.69 80 mg tab Pack of 28

Simvastatin / Ezetimibe (Inegy) £33.42 20 /10mg tab Pack of 28

Simvastatin / Ezetimibe (Inegy) £38.98 40 /10mg tab Pack of 28

Simvastatin / Ezetimibe (Inegy) £41.21 80 /10mg tab Pack of 28

Simvastatin Suspension £152.77 20 mg / 5ml sugar free Pack of 150 Reserved for use only where swallowing difficulties are present. Tablets can be crushed- ask your Medicine Management team for information

Simvastatin Suspension £233.37 40 mg / 5ml sugar free Pack of 150 Reserved for use only where swallowing difficulties are present. Tablets can be crushed- ask your Medicine Management team for information

Multinutrient capsules (Eye q ) £4.53 1 family capsules Pack of 60

Multinutrient capsules (Eye q ) £5.67 200 ml liquid citrus Pack of 1

Multinutrient capsules (Eye q ) £5.67 200 ml liquid vanilla Pack of 1

Simvastatin (Simvador) £0.52 10 mg tab Pack of 28

Simvastatin (Simvador) £0.67 20 mg tab Pack of 28

Simvastatin (Simvador) £0.65 40 mg tab Pack of 28

22 January 2020 58/403 Formulary Book [2: Cardiovascular system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Simvastatin (Simvador) £1.31 80 mg tab Pack of 28 3.1.1.1 - Respiratory system | Bronchodilators | Selective Beta(2)-Agonists

Current Status Drug Tariff

Budesonide/Formoterol (Symbicort) £28.00 200 mcgs/dose/6micrograms/dose pressurised inhaler 120 dose Pack of 1

Formoterol Inhaler (Easyhaler Formoterol) £23.75 12 mcg / puff (powder) 120 dose Pack of 1 Preferred LABA for COPD (More cost effective than other preparations)

Formoterol Powder Inhaler (Oxis Turbohaler) £24.80 6 mcg / dose (60 dose Unit) Pack of 1

Formoterol Powder Inhaler (Oxis Turbohaler) £24.80 12 mcg / dose (60 dose Unit) Pack of 1

Indacaterol inhaler (Onbrez Breezhaler) £32.19 150 mcg (3 x 10) Pack of 30 Easyhaler formoterol is preferred LABA for COPD (more cost effective)As per EKPG - June 2014 Other LABA's are seen as more cost effective.

Indacaterol inhaler (Onbrez Breezhaler) £32.19 300 mcg (3 x 10) Pack of 30 Easyhaler formoterol is preferred LABA for COPD (more cost effective)As per EKPG - June 2014 Other LABA's are seen as more cost effective.

Olodaterol solution for inhalation cartridge with device CFC free (Striverdi Respimat) £26.35 2.5 mgs Pack of 1

Salbutamol Breath Actuated Inhaler (Salamol Easi-Breathe) £6.30 100 mcg (CFC Free 200 dose unit) Pack of 1 Please prescribe by brand. High cost generics are in circulation.

Salbutamol Dry Powder Inhaler (Easyhaler Salbutamol) £3.31 100 mcg / puff (200 dose unit) Pack of 1 Please prescribe by brand. High cost generics are in circulation.

Salbutamol Dry Powder Inhaler (Easyhaler Salbutamol) £6.63 200 mcg / puff (200 dose unit) Pack of 1 Please prescribe by brand. High cost generics are in circulation.

Salbutamol Inhaler (standard) (Salamol MDI (CFC Free)) £1.46 100 mcg (200 dose unit) CFC free Pack of 1 Please prescribe by brand. High cost generics are in circulation.

Salbutamol MDI £1.50 100 mcg/puff CFC free (200 dose unit) Pack of 1

Salbutamol Nebuliser Solution £2.97 2.5 mg / vial Pack of 20

22 January 2020 59/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Salbutamol Nebuliser Solution £4.68 5 mg / vial Pack of 20

Salbutamol Nebuliser Solution (Salamol Steri-Neb) £1.91 2.5 mg / vial Pack of 20

Salbutamol Nebuliser Solution (Salamol Steri-Neb) £3.82 5 mg / vial Pack of 20

Salbutamol Powder (Ventolin Accuhaler) £3.60 200 mcg (60 dose unit) Pack of 1 Relatively high cost per dose. Easyhaler is a more cost effective option

Salbutamol Solution £1.15 2 mg/5ml oral solution sugar free Pack of 150

Salmeterol Accuhaler (Serevent Accuhaler) £35.11 50 mcg/dose (60 dose unit) Pack of 1

Salmeterol MDI (Serevent MDI) £29.26 25 mcg (120 doses) Pack of 1

Terbutaline Nebuliser Solution (Bricanyl Respules) £11.64 5 mg / 2ml Vial Pack of 20

Terbutaline Turbohaler (Bricanyl / Terbutaline ) £8.30 500 mcg / puff (100 dose unit) Pack of 1

Salbutamol Breath Actuated Inhaler (Unspecified) £6.30 100 mcg (CFC Free 200 dose unit) Pack of 1 Please prescribe by brand. High cost generics are in circulation.

Salmeterol inhaler CFC free (Neovent ) £29.26 25 micrograms/dose 120 dose Pack of 1 The East Kent Prescribing Group recommends that prescriptions for salmeterol inhalers are prescribed as the branded product Serevent as recently introduced generic salmeterol inhalers contain lecithin and soya and should be avoided in peanut and soya allergy

Salmeterol inhaler CFC free (Vertine) £23.40 25 mcg dose (120 dose) Pack of 1 The East Kent Prescribing Group recommends that prescriptions for salmeterol inhalers are prescribed as the branded product Serevent as recently introduced generic salmeterol inhalers contain lecithin and soya and should be avoided in peanut and soya allergy

Salmeterol MDI £29.26 25 mcg/dose (120 doses) Pack of 1 The East Kent Prescribing Group recommends that prescriptions for salmeterol inhalers are prescribed as the branded product Serevent as recently introduced generic salmeterol inhalers contain lecithin and soya and should be avoided in peanut and soya allergy

Salmeterol Xinafoate (Soltel) £19.95 25 mcg / dose 120 doses Pack of 1 The East Kent Prescribing Group recommends that prescriptions for salmeterol inhalers are prescribed as the branded product Serevent as recently introduced generic salmeterol inhalers contain lecithin and soya and should be avoided in peanut and soya allergy 3.1.1.2 - Respiratory system | Bronchodilators | Other Andrenoceptor Agonists

Current Status Drug Tariff

22 January 2020 60/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ephedrine Tabs £76.16 15 mg tab Pack of 28 BNF-Drug of limited therapeutic value

Ephedrine Tabs £115.29 30 mg tab Pack of 28 BNF-Drug of limited therapeutic value

3.1.2 - Respiratory system | Bronchodilators | Antimuscarinic Bronchodilators

Current Status Drug Tariff

Aclidinium Bromide (Eklira) £32.50 322 mcg bronchdilator Pack of 60 One of preferred LAMAs for COPD

Glycopyrronium Bromide (Seebri Breezhaler) £27.50 44 mcg inhalation powder caps Pack of 30 One of preferred LAMAs for COPD

Tiotropium bromide (Braltus Zonda) £25.80 10 mcg inhalation powder capsules with Zonda inhaler Pack of 30

Umeclidinium bromide dry powder inhaler (Incruse Ellipta) £27.50 55 mcgs Pack of 30 Awaiting national and then local recommendations

Aclidinium bromide / Formoterol (Duaklir ) £32.50 340 mcg /12mcg Genuair Pack of 60

Ipratropium Bromide MDI (Atrovent) £5.56 20 mcg / puff (200 dose Unit CFC free) Pack of 1

Ipratropium Nebuliser Solution £5.56 250 mcg / 1ml Unit Pack of 20

Ipratropium Nebuliser Solution £3.10 500 mcg / 2ml Unit Pack of 20

Ipratropium Nebuliser Solution (Atrovent UDV) £4.14 250 mcg / 1ml Unit Pack of 20

Ipratropium Nebuliser Solution (Atrovent UDV) £4.87 500 mcg / 2ml Unit Pack of 20

Ipratropium Nebuliser Solution (Ipratropium Steri-nebs) £6.99 250 mcg/1ml vial Pack of 20

Ipratropium Nebuliser Solution (Ipratropium Steri-nebs) £15.99 500 mcg/2ml vial Pack of 20

Ipratropium Nebuliser Solution (Respontin) £4.78 250 mcg / 1ml Unit Pack of 20

22 January 2020 61/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ipratropium Nebuliser Solution (Respontin) £5.60 500 mcg / 2ml Unit Pack of 20

Ipratropium Nebuliser Solution (Steripoules) £3.46 250 mcg / vial (1ml) Pack of 20

Ipratropium Nebuliser Solution (Steripoules) £3.94 500 mcg / vial (2ml unit) Pack of 20

Tiotropium (Spiriva) £34.87 18 mcg combopak (with Handihaler) Pack of 30 Consider aclidinium or glycopyronnium if initiating a LAMA as more cost effective

Tiotropium (Spiriva) £33.50 18 mcg refill pack Pack of 30 Consider aclidinium or glycopyronnium if initiating a LAMA as more cost effective

Tiotropium (Spiriva respimat) £23.00 2.5 mcg inhaler 60d Pack of 1 3.1.3 - Respiratory system | Bronchodilators | Theophylline

Current Status Drug Tariff

Aminophylline SR (Norphyllin) £3.22 225 mg tab Pack of 56

Aminophylline SR (Phyllocontin Continus) £2.40 225 mg tab Pack of 56

Aminophylline SR (Phyllocontin Continus) £4.22 350 mg tab / Forte Pack of 56

Theophylline (Slo-Phyllin) £2.76 60 mg caps Pack of 56

Theophylline (Slo-Phyllin) £3.48 125 mg caps Pack of 56

Theophylline (Slo-Phyllin) £4.34 250 mg caps Pack of 56

Theophylline MR (Nuelin SA) £6.38 175 mg MR tab Pack of 60

Theophylline MR (Nuelin SA) £8.92 250 mg MR tab Pack of 60

Theophylline MR (Uniphyllin Continus) £2.96 200 mg MR tab Pack of 56

Theophylline MR (Uniphyllin Continus) £4.77 300 mg MR tab Pack of 56

Theophylline MR (Uniphyllin Continus) £5.65 400 mg MR tab Pack of 56

22 January 2020 62/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Aminophylline SR £2.54 225 mg tab Pack of 56 Prescribe by brand due to bioavailability issues

3.1.4 - Respiratory system | Bronchodilators | Compound Bronchodilator Preparations

Current Status Drug Tariff

Indacaterol/glycopyrronium inhalation powder capsules with device (Ultibro Breezhaler) £13.00 85 microgram/43microgram Pack of 12

Indacaterol/glycopyrronium inhalation powder capsules with device (Ultibro Breezhaler) £32.50 85 microgram/43microgram Pack of 30

Ipratropium - Salbutamol Nebs (Combivent UDV) £24.10 60 * 2.5ml vials Pack of 60

Tiotropium bromide / Olodaterol inhaler (Spiolto Respimat) £32.50 2.5 micrograms/dose solution for inhalation cartridge with device (60 dose) Pack of 1

Umeclidinium bromide / Vilanterol (Anoro Ellipta ) £32.50 55 mcgs / 22micrograms dry powder inhaler Pack of 30 Do not prescribe. Not assessed for position in therapy in the local health economy

Combivent Inhaler (Combivent MDI) £6.77 20 /100 mcg per puff (200 dose unit) Pack of 1 Discontinued

Theophylline / EphedrineTablet (Franol) £5.23 120 mg / 11mg tab Pack of 90 3.2 - Respiratory system | Corticosteroids (Respiratory)

Current Status Drug Tariff

Beclometasone / Formoterol dry powder inhaler (Fostair NEXThaler ) £29.32 100 mcgs/6 mcgs 120 dose Pack of 1

Beclometasone / Formoterol dry powder inhaler (Fostair NEXThaler ) £29.32 200 mcgs/6 mcgs 120 dose Pack of 1

Beclometasone / Formoterol MDI (Fostair) £29.32 100 mcg / 6mcg per dose (120 dose unit) Pack of 1 One of preferred inhalers for adults with asthma requiring ICS/LABA (BTS step 3)Contains extra fine particles and is more potent than traditional BDP inhalers

Beclometasone / Formoterol MDI (Fostair) £29.32 200 mcg / 6mcg per dose (120 dose unit) Pack of 1

Trelegy Ellipta £44.50 92 mcgs/dose/55mcgs/dose/22mcgs/dose dry powder inhaler (30 D) Pack of 1 Restriction:1. Use in severe COPD (forced expiratory volume in one second less than 50% predicted normal)2. Specialist initiation - due to need to conduct a clinical review before starting LAMA+LABA+ICS (in line with NICE guidance) to ensure that:the person's non-pharmacological COPD management is optimised and they have used or been offered treatment for tobacco dependence if they smokeacute episodes of worsening symptoms are caused by COPD exacerbations and not by another physical or mental health conditionthe person's day-to-day symptoms that are adversely impacting their quality of life are caused by COPD and not by another physical or mental health condition. Amended Aug 2019

22 January 2020 63/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Trimbow £44.50 87 mcgs/dose/5 mcgs/dose/9 mcgs/dose inhaler Pack of 1 Restriction:1. Use in severe COPD (forced expiratory volume in one second less than 50% predicted normal)2. Specialist initiation - due to need to conduct a clinical review before starting LAMA+LABA+ICS (in line with NICE guidance) to ensure that:the person's non-pharmacological COPD management is optimised and they have used or been offered treatment for tobacco dependence if they smokeacute episodes of worsening symptoms are caused by COPD exacerbations and not by another physical or mental health conditionthe person's day-to-day symptoms that are adversely impacting their quality of life are caused by COPD and not by another physical or mental health condition. Amended Aug 2019

Beclometasone Breath Actuated Inhaler (Qvar Autohaler) £7.87 50 mcg / puff (200 dose unit) Pack of 1

Beclometasone Breath Actuated Inhaler (Qvar Autohaler) £17.21 100 mcg / puff (200 dose unit) Pack of 1

Beclometasone Breath Actuated Inhaler (Qvar Easi-breathe Inhaler) £7.74 50 mcg / puff (200 dose unit) Pack of 1

Beclometasone Breath Actuated Inhaler (Qvar Easi-breathe Inhaler) £16.95 100 mcg / puff (200 dose unit) Pack of 1

Beclometasone Inhaler (Easyhaler Beclometasone) £14.93 200 mcg / puff (powder) 200 dose unit Pack of 1

Beclometasone Inhaler [MDI] (Clenil Modulite) £3.70 50 mcg / puff (200 dose unit) cfc free Pack of 1

Beclometasone Inhaler [MDI] (Clenil Modulite) £7.42 100 mcg / puff (200 dose unit) cfc free Pack of 1

Beclometasone Inhaler [MDI] (Clenil Modulite) £16.17 200 mcg / puff (200 dose unit) cfc free Pack of 1

Beclometasone Inhaler [MDI] (Clenil Modulite) £16.29 250 mcg / puff (200 dose unit) cfc free Pack of 1

Beclometasone MDI Inhaler (Qvar Press and Breath Inhaler) £7.87 50 mcg / puff (200 dose unit) Pack of 1

Beclometasone MDI Inhaler (Qvar Press and Breath Inhaler) £17.21 100 mcg / puff (200 dose unit) Pack of 1

Budesonide /Formoterol (Duoresp Spiromax) £27.97 160 mcgs/4.5mcgs dry powder inhaler 120 dose Pack of 1

Budesonide /Formoterol (Duoresp Spiromax) £27.97 320 mcgs/9 mcgs dry powder inhaler 60 dose Pack of 1

Budesonide Inhaler (Easyhaler Budesonide) £8.86 100 mcg / puff (powder) 200 units Pack of 1

Budesonide Inhaler (Easyhaler Budesonide) £17.71 200 mcg / puff (powder) 200 units Pack of 1

Budesonide Inhaler (Easyhaler Budesonide) £17.71 400 mcg / puff (powder) 100 units Pack of 1

Budesonide Nebules £26.17 0.5 mg/2mls Pack of 20

22 January 2020 64/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Budesonide Nebules £39.44 1 mg/2mls Pack of 20

Budesonide Nebules (Pulmicort Respules) £31.70 0.5 mg/2mls Pack of 20

Budesonide Nebules (Pulmicort Respules) £48.00 1 mg/2mls Pack of 20

Budesonide Turbohaler (Pulmicort) £14.25 100 mcg (200 dose unit) Pack of 1

Budesonide Turbohaler (Pulmicort) £14.25 200 mcg (100dose) Pack of 1

Budesonide Turbohaler (Pulmicort) £14.25 400 mcg (50dose) Pack of 1

Budesonide/ Formoterol (Symbicort Turbohaler) £28.00 100 / 6mcg (120 dose unit) Pack of 1

Budesonide/ Formoterol (Symbicort Turbohaler) £28.00 200 / 6mcg (120 dose unit) Pack of 1 DUORESP SPIROMAX 160mcg+6mcg contains identical chemical agents and is a cost effective dry powder inhaler licenced for asthma and COPD.

Budesonide/ Formoterol (Symbicort Turbohaler) £28.00 400 / 12mcg (60 dose unit) Pack of 1 DUORESP SPIROMAX 320mcg+9mcg contains identical chemical agents and is a cost effective dry powder inhaler licenced for asthma and COPD

Fluticasone / Formoterol (Flutiform) £14.40 50 mcg / 5mcg Inhaler (120 dose unit) Pack of 1

Fluticasone / Formoterol (Flutiform) £28.00 125 mcg / 5mcg Inhaler (120 dose unit) Pack of 1

Fluticasone / Formoterol (Flutiform) £45.56 250 mcg / 10mcg Inhaler (120 dose unit) Pack of 1

Fluticasone / Salmeterol Accuhaler (Seretide Accuhaler) £18.00 100 /50mcg /dose (60 dose unit) Pack of 1

Fluticasone / Salmeterol Accuhaler (Seretide Accuhaler) £35.00 250 /50mcg /dose (60 dose unit) Pack of 1

Fluticasone / Salmeterol Accuhaler (Seretide Accuhaler) £32.74 500 /50mcg /dose (60 dose unit) Pack of 1

Fluticasone / Salmeterol MDI (Seretide Evohaler) £18.00 50 /25mcg (120dose unit) Pack of 1

Fluticasone / Salmeterol MDI (Seretide Evohaler) £23.45 125 /25mcg (120 dose unit) Pack of 1

Fluticasone / Salmeterol MDI (Sirdupla) £22.45 125 /25mcg (120 dose unit) Pack of 1

22 January 2020 65/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fluticasone / Salmeterol MDI (Sirdupla) £28.32 250 /25mcg (120 dose unit) Pack of 1

Fluticasone / Vilanterol Inhaler (Relvar Ellipta) £22.00 92 mcg/22 mcg (30 doses) Pack of 1

Fluticasone / Vilanterol Inhaler (Relvar Ellipta) £29.50 184 mcg/22 mcg (30 doses) Pack of 1

Fluticasone Accuhaler (Flixotide Accuhaler) £4.00 50 mcg (60 dose unit) Pack of 1

Fluticasone Accuhaler (Flixotide Accuhaler) £8.00 100 mcg (60 dose unit) Pack of 1

Fluticasone Accuhaler (Flixotide Accuhaler) £25.51 250 mcg (60 dose unit) Pack of 1

Fluticasone Accuhaler (Flixotide Accuhaler) £43.37 500 mcg (60 dose unit) Pack of 1

Fluticasone CFC free Inhaler (Flixotide Evohaler) £6.53 50 mcg (120 dose unit) Pack of 1

Fluticasone CFC free Inhaler (Flixotide Evohaler) £21.26 125 mcg (120 dose unit) Pack of 1

Fluticasone CFC free Inhaler (Flixotide Evohaler) £36.14 250 mcg (120 dose unit) Pack of 1

Salmeterol / Fluticasone inhaler (AirFluSal) £16.42 25 mcg dose / 125mcgs 120d CFC free PMDI Pack of 1

Salmeterol / Fluticasone inhaler (AirFluSal) £20.52 25 mcg dose / 250mcgs 120d CFC free PMDI Pack of 1

Salmeterol / Fluticasone propionate (Aerivio Spiromax) £29.97 50 mcg/dose / 500mcg/dose dry powder inhaler (60 D) Pack of 1

Salmeterol / Fluticasone propionate (AirFluSal Forspiro) £29.97 50 mcgs dose / 500mcgs dose dry powder inhaler 60d Pack of 1

Beclometasone Inhaler [MDI] (Beclomethasone) £5.03 50 mcg / puff (200 dose unit) Pack of 1 Prescribe beclometasone by brand due to bioavailability issues

Beclometasone Inhaler [MDI] (Beclomethasone) £8.99 100 mcg / puff (200 dose unit) Pack of 1 Prescribe beclometasone by brand due to bioavailability issues

Beclometasone Inhaler [MDI] (Beclomethasone) £18.74 200 mcg / puff (200 dose unit) Pack of 1 Prescribe beclometasone by brand due to bioavailability issues

22 January 2020 66/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Beclometasone Inhaler [MDI] (Beclomethasone) £18.72 250 mcg / puff (200 dose unit) Pack of 1 Prescribe beclometasone by brand due to bioavailability issues

Beclometasone Inhaler [MDI] (Becotide (discontinued)) £1.79 50 mcg / puff (200 dose unit) Pack of 1 Discontinued

Beclometasone Inhaler [MDI] (Becotide (discontinued)) £2.79 100 mcg / puff (200 dose unit) Pack of 1 Discontinued

Beclometasone Inhaler [MDI] (Becotide (discontinued)) £8.14 200 mcg / puff (200 dose unit) Pack of 1 Discontinued

Beclometasone Inhaler [MDI] (Unspecified) £7.42 100 mcg (200 dose unit) cfc free Pack of 1 Prescribe beclometasone by brand due to bioavailability issues

Beclometasone/ Salbutamol (Ventide) £5.04 100 /50 mcg (200 dose MDI) Pack of 1

Budesonide / Formoterol £28.00 100 / 6mcg (120 dose unit) Pack of 1 Prescribe by brand to ensure patient receives the same device on each occasion.

Budesonide / Formoterol £28.00 200 / 6mcg (120 dose unit) Pack of 1 Prescribe by brand to ensure patient receives the same device on each occasion.

Budesonide / Formoterol £28.00 400 / 12mcg (60 dose unit) Pack of 1 Prescribe by brand to ensure patient receives the same device on each occasion.

Fluticasone / Salmeterol MDI £18.00 50 /25mcg (120 dose unit) Pack of 1 Prescribe by brand to ensure patient receives the same device on each occasion.

Fluticasone / Salmeterol MDI £23.45 125 /25mcg (120 dose unit) Pack of 1 Prescribe by brand to ensure patient receives the same device on each occasion.

Fluticasone / Salmeterol MDI £29.32 250 /25mcg (120 dose unit) Pack of 1 More cost effective devices available. Prescribe by brand to ensure patient receives the same device on each occasion.

22 January 2020 67/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fluticasone / Salmeterol MDI (Seretide Evohaler) £29.32 250 /25mcg (120 dose unit) Pack of 1 Please consider alternatives due to high cost

3.3.1 - Respiratory system | Cromoglycate,Rel,Leukotriene Antagonists | Cromoglycate and Related Therapy

Current Status Drug Tariff

Nedocromil MDI (Tilade (cfc free)) £39.94 2 mg / puff (112 doses) Pack of 1

Sodium Cromoglicate BA MDI (Cromogen Easi-Breathe) £13.91 5 mg/ dose (112 doses) Pack of 1

Sodium Cromoglicate MDI (Non-proprietary / Cromogen) £13.91 5 mg / dose (112doses) Pack of 1

Sodium Cromoglycate MDI (Intal MDI) £18.33 5 mg/dose (112) Pack of 1 3.3.2 - Respiratory system | Cromoglycate,Rel,Leukotriene Antagonists | Leukotriene Receptor Antagonists

Current Status Drug Tariff

Montelukast £1.73 4 mg Paediatric Chewable Tab Pack of 28

Montelukast £5.35 4 mg Paediatric granules Sachet Pack of 28

Montelukast £1.81 5 mg Paediatric Chewable Tab Pack of 28

Montelukast £4.08 10 mg Tab Pack of 28

Montelukast (Singulair) £25.69 4 mg Paediatric Chewable Tab Pack of 28 Prescribe generically

Montelukast (Singulair) £25.69 4 mg Paediatric granules / Sachet Pack of 28 Prescribe generically

Montelukast (Singulair) £25.69 5 mg Paediatric Chewable Tab Pack of 28 Prescribe generically

Montelukast (Singulair) £26.97 10 mg Tab Pack of 28 Prescribe generically

22 January 2020 68/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Zafirlukast (Accolate) £17.75 20 mg Tab Pack of 56 Not included in EKHUFT formulary (Feb 2013)

3.4.1 - Respiratory system | Antihist, Hyposensit & Allergic Emergen | Antihistamines

Current Status Drug Tariff

Cetirizine £1.01 10 mg tab Pack of 30

Cetirizine Solution £1.55 1 mg / ml Pack of 200

Loratadine Syrup £1.94 5 mg / 5ml Pack of 100

Loratadine Tablets £1.05 10 mg tab Pack of 30

Chlorphenamine £2.62 2 mg/5ml oral solution Pack of 150

Chlorphenamine Injection (Chlorpheniramine) £4.50 10 mg / ml (1ml amp) Pack of 1

Chlorphenamine Solution (Chlorpheniramine) £2.21 2 mg/5ml Liquid S/F Pack of 150 Do not prescribe Chlorphenamine 2mg/5ml liquid. Prescribe Chlorphenamine 2mg/5ml sugar free liquid as the sugar free liquid is more cost effective (Updated: August 2016).

Chlorphenamine Tablet £0.78 4 mg tab Pack of 28

Fexofenadine £2.17 120 mg tab Pack of 30 For second line use if Cetirizine or Loratadine are not effective or not tolerated.

Fexofenadine £3.14 180 mg tab Pack of 30 For second line use if Cetirizine or Loratadine are not effective or not tolerated.

Hydroxyzine Tablet (Atarax) £1.20 10 mg tab Pack of 84

Hydroxyzine Tablet (Atarax) £0.62 25 mg tab Pack of 28

Promethazine (Phenergan) £2.85 5 mg/5ml sugar free Pack of 100

Promethazine (Phenergan) £3.67 10 mg tab Pack of 56

Promethazine (Phenergan) £4.67 25 mg tab Pack of 56

22 January 2020 69/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Promethazine Injection £6.74 25 mg / ml Pack of 10

Promethazine Injection £12.00 50 mg / 2 ml Pack of 10

Promethazine Injection (Phenergan) £6.74 25 mg / 1ml amp Pack of 10

Acrivastine Capsules (Benadryl Allergy Relief) £3.20 8 mg Cap Pack of 12 Not recommended as three times a day dosage required and more cost effective preparations are available such as cetirizine or loratidine. EKPG Information on management of allergic rhinitis is available here: http://tinyurl.com/zuftcns

Alimemazine £179.58 7.5 mg/5ml oral solution Pack of 100 Alternative first generation antihistamines may offer a more cost effective option-chlorpheniramine or promethazine

Alimemazine £112.88 10 mg tab Pack of 28 Alternative first generation antihistamines may offer a more cost effective option-chlorpheniramine or promethazine.

Alimemazine £243.51 30 mg/5ml oral solution Pack of 100 Alternative first generation antihistamines may offer a more cost effective option-chlorpheniramine or promethazine

Alimemazine (Vallergan) £4.88 7.5 mg / 5ml Syrup Pack of 100 Discontinued

Alimemazine (Vallergan) £4.28 10 mg Tab Pack of 28 Discontinued

Alimemazine (Vallergan) £7.55 30 mg / 5ml Syrup FORTE Pack of 100 Discontinued

Cetirizine (Benadryl Allergy) £3.15 1 mg/ml oral solution ml Pack of 100

Cetirizine (Benadryl Caps) £6.45 10 mg cap Allergy liquid release Pack of 30 More cost effective antihistamines are available

Cetirizine (Benadryl tablets) £3.09 10 mg tab Pack of 7

Cetirizine (Zirtek) £8.73 10 mg tab Pack of 30 Prescribe generically

22 January 2020 70/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Cetirizine (Zirtek Allergy Solution) £2.46 1 mg/ml sugar free Pack of 70 Prescribe generically

Cetirizine (Zirtek Allergy Solution) £9.77 1 mg/ml sugar free Pack of 200 Prescribe generically

Cetirizine Solution £4.18 1 mg / ml Pack of 100 200ml pack size may be more cost effective as listed in Drug Tariff

Chlorphenamine (Chlorpheniramine) Solution (Piriton) £2.78 2 mg / 5ml Liquid Pack of 150 Do not prescribe Piriton 2mg/5ml liquid. Prescribe generic Chlorphenamine 2mg/5ml sugar free liquid as the sugar free liquid is more cost effective (Updated: August 2016).

Chlorphenamine Tablet (Piriton) £2.06 4 mg tab Pack of 30 Prescribe generically

Cyproheptadine (Periactin) £5.99 4 mg tab Pack of 30 Licensed for allergic rhinitis, however more cost effective preparations are available such as cetirizine or loratidine.

Desloratadine £1.33 5 mg tab Pack of 30 More cost effective options are available

Desloratadine (Neoclarityn) £6.77 5 mg tab Pack of 30 More cost effective options are available

Fexofenadine (Telfast ) £5.46 30 mg tab (Paed) Pack of 60 Prescribe generically (Fexofenadine).

Fexofenadine (Telfast ) £5.99 120 mg tab Pack of 30 Prescribe generically (Fexofenadine).

Fexofenadine (Telfast ) £7.58 180 mg tab Pack of 30 Prescribe generically (Fexofenadine).

Hydroxyzine (Ucerax) £1.78 200 ml 10mg/5ml oral solution Pack of 200 Prescribe generically.

22 January 2020 71/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ketotifen (Zaditen) £9.12 1 mg caps Pack of 56 Licensed for Allergic Rhinitis, however more cost effective preparations are available such as Cetirizine or Loratidine.

Ketotifen (Zaditen) £7.53 1 mg tab Pack of 60 Licensed for Allergic Rhinitis, however more cost effective preparations are available such as Cetirizine or Loratidine.

Ketotifen (Zaditen) £8.91 1 mg/5mls elixir Pack of 300 Licensed for Allergic Rhinitis, however more cost effective preparations are available such as Cetirizine or Loratidine.

Levocetirizine £4.11 5 mg tab Pack of 30 More cost effective options are available

Levocetirizine (Xyzal) £4.39 5 mg tab Pack of 30

Levocetirizine Solution (Xyzal) £6.00 0.5 mg / ml Pack of 200 More cost effective options are available

Loratadine Syrup (Clarityn Syrup) £7.04 5 mg / 5ml Pack of 100 Prescribe generically

Mizolastine (Mizollen) £6.92 10 mg tab Pack of 30 Not recommended due to potential to cause abnormal prolongation of QT interval and more cost effective preparations are available such as cetirizine or loratidine. See EKPG guidelines: http://tinyurl.com/zuftcns

Promethazine HCL (Phenergan Nightime) £1.47 25 mg tab Pack of 14 Prescribe generically

Rupatadine (Rupafin) £5.00 10 mg tab Pack of 30 Submission to EKHUFT Drug and Therapeutics declined (Oct 2011)

Acrivastine / Pseudoephedrine Capsule (Benadryl Plus) £3.79 8 mg / 60mg per cap Pack of 12 More cost effective antihistamines are available

Bilastine Tablets (Ilaxten) £15.09 20 mg tab Pack of 30 3.4.2 - Respiratory system | Antihist, Hyposensit & Allergic Emergen | Allergen Immunotherapy

Current Status Drug Tariff

22 January 2020 72/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Grass Pollen Extract (Grazax) £80.12 75000 units per tab (oral lyophilisates) Pack of 30 This should not be initiated for new patients Grazax- is the commissioning responsibility of NHS England and should be supplied by a specialist centreThere are no specialised allergy services in the Kent / Medway area and so patients would need to be referred to one of the tertiary centres.Patients that were prescribed Grazax® prior to May 2013 may still receive the drug on prescription from the GP if clinically appropriate. Refer to previous local guidelines document.(Updated October 2016

Omalizumab (Xolair) £256.15 150 mg / ml Pack of 1

Omalizumab (Xolair) £256.15 150 mg / ml consult product literature Pack of 1

Omalizumab (Xolair) £128.07 150 mg/mL 0.5ml prefilled syringe Pack of 1

Omalizumab (Xolair) £256.15 150 mg/mL 1ml prefilled syringe Pack of 1 3.4.3 - Respiratory system | Antihist, Hyposensit & Allergic Emergen | Allergic Emergencies

Current Status Drug Tariff

Adrenaline (base) solution for injection pre-filled disposable devices (Emerade) £26.94 150 mgs/0.15ml (1 in 1,000) Pack of 1 Emerade, Jext and Epipen are all on formulary. No one device is preferred due to the numerous supply problems seen with these devices. However, please note the following:1. Information on quantity to supply and advice for prescribers and patients is available here: http://www.canterburycoastalccg.nhs.uk/about-us/prescribing-advice/?assetdet7576137=429077&categoryesctl10344807=17558 2. Emerade is the only adrenaline auto-injector that follows the UK Resuscitation Council Guidelines for both dose and needle length. https://www.resus.org.uk/faqs/faqs- anaphylaxis-treatment/

Adrenaline (base) solution for injection pre-filled disposable devices (Emerade) £26.94 300 mgs/0.3ml (1 in 1,000) Pack of 1 Emerade, Jext and Epipen are all on formulary. No one device is preferred due to the numerous supply problems seen with these devices. However, please note the following:1. Information on quantity to supply and advice for prescribers and patients is available here: http://www.canterburycoastalccg.nhs.uk/about-us/prescribing-advice/?assetdet7576137=429077&categoryesctl10344807=17558 2. Emerade is the only adrenaline auto-injector that follows the UK Resuscitation Council Guidelines for both dose and needle length. https://www.resus.org.uk/faqs/faqs- anaphylaxis-treatment/

Adrenaline (base) solution for injection pre-filled disposable devices (Emerade) £28.74 500 mgs/0.5ml (1 in 1,000) Pack of 1 Emerade, Jext and Epipen are all on formulary. No one device is preferred due to the numerous supply problems seen with these devices. However, please note the following:1. Information on quantity to supply and advice for prescribers and patients is available here: http://www.canterburycoastalccg.nhs.uk/about-us/prescribing-advice/?assetdet7576137=429077&categoryesctl10344807=17558 2. Emerade is the only adrenaline auto-injector that follows the UK Resuscitation Council Guidelines for both dose and needle length. https://www.resus.org.uk/faqs/faqs- anaphylaxis-treatment/

Adrenaline Injection (Epipen) £26.45 0.15 mg junior auto-injector Pack of 1 Emerade, Jext and Epipen are all on formulary. No one device is preferred due to the numerous supply problems seen with these devices. However, please note the following:1. Information on quantity to supply and advice for prescribers and patients is available here: http://www.canterburycoastalccg.nhs.uk/about-us/prescribing-advice/?assetdet7576137=429077&categoryesctl10344807=17558 2. Emerade is manufactured with 30 months shelf life as opposed to an 18 month expiry date for Epipen/Jext.3. Emerade is the only adrenaline auto-injector that follows the UK Resuscitation Council Guidelines for both dose and needle length. https://www.resus.org.uk/faqs/faqs-anaphylaxis-treatment/

Adrenaline Injection (Epipen) £26.45 0.3 mg auto-injector Pack of 1 Emerade, Jext and Epipen are all on formulary. No one device is preferred due to the numerous supply problems seen with these devices. However, please note the following:1. Information on quantity to supply and advice for prescribers and patients is available here: http://www.canterburycoastalccg.nhs.uk/about-us/prescribing-advice/?assetdet7576137=429077&categoryesctl10344807=17558 2. Emerade is manufactured with 30 months shelf life as opposed to an 18 month expiry date for Epipen/Jext.3. Emerade is the only adrenaline auto-injector that follows the UK Resuscitation Council Guidelines for both dose and needle length. https://www.resus.org.uk/faqs/faqs-anaphylaxis-treatment/

22 January 2020 73/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Adrenaline Injection (Jext) £23.99 150 mcg (0.15ml) Prefilled Pen Pack of 1 Emerade, Jext and Epipen are all on formulary. No one device is preferred due to the numerous supply problems seen with these devices. However, please note the following:1. Information on quantity to supply and advice for prescribers and patients is available here: http://www.canterburycoastalccg.nhs.uk/about-us/prescribing-advice/?assetdet7576137=429077&categoryesctl10344807=17558 2. Emerade is manufactured with 30 months shelf life as opposed to an 18 month expiry date for Epipen/Jext.3. Emerade is the only adrenaline auto-injector that follows the UK Resuscitation Council Guidelines for both dose and needle length. https://www.resus.org.uk/faqs/faqs-anaphylaxis-treatment/

Adrenaline Injection (Jext) £26.45 300 mcg (0.30ml) Prefilled Pen Pack of 1 Emerade, Jext and Epipen are all on formulary. No one device is preferred due to the numerous supply problems seen with these devices. However, please note the following:1. Information on quantity to supply and advice for prescribers and patients is available here: http://www.canterburycoastalccg.nhs.uk/about-us/prescribing-advice/?assetdet7576137=429077&categoryesctl10344807=17558 2. Emerade is manufactured with 30 months shelf life as opposed to an 18 month expiry date for Epipen/Jext.3. Emerade is the only adrenaline auto-injector that follows the UK Resuscitation Council Guidelines for both dose and needle length. https://www.resus.org.uk/faqs/faqs-anaphylaxis-treatment/

C1-esterase inhibitor (Berinert) £550.00 500 unit powder and solvent Pack of 1

C1-esterase inhibitor (Cinryze) £1336.00 500 unit inj vials Pack of 2

Icatibant (Firazyr 30mg/3ml solution ) £1395.00 30 mg/3ml solution for injection pfs Pack of 1

Adrenaline Pen (Anapen) £30.67 0.15 mg pen (junior single unit) Pack of 1 Long term supply problems

Adrenaline Pen (Anapen) £30.67 0.3 mg pen (adult single unit) Pack of 1 Long term supply problems

Adrenaline Pen (Anapen) £30.67 0.5 mcg pen (adult single unit) Pack of 1 Long term supply problems

3.5.2 - Respiratory system | Respiratory stimulants and pulmonary surfactants | Pulmonary surfactants

Current Status Drug Tariff

Beractant (Survanta) £306.43 200 mg/8ml suspension Pack of 1

Poractant Alfa £1.00 80 mg/mL 1.5mL Vial Pack of 1

Poractant Alfa £1.00 80 mg/mL 3mL Vial Pack of 1 3.7 - Respiratory system | Mucolytics

Current Status Drug Tariff

Carbocisteine £5.08 125 mg / 5ml Pack of 300

22 January 2020 74/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Carbocisteine £7.06 250 mg / 5ml Pack of 300

Carbocisteine £5.12 375 mg Cap Pack of 120

Carbocisteine £3.85 750 mg/10ml oral solution 10ml sachets s/f Pack of 15

Hypertonic Chloride Solution (Nebusal) £27.00 7 % vial (4ml unit) Pack of 60 Only use where hypertonic saline is required

Dornase alpha (Pulmozyme) £111.17 2.5 mg / 2.5ml vial nebuliser soln Pack of 6 For patients who have been prescribed previously, prior to April 2013 - continue to prescribe. For patients where this is a new request – DO NOT PRESCRIBE as supply in cystic fibrosis is commissioned by NHS England as per NHS England Policy A01/PS/a. and should be supplied by HOSPITAL ONLY. For more information refer to the NHS England guide: https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/01/a01- policy-inhld-thrpy-cf.pdf

Ivacaftor £1.00 150 mg Tablets Pack of 1 Not suitable for primary care prescribing. Please refer back to specialist.

Mannitol (Bronchitol) £8.27 40 mg inhalation powder hard capsule inc 1 disposable inhaler devices Pack of 10 No application for shared care received. Not recommended for prescribing in primary care

Mannitol (Bronchitol) £231.66 40 mg inhalation powder hard capsule inc 2 disposable inhaler devices Pack of 280 No application for shared care received. Not recommended for prescribing in primary care

Mannitol (Bronchitol) £231.66 40 mg inhalation powder hard capsule inc 2 disposable inhaler devices Pack of 280 No application for shared care received. Not recommended for prescribing in primary care

Mannitol (Bronchitol) £231.66 40 mg inhalation powder hard capsule inc 2 disposable inhaler devices Pack of 280 No application for shared care received. Not recommended for prescribing in primary care

Carbocisteine (Mucodyne ) £5.08 125 mg / 5ml Paed Liquid Pack of 300 Prescribe generically

Carbocisteine (Mucodyne ) £8.39 250 mg / 5ml Liquid Pack of 300 Prescribe generically

Carbocisteine (Mucodyne ) £18.98 375 mg Cap Pack of 120 Prescribe generically

22 January 2020 75/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Acetylcysteine £24.99 2 g / 10ml solution for infusion ampoules ml Pack of 10

Acetylcysteine (A-CYS) £75.00 200 mg granules sachets Pack of 20

Erdosteine (Erdotin) £5.00 300 mg cap Pack of 20 Not recommended for use by SMC as an expectorant for the symptomatic treatment of acute exacerbations of chronic bronchitis in adults as evidence for the clinical efficacy of was limited 415/07 http://www.scottishmedicines.org.uk/SMC_Advice/Advice/415_07_erdosteine__Erdotin_/erdosteine_300mg_capsules__Erdotin_

Mecysteine tablets (Visclair) £17.65 100 mg E/C tabs Pack of 100

Saline for Inhalation (MucoClear) £27.00 3 % ampoules (4ml unit) Pack of 60

Saline for Inhalation (MucoClear) £27.00 6 % ampoules (4ml unit) Pack of 60 3.8 - Respiratory system | Aromatic Inhalations

Current Status Drug Tariff

Menthol and Eucalyptus Inhalation £1.39 100 ml bottle Pack of 100

Benzoin Compound Tincture (Friars Balsam) £1.78 50 ml Pack of 1

Orange tincture £10.20 100 ml BP2001 Pack of 100 3.9.1 - Respiratory system | Cough Preparations | Cough Suppressants

Current Status Drug Tariff

Codeine Linctus £1.90 15 mg / 5ml Pack of 200

Codeine Linctus £1.63 15 mg / 5ml SF Pack of 200

Galcodine Codeine Linctus £3.75 3 mg / 5ml (Paed) Pack of 2000

Galcodine Codeine Linctus £6.77 15 mg / 5mls Pack of 2000

Pholcodine Cough Liquid (Pavacol D) £1.69 5 mg / 5ml 150ml Pack of 150

Pholcodine Linctus (Galenphol) £8.50 5 mg/5ml Pack of 2000

Pholcodine Linctus (Pholcodine ) £1.32 5 mg/5ml Pack of 200

22 January 2020 76/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pholcodine Linctus (Pholcodine ) £1.34 5 mg/5ml SF Pack of 200

Pholcodine Linctus Strong £5.80 10 mg/5mls Pack of 2000

Pholcodine Linctus Strong £9.88 10 mg/5mls SF Pack of 2000

Pholcodine Linctus Strong (Galenphol) £9.88 10 mg/5mls SF solution Pack of 2000

Pholcodine Solution SF (paediatric) (Galenphol Paediatric) £1.20 2 mg/5ml Pack of 90

Methadone 2mg / 5ml Linctus £5.69 2 mg / 5ml Pack of 500 DO NOT PRESCRIBE. All East Kent services are commissioned through Turning Point and patients should be referred back to Turning Point to obtain supplies to ensure this is only supplied with the required behavioural support. In the event of a request for an emergency supply, DO NOT PRESCRIBE. All patients are notified that Turning Point can be contacted 24/7 to discuss and, if appropriate, obtain an additional prescription. Other substance abuse services will have a similar arrangement. Contact details for Turning Point for referrals and 24/7 Helpline: 0300 123 1186 3.9.2 - Respiratory system | Cough Preparations | Expectorant & Demulcent Cough Prep's

Current Status Drug Tariff

Simple Linctus £0.93 200 mls SF Pack of 200 Limited evidence of benefit

Simple Linctus £0.93 200 mls Pack of 200 Limited evidence of benefit

Simple Linctus Paediatric £3.35 2 litres linctus Pack of 2000 Limited evidence of benefit

Simple Linctus Paediatric £3.29 2 litres SF linctus Pack of 2000 Limited evidence of benefit

Squill £32.06 2 litre oxymel Pack of 1

Wild cherry syrup £23.94 2000 ml Pack of 2000 3.10 - Respiratory system | Systemic Nasal Decongestants

Current Status Drug Tariff

Chlorphenamine / Ephedrine Tablet (Haymine) £11.00 10 mg / 15mg tab Pack of 10 High cost item and drug of limited therapeutic value

22 January 2020 77/403 Formulary Book [3: Respiratory system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Chlorpenamine / Pseudoephedrine Solution (Galpseud Plus) £3.67 2 mg / 30mg per 5mls Pack of 500 High cost item and drug of limited therapeutic value

Pseudoephedrine / Triprolidine (Sudafed Plus) £8.14 30 / 1.25mg per 5ml Pack of 1000 High cost item and drug of limited therapeutic value

Pseudoephedrine / Triprolidine (Sudafed Plus) £6.17 60 / 2.5mg Tab Pack of 100 High cost item and drug of limited therapeutic value

Pseudoephedrine Oral Solution (Care Decongestant) £1.67 30 mg / 5ml SF Pack of 100 Drug of limited therapeutic value

Pseudoephedrine Solution (Galpseud) £14.00 30 mg / 5ml (linctus s/f) Pack of 2000 Drug of limited therapeutic value

Pseudoephedrine Solution (Sudafed elixir (Withdrawn 8/11)) £1.48 30 mg / 5ml Pack of 100 Discontinued

Pseudoephedrine SR (Sudafed 12 Hour Relief) £2.98 120 mg tab Pack of 12 High cost item and drug of limited therapeutic value

Pseudoephedrine Tablet (Galpseud) £5.42 60 mg tab Pack of 100 High cost item and drug of limited therapeutic value

Pseudoephedrine Tablet (Sudafed) £0.93 60 mg tab Pack of 20 Drug of limited therapeutic value

Pseudoephedrine Tablet (Sudafed) £4.68 60 mg tab Pack of 100 3.11 - Respiratory system | Antifibrotics

Current Status Drug Tariff

Pirfenidone (Esbriet) £2007.70 267 mg capsules Pack of 252 Do not prescribe. Supply is the responsibility of NHS England and should be supplied through Homecare by acute trust.

4.1.1 - Central nervous system | Hypnotics And Anxiolytics | Hypnotics

Current Status Drug Tariff

22 January 2020 78/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Temazepam £1.61 10 mg tab Pack of 28

Temazepam £1.56 20 mg tab Pack of 28

Zopiclone £1.14 3.75 mg tab Pack of 28

Zopiclone £1.11 7.5 mg tab Pack of 28

Melatonin Capsule ((Unlicensed)) £300.00 6 mg cap Pack of 60 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Capsule ((Unlicensed)) £250.00 20 mg cap Pack of 60 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Liquid Special ((Unlicensed)) £119.00 1 mg / 5ml Pack of 150 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Liquid Special ((Unlicensed)) £150.00 6 mg / 5ml Pack of 150 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Tablet ((Unlicensed)) £21.00 2 mg tab Pack of 60 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Sodium Oxybate (Xyrem) £360.00 500 mg/ml oral solution Pack of 180

22 January 2020 79/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Temazepam £183.28 10 mg / 5ml Oral solution S/F Pack of 300 Reserved for use only where swallowing difficulties are present

4.1.2 - Central nervous system | Hypnotics And Anxiolytics | Anxiolytics

Current Status Drug Tariff

Chlordiazepoxide Caps £15.05 5 mg caps Pack of 100

Chlordiazepoxide Caps £17.95 10 mg caps Pack of 100

Lorazepam £3.31 1 mg tab Pack of 28

Lorazepam £7.40 2.5 mg tab Pack of 28

Chlordiazepoxide Tabs £20.30 5 mg tab Pack of 100 Capsules are more cost effective

Chlordiazepoxide Tabs £49.50 10 mg tab Pack of 100 Capsules are more cost effective

Meprobamate Tablet £197.63 400 mg tab Pack of 84 Discontinued

4.2.1 - Central nervous system | Drugs Used In Psychoses & Rel.Disorders | Antipsychotic Drugs

Current Status Drug Tariff

Quetiapine £2.09 25 mg Tab Pack of 60

Quetiapine £4.80 100 mg Tab Pack of 60

Quetiapine £5.57 150 mg Tab Pack of 60

Quetiapine £7.09 200 mg Tab Pack of 60

Quetiapine £6.18 300 mg Tab Pack of 60

Quetiapine XL (Sondate XL) £11.99 50 mg tab Pack of 60

22 January 2020 80/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Quetiapine XL (Sondate XL) £25.99 150 mg tab Pack of 60

Quetiapine XL (Sondate XL) £25.99 200 mg tab Pack of 60

Quetiapine XL (Sondate XL) £44.99 300 mg tab Pack of 60

Quetiapine XL (Sondate XL) £59.99 400 mg tab Pack of 60

Amisulpride (Solian) £22.76 50 mg tab Pack of 60 Specialist Initiation only.

Amisulpride (Solian) £35.29 100 mg tab Pack of 60 Specialist Initiation only.

Amisulpride (Solian) £33.76 100 mg / ml solution Pack of 60 Specialist Initiation only.

Amisulpride (Solian) £58.99 200 mg tab Pack of 60 Specialist Initiation only.

Amisulpride (Solian) £117.97 400 mg tab Pack of 60 Specialist Initiation only.

Aripiprazole £1.41 5 mg tab Pack of 28

Aripiprazole £1.41 10 mg tab Pack of 28

Aripiprazole £1.58 15 mg tab Pack of 28

Aripiprazole £13.72 30 mg tab Pack of 28 The 30mg tablets are considerably more expensive than the lower strength tablets. Consider prescribing in multiples of the 5 or 10mg.

Olanzapine £1.45 2.5 mg tab Pack of 28

Olanzapine £1.51 5 mg tab Pack of 28

Olanzapine £1.98 7.5 mg tab Pack of 28

22 January 2020 81/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Olanzapine £1.48 10 mg tab Pack of 28

Olanzapine £1.93 15 mg tab Pack of 28

Olanzapine £2.13 20 mg tab Pack of 28

Risperidone Tablet £2.16 0.5 mg tab (500mcg tab) Pack of 20

Risperidone Tablet £2.74 1 mg tab Pack of 20

Risperidone Tablet £9.83 2 mg tab Pack of 60

Risperidone Tablet £12.25 3 mg tab Pack of 60

Risperidone Tablet £13.49 4 mg tab Pack of 60

Risperidone Tablet £49.21 6 mg tab Pack of 28

Amisulpride £42.08 400 mg tab Pack of 60 Prescribe as 2 x 200mg

Haloperidol Liquid £6.48 5 mg / 5ml Liquid Pack of 100

Haloperidol Liquid (Serenace) £7.41 2 mg / ml Liquid Pack of 100

Haloperidol Tab £32.99 0.5 mg tab Pack of 28

Haloperidol Tab £5.01 1.5 mg tab Pack of 28

Haloperidol Tab £6.67 5 mg tab Pack of 28

Haloperidol Tab £18.47 10 mg tab Pack of 28

Haloperidol Tab £22.00 20 mg tab Pack of 28

Levomepromazine / Methotrimeprazine (Nozinan) £20.26 25 mg tab Pack of 84

Levomepromazine / Methotrimeprazine Injection (Nozinan) £20.13 25 mg / 1ml Amp Pack of 10

22 January 2020 82/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Quetiapine XL (Biquelle XL) £29.45 50 mg XL tablets Pack of 60

Quetiapine XL (Biquelle XL) £49.45 150 mg XL tablets Pack of 60

Quetiapine XL (Biquelle XL) £49.45 200 mg XL tablets Pack of 60

Quetiapine XL (Biquelle XL) £74.45 300 mg XL tablets Pack of 60

Quetiapine XL (Biquelle XL) £98.95 400 mg XL tablets Pack of 60

Quetiapine XL (Zaluron XL ) £27.96 50 mg tablets Pack of 60

Quetiapine XL (Zaluron XL ) £46.96 150 mg tablets Pack of 60

Quetiapine XL (Zaluron XL ) £46.96 200 mg tablets Pack of 60

Quetiapine XL (Zaluron XL ) £70.71 300 mg tablets Pack of 60

Quetiapine XL (Zaluron XL ) £93.98 400 mg tablets Pack of 60

Risperidone Liquid £3.97 1 mg / ml S/F Pack of 100

Amisulpride £6.09 50 mg tab Pack of 60

Amisulpride £9.28 100 mg tab Pack of 60

Amisulpride £13.23 200 mg tab Pack of 60

benperidol (Anquil) £117.31 250 mcg Pack of 112

Chlorpromazine Tab £31.17 25 mg tab Pack of 28

Chlorpromazine Tab £31.27 50 mg tab Pack of 28

Chlorpromazine Tab £31.40 100 mg tab Pack of 28

Flupentixol Tablet (Depixol) £13.92 3 mg tab Pack of 100

Sulpiride £5.23 200 mg tab Pack of 30

22 January 2020 83/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Sulpiride £18.80 400 mg tab Pack of 30

Thioridazine £0.49 25 mg tab Pack of 28

Thioridazine £1.60 50 mg tab Pack of 28

Trifluoperazine £100.22 1 mg tab Pack of 100

Trifluoperazine £120.43 5 mg tab Pack of 100

Trifluoperazine £27.00 5 mg/ 5ml oral solution S/F Pack of 150

Trifluoperazine (Stelazine) £4.11 1 mg tab Pack of 112

Trifluoperazine (Stelazine) £3.83 1 mg / 5ml syrup Pack of 200

Trifluoperazine (Stelazine) £4.65 2 mg spansule Pack of 60

Trifluoperazine (Stelazine) £5.87 5 mg tab Pack of 112

Trifluoperazine (Stelazine) £2.83 10 mg spansule Pack of 30

Trifluoperazine (Stelazine) £4.27 15 mg spansule Pack of 30

Zuclopenthixol (Clopixol Tablets) £3.14 2 mg tab Pack of 100

Zuclopenthixol (Clopixol Tablets) £8.06 10 mg tab Pack of 100

Zuclopenthixol (Clopixol Tablets) £16.13 25 mg tab Pack of 100

Aripiprazole Injection (Abilify) £3.43 9.75 mg / 1.3ml solution for inj Pack of 1

Clozapine (Clozaril) £8.40 25 mg tab Pack of 84

Clozapine (Clozaril) £33.60 100 mg tab Pack of 84

Clozapine (Zaponex) £8.28 25 mg tab Pack of 84

Clozapine (Zaponex) £33.88 100 mg tab Pack of 84

22 January 2020 84/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Clozapine (Unspecified) £8.28 25 mg tab Pack of 84

Clozapine (Unspecified) £33.88 100 mg tab Pack of 84

Olanzapine (Zyprexa) £3.48 10 mg injection Pack of 1

Paliperidone (Invega) £97.28 3 mg PR Tab Pack of 28

Paliperidone (Invega) £97.28 6 mg PR Tab Pack of 28

Paliperidone (Invega) £145.92 9 mg PR Tab Pack of 28

Aripiprazole £75.20 15 mg orodispersible tablets sugar free Pack of 28

Aripiprazole £75.20 10 mg tab orodispersible Pack of 28

Aripiprazole Solution (Abilify) £102.90 1 mg / ml Pack of 150 Reserved for use only where swallowing difficulties are present due to significant cost

Aripiprazole Tablets (Abilify) £96.04 5 mg tab Pack of 28

Aripiprazole Tablets (Abilify) £96.04 10 mg tab Pack of 28

Aripiprazole Tablets (Abilify) £96.04 10 mg tab dispersible Pack of 28

Aripiprazole Tablets (Abilify) £96.04 15 mg tab Pack of 28

Aripiprazole Tablets (Abilify) £96.04 15 mg tab dispersible Pack of 28

Aripiprazole Tablets (Abilify) £192.08 30 mg tab Pack of 28

Chlorpromazine Solution (Largactil (withdrawn)) £1.03 25 mg / 5ml Syrup Pack of 100

Chlorpromazine Solution (Largactil (withdrawn)) £2.38 100 mg / 5ml FORTE Suspension Pack of 100

Chlorpromazine Tab (Largactil) £0.66 10 mg tab (withdrawn) Pack of 56

Chlorpromazine Tab (Largactil) £0.91 25 mg tab (withdrawn) Pack of 56

22 January 2020 85/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fluphenazine (Moditen) £5.30 1 mg tab Pack of 100

Haloperidol Injection (Haldol) £1.82 5 mg / 1ml vial Pack of 5

Haloperidol Liquid (Haldol) £4.45 2 mg / ml Liquid Pack of 100

Haloperidol Tab (Haldol) £7.21 5 mg Tab Pack of 100

Haloperidol Tab (Serenace) £1.74 1.5 mg tab Pack of 30

Haloperidol Tab (Serenace) £3.95 5 mg tab Pack of 30

Lurasidone (Latuda) £90.72 18.5 mg tablets Pack of 28

Lurasidone (Latuda) £90.72 37 mg tablets Pack of 28

Lurasidone (Latuda) £90.72 74 mg tablets Pack of 28

Olanzapine (Zyprexa) £21.85 2.5 mg tab Pack of 28 Prescribe generically

Olanzapine (Zyprexa) £43.70 5 mg tab Pack of 28 Prescribe generically

Olanzapine (Zyprexa) £131.10 7.5 mg tab Pack of 56 Prescribe generically

Olanzapine (Zyprexa) £87.40 10 mg tab Pack of 28 Prescribe generically

Olanzapine (Zyprexa) £119.18 15 mg tab Pack of 28 Prescribe generically

Olanzapine (Zyprexa) £158.90 20 mg tab Pack of 28 Prescribe generically

22 January 2020 86/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Olanzapine (Zyprexa Velotabs) £48.07 5 mg disp velotab Pack of 28 Prescribe generically as orodispersible. Reserved for use only where swallowing difficulties are present

Olanzapine (Zyprexa Velotabs) £87.40 10 mg disp velotab Pack of 28 Prescribe generically as orodispersible. Reserved for use only where swallowing difficulties are present

Olanzapine (Zyprexa Velotabs) £131.10 15 mg disp velotab Pack of 28 Prescribe generically as orodispersible. Reserved for use only where swallowing difficulties are present

Olanzapine (Zyprexa Velotabs) £174.79 20 mg disp velotab Pack of 28 Prescribe generically as orodispersible. Reserved for use only where swallowing difficulties are present

Olanzapine Orodispersible £29.03 5 mg orodispersible tab Pack of 28

Olanzapine Orodispersible £48.50 10 mg dispersible tab Pack of 28

Olanzapine Orodispersible £48.73 15 mg orodispersible tab Pack of 28

Olanzapine Orodispersible £78.40 20 mg orodispersible tab Pack of 28

Olanzapine Orodispersible Sugar Free £6.86 5 mg orodispersible tab Pack of 28 Reserved for use only where swallowing difficulties are present

Olanzapine Orodispersible Sugar Free £11.49 10 mg orodispersible tab Pack of 28 Reserved for use only where swallowing difficulties are present

Olanzapine Orodispersible Sugar Free £11.64 15 mg orodispersible tab Pack of 28 Reserved for use only where swallowing difficulties are present

Olanzapine Orodispersible Sugar Free £18.91 20 mg orodispersible tab Pack of 28 Reserved for use only where swallowing difficulties are present

Olanzapine Velotabs £48.07 5 mg disp velotabs Pack of 28

Olanzapine Velotabs £87.40 10 mg disp velotabs Pack of 28

Olanzapine Velotabs £131.10 15 mg disp velotabs Pack of 28

22 January 2020 87/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Olanzapine Velotabs £174.79 20 mg disp velotabs Pack of 28

Pericyazine (Neulactil) £9.23 2.5 mg tab Pack of 84

Pericyazine (Neulactil) £24.95 10 mg tab Pack of 84

Pericyazine (Neulactil) £12.01 10 mg / 5ml (forte syrup) Pack of 100

Pimozide (Orap) £40.31 4 mg tab Pack of 100

Promazine Solution £24.78 25 mg/ 5ml Pack of 150

Promazine Solution £30.35 50 mg/ 5ml Pack of 150

Promazine Tabs £45.33 25 mg tab Pack of 100

Promazine Tabs £76.17 50 mg tab Pack of 100

Quetiapine (Brancico XL) £12.00 50 mg tablets Pack of 60

Quetiapine (Brancico XL) £26.00 150 mg tablets Pack of 60

Quetiapine (Brancico XL) £26.00 200 mg tablets Pack of 60

Quetiapine (Brancico XL) £45.00 300 mg tablets Pack of 60

Quetiapine (Brancico XL) £60.00 400 mg tablets Pack of 60

Quetiapine (Seroquel) £48.60 25 mg Tab Pack of 60 Prescribe generically

Quetiapine (Seroquel) £135.72 100 mg Tab Pack of 60 Prescribe generically

Quetiapine (Seroquel) £113.10 150 mg Tab Pack of 60 Prescribe generically

22 January 2020 88/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Quetiapine (Seroquel) £135.72 200 mg Tab Pack of 60 Prescribe generically

Quetiapine (Seroquel) £204.00 300 mg Tab Pack of 60 Prescribe generically

Quetiapine (Mintreleq XL) £14.99 50 mg tablets Pack of 60

Quetiapine (Mintreleq XL) £29.99 150 mg tablets Pack of 60

Quetiapine (Mintreleq XL) £29.99 200 mg tablets Pack of 60

Quetiapine (Mintreleq XL) £49.99 300 mg tablets Pack of 60

Quetiapine (Mintreleq XL) £64.99 400 mg tablets Pack of 60

Quetiapine XL £67.66 50 mg tab Pack of 60

Quetiapine XL £113.10 150 mg tab Pack of 60

Quetiapine XL £113.10 200 mg tab Pack of 60

Quetiapine XL £170.00 300 mg tab Pack of 60

Quetiapine XL £226.20 400 mg tab Pack of 60

Quetiapine XL (Atrolak XL) £67.65 50 mg tab Pack of 60

Quetiapine XL (Atrolak XL) £113.09 200 mg tab Pack of 60

Quetiapine XL (Atrolak XL) £169.99 300 mg tab Pack of 60

Quetiapine XL (Atrolak XL) £226.19 400 mg tab Pack of 60

Quetiapine XL (Ebesque XL) £31.80 50 mg tablets Pack of 60 Owing to manufacturing issues; Ethypharm (the manufacturer of Ebesque XL) have decided to withdraw all strengths of Ebesque XL from the UK market with immediate effect. (UPDATED: February 2017).

22 January 2020 89/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Quetiapine XL (Ebesque XL) £53.16 200 mg tablets Pack of 60 Owing to manufacturing issues; Ethypharm (the manufacturer of Ebesque XL) have decided to withdraw all strengths of Ebesque XL from the UK market with immediate effect. (UPDATED: February 2017).

Quetiapine XL (Ebesque XL) £79.90 300 mg tablets Pack of 60 Owing to manufacturing issues; Ethypharm (the manufacturer of Ebesque XL) have decided to withdraw all strengths of Ebesque XL from the UK market with immediate effect. (UPDATED: February 2017).

Quetiapine XL (Ebesque XL) £106.31 400 mg tablets Pack of 60 Owing to manufacturing issues; Ethypharm (the manufacturer of Ebesque XL) have decided to withdraw all strengths of Ebesque XL from the UK market with immediate effect. (UPDATED: February 2017).

Quetiapine XL (Seotiapim XL ) £96.13 200 mg tablets Pack of 60

Quetiapine XL (Seotiapim XL ) £144.50 300 mg tablets Pack of 60

Quetiapine XL (Seotiapim XL ) £192.27 400 mg tablets Pack of 60

Quetiapine XL (Seroquel XL) £67.66 50 mg tab Pack of 60

Quetiapine XL (Seroquel XL) £113.10 150 mg tab Pack of 60

Quetiapine XL (Seroquel XL) £113.10 200 mg tab Pack of 60

Quetiapine XL (Seroquel XL) £170.00 300 mg tab Pack of 60

Quetiapine XL (Seroquel XL) £226.20 400 mg tab Pack of 60

Quetiapine XL (Tenprolide XL) £67.66 50 mg tab Pack of 60

Quetiapine XL (Tenprolide XL) £113.10 200 mg tab Pack of 60

Quetiapine XL (Tenprolide XL) £170.00 300 mg tab Pack of 60

Quetiapine XL (Tenprolide XL) £226.20 400 mg tab Pack of 60

Risperidone Liquid (Risperdal Liquid) £37.01 1 mg / ml Pack of 100 Prescribe generically

22 January 2020 90/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Risperidone Orodispersible (RisperdalQuicklet) £8.23 0.5 mg Tab Pack of 28 Orodispersable and Quicklet preparations are significantly higher cost and usually only required for in-patient settings

Risperidone Orodispersible (RisperdalQuicklet) £13.86 1 mg Tab Pack of 28 Orodispersable and Quicklet preparations are significantly higher cost and usually only required for in-patient settings

Risperidone Orodispersible (RisperdalQuicklet) £26.12 2 mg Tab Pack of 28 Orodispersable and Quicklet preparations are significantly higher cost and usually only required for in-patient settings

Risperidone Orodispersible (RisperdalQuicklet) £28.99 3 mg tab Pack of 28 Orodispersable and Quicklet preparations are significantly higher cost and usually only required for in-patient settings

Risperidone Orodispersible (RisperdalQuicklet) £37.34 4 mg tab Pack of 28 Orodispersable and Quicklet preparations are significantly higher cost and usually only required for in-patient settings

Risperidone Orodispersible S/F £18.28 0.5 mg Tab Pack of 28 Orodispersable and Quicklet preparations are significantly higher cost and usually only required for in-patient settings

Risperidone Orodispersible S/F £21.63 1 mg tab Pack of 28 Orodispersable and Quicklet preparations are significantly higher cost and usually only required for in-patient settings

Risperidone Orodispersible S/F £39.05 2 mg tab Pack of 28 Orodispersable and Quicklet preparations are significantly higher cost and usually only required for in-patient settings

Risperidone Orodispersible S/F £43.50 3 mg tab Pack of 28 Orodispersable and Quicklet preparations are significantly higher cost and usually only required for in-patient settings

Risperidone Orodispersible S/F £50.29 4 mg tab Pack of 28 Orodispersable and Quicklet preparations are significantly higher cost and usually only required for in-patient settings

Risperidone Tablet (Risperdal) £5.08 0.5 mg tab Pack of 20 Prescribe generically

Risperidone Tablet (Risperdal) £17.56 1 mg tab Pack of 60 Prescribe generically

22 January 2020 91/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Risperidone Tablet (Risperdal) £34.62 2 mg tab Pack of 60 Prescribe generically

Risperidone Tablet (Risperdal) £50.91 3 mg tab Pack of 60 Prescribe generically

Risperidone Tablet (Risperdal) £67.20 4 mg tab Pack of 60 Prescribe generically

Risperidone Tablet (Risperdal) £67.88 6 mg tab Pack of 28 Prescribe generically

Sulpiride (Dolmatil) £6.00 200 mg tab Pack of 100

Sulpiride (Dolmatil) £19.00 400 mg tab Pack of 100

Sulpiride (Sulpor) £27.00 200 mg/5mL 150ml pack Pack of 1 Reserved for use only where swallowing difficulties are present. Tablets can be dispersed- ask your Medicine Management team for information.

Zotepine (Zoleptil) £21.50 25 mg tab Pack of 30

Zotepine (Zoleptil) £28.65 50 mg tab Pack of 30

Zotepine (Zoleptil) £47.28 100 mg tab Pack of 30

Aripiprazole Maintena (Abilify) £220.41 400 mg powder and solvent Pack of 1

Perphenazine (Fentazin) £29.09 2 mg Tab Pack of 100

Perphenazine (Fentazin) £34.25 4 mg Tab Pack of 100 4.2.2 - Central nervous system | Drugs Used In Psychoses & Rel.Disorders | Antipsychotic Depot Injections

Current Status Drug Tariff

Flupentixol Decanoate Injection (Depixol) £15.17 20 mg/1ml ampoule Pack of 10

Flupentixol Decanoate Injection (Depixol) £62.51 100 mg/1ml ampoule Pack of 10

22 January 2020 92/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Flupentixol Decanoate Injection (Depixol) £97.59 200 mg/1ml ampoule Low volume Pack of 5

Flupentixol Decanoate Injection (Depixol) £2.49 40 mg/2ml ampoule Pack of 1

Flupentixol Decanoate Injection (Depixol) £1.84 50 mg/0.5ml ampoule Pack of 1

Fluphenazine Decanoate Injection £11.20 25 mg / ml Pack of 5

Fluphenazine Decanoate Injection £43.95 100 mg / ml Pack of 5

Fluphenazine Injection (Modecate) £6.51 12.5 mg/amp (0.5ml) Pack of 5 Hospital only.

Fluphenazine Injection (Modecate) £22.55 25 mg/amp (1ml amp) Pack of 10 Hospital only

Fluphenazine Injection (Modecate) £22.22 50 mg/amp (2ml amp) Pack of 5 Hospital only.

Fluphenazine Injection (Modecate) £44.73 50 mg/amp (0.5ml amp) Pack of 10 Hospital only.

Fluphenazine Injection (Modecate) £43.73 100 mg/amp (1ml amp) Pack of 5 Hospital only.

Haloperidol Decanoate Injection (Haldol Decanoate) £25.26 100 mg / 1ml Amp Pack of 5

Paliperidone £183.92 50 mg injection prefilled syringe Pack of 1

Paliperidone £244.90 75 mg injection prefilled syringe Pack of 1

Paliperidone £314.07 100 mg injection prefilled syringe Pack of 1

Paliperidone £392.59 150 mg injection prefilled syringe Pack of 1

Pipotiazine Injection (Piportil Depot) £162.89 50 mg / 1ml Amp Pack of 10

Pipotiazine Injection (Piportil Depot) £266.54 100 mg / 2ml Amp Pack of 10

22 January 2020 93/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Risperidone Injection (Risperdal Consta) £79.69 25 mg injection Pack of 1

Risperidone Injection (Risperdal Consta) £111.32 37.5 mg injection Pack of 1

Risperidone Injection (Risperdal Consta) £142.76 50 mg injection Pack of 1

Zuclopenthixol Decanoate Depot Inj (Clopixol Depot Injection) £31.51 200 mg/ml amp Pack of 10

Zuclopenthixol Decanoate Depot Inj (Clopixol Depot Injection) £37.18 500 mg/ml amp Pack of 5

Haloperidol Decanoate Injection (Haldol Decanoate) £19.06 50 mg / 1ml Amp Pack of 5 4.2.3 - Central nervous system | Drugs Used In Psychoses & Rel.Disorders | Antimanic Drugs

Current Status Drug Tariff

Lithium Carbonate (Camcolit) £3.22 250 mg Tab Pack of 100 Specialist initiation only

Lithium Carbonate MR (Camcolit) £48.18 400 mg Tab MR Pack of 100

Lithium Carbonate MR (Liskonum) £11.84 450 mg Tab MR (12.2 mmol Li) Pack of 60 Specialist initiation only

Lithium Carbonate MR (Lithium MR Unspecified) £2.99 400 mg Tab MR Pack of 56 Specialist initiation only

Lithium Carbonate MR (Lithium MR Unspecified) £4.62 400 mg Tab MR Pack of 100 Specialist initiation only

Lithium Carbonate MR (Priadel) £2.76 200 mg Tab MR Pack of 100

Lithium Carbonate MR (Priadel) £4.02 400 mg Tab MR Pack of 100

Lithium Citrate Solution (Priadel) £6.73 5.4 mmol/5ml (520mg/5ml) Pack of 150 Specialist initiation only

Lithium Citrate Solution (Unspecified) £5.84 5.4 mmol/5ml Pack of 150

22 January 2020 94/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Asenapine (Sycrest) £102.60 5 mg sublingual tabs Pack of 60

Asenapine (Sycrest) £102.60 10 mg sublingual tabs Pack of 60 4.3.1 - Central nervous system | Antidepressant Drugs | Tricyclic & Related Antidepressant Drugs

Current Status Drug Tariff

Amitriptyline £0.99 10 mg tab Pack of 28

Amitriptyline £0.85 25 mg tab Pack of 28

Amitriptyline £1.86 50 mg tab Pack of 28

Clomipramine £2.80 10 mg cap Pack of 28

Clomipramine £3.40 25 mg cap Pack of 28

Clomipramine £4.63 50 mg cap Pack of 28

Dosulepin (Dothiepin) £1.83 25 mg Cap Pack of 28

Dosulepin (Dothiepin) £17.17 75 mg Tab Pack of 28

Imipramine £1.05 10 mg tab Pack of 28

Imipramine £1.23 25 mg tab Pack of 28

Lofepramine £21.93 70 mg tab Pack of 56 ?Lofepramine is safer in overdose and less cardiotoxic than older tricyclics and is the first-choice if a tricyclic is indicated

Lofepramine £30.00 70 mg / 5ml Suspension S/F Pack of 150 •Lofepramine is safer in overdose and less cardiotoxic than older tricyclics and is the first-choice if a tricyclic is indicated

Trazodone £4.96 50 mg cap Pack of 84

Trazodone £35.55 50 mg/5ml oral solution ml (SF) Pack of 120 Reserved for use only where swallowing difficulties are present due to significant cost

22 January 2020 95/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Trazodone £5.62 100 mg cap Pack of 56

Trazodone £4.14 150 mg tab Pack of 28

Trimipramine £179.18 10 mg tab Pack of 28

Trimipramine £200.50 25 mg tab Pack of 28

Trimipramine £217.50 50 mg cap Pack of 28

Amitriptyline Solution £136.47 10 mg/5mls Solution Pack of 150 Reserved for use only where swallowing difficulties are present. Tablets can be crushed- ask your Medicine Management team for information.

Amitriptyline Solution £18.00 25 mg/5mls Solution Pack of 150 Reserved for use only where swallowing difficulties are present. Tablets can be crushed- ask your Medicine Management team for information.

Amitriptyline Solution £19.20 50 mg/5mls Solution Pack of 150 Reserved for use only where swallowing difficulties are present. Tablets can be crushed- ask your Medicine Management team for information.

Clomipramine (Anafranil) £3.23 10 mg cap Pack of 84

Clomipramine (Anafranil) £6.35 25 mg cap Pack of 84

Clomipramine (Anafranil) £8.06 50 mg cap Pack of 56

Clomipramine (Anafranil) £8.83 75 mg SR tab Pack of 28

Dosulepin (Dothiepin) (Dothapax) £3.71 75 mg Tab Pack of 28

Dosulepin (Dothiepin) (Prothiaden) £5.53 25 mg Cap Pack of 100

Dosulepin (Dothiepin) (Prothiaden) £2.97 75 mg tab Pack of 28

Doxepin (Sinepin) £3.77 25 mg cap Pack of 28

Doxepin (Sinequan) £1.33 10 mg caps Pack of 56

Doxepin (Sinequan) £0.96 25 mg caps Pack of 28

22 January 2020 96/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Doxepin (Sinequan) £1.57 50 mg caps Pack of 28

Doxepin (Sinequan) £2.49 75 mg caps Pack of 28

Fluphenazine / (Motival) £3.34 500 mcg / 10mg Pack of 100

Lofepramine - disc (Gamanil) £11.81 70 mg Tab Pack of 56

Maprotiline (Ludiomil) £2.53 25 mg Tab Pack of 28

Maprotiline (Ludiomil) £7.46 75 mg Tab Pack of 28

Mianserin £15.16 10 mg tab Pack of 28

Mianserin £36.84 20 mg tab Pack of 28

Mianserin £36.98 30 mg tab Pack of 28

Nortriptyline (Allegron) £12.06 10 mg tab Pack of 100

Nortriptyline (Allegron) £24.02 25 mg tab Pack of 100

Trazodone (Molipaxin) £23.92 50 mg cap Pack of 84

Trazodone (Molipaxin) £13.37 50 mg / 5mls SF liquid Pack of 120

Trazodone (Molipaxin) £28.14 100 mg cap Pack of 56

Trazodone (Molipaxin) £16.08 150 mg tab Pack of 28

Trimipramine (Surmontil) £3.77 10 mg tab Pack of 28

Trimipramine (Surmontil) £4.98 25 mg tab Pack of 28

Trimipramine (Surmontil) £8.36 50 mg cap Pack of 28 4.3.3 - Central nervous system | Antidepressant Drugs | Selective Serotonin Re-Uptake Inhibitors

Current Status Drug Tariff

22 January 2020 97/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Citalopram £0.90 10 mg tab Pack of 28

Citalopram £0.91 20 mg tab Pack of 28

Citalopram £1.12 40 mg tab Pack of 28

Citalopram Oral Drops £13.75 40 mg / ml Pack of 15

Escitalopram £3.50 5 mg tab Pack of 28

Escitalopram £3.38 10 mg tab Pack of 28

Escitalopram £4.33 20 mg tab Pack of 28

Fluoxetine £1.01 20 mg cap Pack of 30

Fluoxetine Solution £4.70 20 mg/5ml Pack of 70

Paroxetine £1.30 20 mg tab Pack of 30

Paroxetine £1.95 30 mg tab Pack of 30

Paroxetine Liquid (Seroxat Liquid) £9.12 20 mg/10ml Pack of 150

Sertraline £1.27 50 mg tab Pack of 28

Sertraline £1.56 100 mg tab Pack of 28

Citalopram (Cipramil) £5.38 10 mg Tab Pack of 28

Citalopram (Cipramil) £8.95 20 mg Tab Pack of 28

Citalopram (Cipramil) £15.12 40 mg tab Pack of 28

Citalopram Oral Drops (Cipramil) £10.08 40 mg / ml Pack of 15

Escitalopram (Cipralex) £8.97 5 mg tab Pack of 28

Escitalopram (Cipralex) £14.91 10 mg tab Pack of 28

22 January 2020 98/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Escitalopram (Cipralex) £25.20 20 mg tab Pack of 28

Escitalopram Drops (Cipralex) £18.82 10 mg / ml Pack of 28 Reserved for use only where swallowing difficulties are present. Tablets will disperse- ask your Medicine Management team for information.

Escitalopram Drops (Cipralex) £20.16 20 mg / ml Pack of 15 Reserved for use only where swallowing difficulties are present. Tablets will disperse- ask your Medicine Management team for information.

Fluoxetine £30.85 10 mg cap Pack of 30 This is an un-licensed preparation. Do not prescribe.

Fluoxetine £5.31 60 mg cap Pack of 30

Fluoxetine (Oxactin) £0.72 20 mg Cap Pack of 30

Fluoxetine (Prozac) £1.50 20 mg cap Pack of 30

Fluoxetine (Prozac) £11.12 20 mg/5mls liquid Pack of 70

Fluoxetine (Prozac) £47.61 60 mg cap Pack of 30

Fluoxetine (Ranflutin) £16.27 20 mg cap Pack of 30

Fluvoxamine Tablets £17.53 50 mg tab Pack of 60

Fluvoxamine Tablets £17.70 100 mg tab Pack of 30

Fluvoxamine Tablets (Faverin) £17.10 50 mg tab Pack of 60

Fluvoxamine Tablets (Faverin) £17.10 100 mg tab Pack of 30

Paroxetine £4.47 10 mg tab Pack of 28 10mg usually only used as to step up does and is considerably higher cost than 20mg or 30mg strengths

Paroxetine (Seroxat) £14.21 10 mg tab Pack of 28

Paroxetine (Seroxat) £15.23 20 mg tab Pack of 30

22 January 2020 99/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Paroxetine (Seroxat) £26.74 30 mg tab Pack of 30

Sertraline (Lustral) £17.82 50 mg tab Pack of 28

Sertraline (Lustral) £29.16 100 mg tab Pack of 28 4.3.4 - Central nervous system | Antidepressant Drugs | Other Antidepressant Drugs

Current Status Drug Tariff

Venlafaxine (Vencarm XL) £3.30 37.5 mg capsules Pack of 28

Venlafaxine (Vencarm XL) £2.59 75 mg capsules Pack of 28

Venlafaxine (Vencarm XL) £3.89 150 mg capsules Pack of 28

Venlafaxine (Vencarm XL) £9.90 225 mg capsules Pack of 28

Agomelatine (Valdoxan) £29.25 25 mg tab Pack of 28 Prescribers are reminded that agomelatine is not recommended for use in East Kent following the advice that NICE is unable to recommend the use in the NHS of agomelatine for the treatment of major depressive episodes because no evidence submission was received from the manufacturer or sponsor of the technology. The NICE guidance is available by here: https://www.nice.org.uk/guidance/ta231Patients prescribed agomelatine (Valdoxan/Thymanax) should have their liver function monitored and agomelatine should not be used in people with high transaminase levels (<3 x ULN) or aged > 75 years.

Duloxetine £2.36 20 mg caps Pack of 28

Duloxetine £1.89 30 mg caps Pack of 28

Duloxetine £4.19 40 mg caps Pack of 56

Duloxetine £2.28 60 mg caps Pack of 28

Mirtazapine £1.69 15 mg tab Pack of 28

Mirtazapine £1.59 30 mg tab Pack of 28

Mirtazapine £1.94 45 mg tab Pack of 28

Mirtazapine orodispersible £1.74 15 mg tab Pack of 30

Mirtazapine orodispersible £1.74 30 mg tab Pack of 30

22 January 2020 100/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Mirtazapine orodispersible £2.18 45 mg tab Pack of 30

Venlafaxine Tabs £2.17 37.5 mg tab Pack of 56

Venlafaxine Tabs £3.11 75 mg tab Pack of 56

Venlafaxine XL (Venlafaxine XL Caps) £2.60 75 mg XL cap Pack of 28 Venlafaxine modified release capsules are more cost effective than tablets.

Venlafaxine XL (Venlafaxine XL Caps) £3.90 150 mg XL cap Pack of 28 Venlafaxine modified release capsules are more cost effective than tablets.

Venlafaxine XL (Vensir XL) £2.60 75 mg XL cap Pack of 28 Venlafaxine modified release tablets are more cost effective

Venlafaxine XL (Vensir XL) £3.90 150 mg XL cap Pack of 28

Venlafaxine XL (Vensir XL) £21.90 225 mg XL cap Pack of 28 Venlafaxine modified release capsules are more cost effective than tablets.

Vortioxetine (Brintellix) £27.72 5 mg tablets Pack of 28

Vortioxetine (Brintellix) £27.72 10 mg tablets Pack of 28

Vortioxetine (Brintellix) £27.72 20 mg tablets Pack of 28

Flupentixol (Fluanxol) £4.86 1 mg tab Pack of 60

Flupentixol (Fluanxol) £2.88 500 mcg tab Pack of 60

Duloxetine (Cymbalta) £22.40 30 mg Cap Pack of 28 Prescribe generically

Duloxetine (Cymbalta) £27.72 60 mg Cap Pack of 28 Prescribe generically

22 January 2020 101/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Duloxetine (Yentreve) £30.80 20 mg Cap Pack of 56 Prescribe generically

Duloxetine (Yentreve) £36.96 40 mg Cap Pack of 56 Prescribe generically

Mirtazapine orodispersible (Zispin SolTab) £15.06 15 mg tab Pack of 30

Mirtazapine orodispersible (Zispin SolTab) £15.06 30 mg tab Pack of 30

Mirtazapine orodispersible (Zispin SolTab) £15.06 45 mg tab Pack of 30

Reboxetine (Edronax) £18.91 4 mg tab Pack of 60

Venlafaxine (Efexor) £22.50 37.5 mg tab Pack of 56

Venlafaxine (Efexor) £37.51 75 mg tab Pack of 56

Venlafaxine MR £33.60 225 mg MR tablets Pack of 30

Venlafaxine XL (Efexor XL) £22.08 75 mg XL cap Pack of 28

Venlafaxine XL (Efexor XL) £36.81 150 mg XL cap Pack of 28

Venlafaxine XL (Efexor XL) £47.11 225 mg XL cap Pack of 28

Venlafaxine XL (Venlafaxine XL Caps) £47.11 225 mg XL cap Pack of 28

Venlafaxine XL (Venlafaxine XL Tabs) £2.60 75 mg XL tab Pack of 30

Venlafaxine XL (Venlafaxine XL Tabs) £3.90 150 mg XL tab Pack of 30

Venlafaxine XL (Venlalic XL) £33.60 225 mg XL tab Pack of 30 4.4 - Central nervous system | CNS Stimulants and drugs used for ADHD

Current Status Drug Tariff

Modafinil £3.56 100 mg tab Pack of 30

22 January 2020 102/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Modafinil £7.08 200 mg tab Pack of 30

Modafinil (Provigil) £52.60 100 mg tab Pack of 30

Modafinil (Provigil) £105.21 200 mg tab Pack of 30

Atomoxetine Capsules (Strattera) £85.00 4 mg/1ml oral solution sugar free Pack of 300 Prescribing for children should be provided by NELFT and NOT by GPPrescribing for adults may be under shared care with SLAM services

Atomoxetine Capsules (Strattera) £53.09 10 mg cap Pack of 28 Prescribing for children should be provided by NELFT and NOT by GPPrescribing for adults may be under shared care with SLAM services

Atomoxetine Capsules (Strattera) £53.09 18 mg cap Pack of 28 Prescribing for children should be provided by NELFT and NOT by GPPrescribing for adults may be under shared care with SLAM services

Atomoxetine Capsules (Strattera) £53.09 25 mg cap Pack of 28 Prescribing for children should be provided by NELFT and NOT by GPPrescribing for adults may be under shared care with SLAM services

Atomoxetine Capsules (Strattera) £53.09 40 mg cap Pack of 28 Prescribing for children should be provided by NELFT and NOT by GPPrescribing for adults may be under shared care with SLAM services

Atomoxetine Capsules (Strattera) £53.09 60 mg cap Pack of 28 Prescribing for children should be provided by NELFT and NOT by GPPrescribing for adults may be under shared care with SLAM services

Atomoxetine Capsules (Strattera) £70.79 80 mg cap Pack of 28 Prescribing for children should be provided by NELFT and NOT by GPPrescribing for adults may be under shared care with SLAM services

Atomoxetine Capsules (Strattera) £70.79 100 mg cap Pack of 28 Prescribing for children should be provided by NELFT and NOT by GPPrescribing for adults may be under shared care with SLAM services

Dexamfetamine £24.71 5 mg tab Pack of 28

Dexamfetamine (Amfexa) £19.89 5 mg tablets Pack of 30

Guanfacine (Intuniv) £56.00 1 mg MR tablets Pack of 28

Guanfacine (Intuniv) £58.52 2 mg MR tablets Pack of 28

22 January 2020 103/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Guanfacine (Intuniv) £65.52 3 mg MR tablets Pack of 28

Guanfacine (Intuniv) £76.16 4 mg MR tablets Pack of 28

Lisdexamfetamine (Elvanse Adult) £58.24 30 mg capsules Pack of 28 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients.Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. (UPDATED: Feb 2018).

Lisdexamfetamine (Elvanse Adult) £68.60 50 mg capsules Pack of 28 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients.Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. (UPDATED: Feb 2018).

Lisdexamfetamine (Elvanse Adult) £83.16 70 mg capsules Pack of 28 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients.Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. (UPDATED: Feb 2018).

Lisdexamfetamine Caps (Elvanse) £54.62 20 mg cap Pack of 28 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients.Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. (UPDATED: Feb 2018).

Lisdexamfetamine Caps (Elvanse) £58.24 30 mg cap Pack of 28 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients.Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. (UPDATED: Feb 2018).

Lisdexamfetamine Caps (Elvanse) £62.82 40 mg cap Pack of 28 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients.Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. (UPDATED: Feb 2018).

Lisdexamfetamine Caps (Elvanse) £68.60 50 mg cap Pack of 28 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients.Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. (UPDATED: Feb 2018).

Lisdexamfetamine Caps (Elvanse) £75.18 60 mg cap Pack of 28 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients.Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. (UPDATED: Feb 2018).

Lisdexamfetamine Caps (Elvanse) £83.16 70 mg cap Pack of 28 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients.Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. (UPDATED: Feb 2018).

Methylphenidate £3.03 5 mg tab Pack of 30

Methylphenidate £3.90 10 mg tab Pack of 30

Methylphenidate £10.92 20 mg tab Pack of 30

22 January 2020 104/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Methylphenidate (Concerta XL) £31.19 18 mg MR tab Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed.Concerta XL consists of an immediate-release component (22% of the dose) and a modified-release component (78% of the dose). If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Concerta XL) £36.81 27 mg MR tab Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed.Concerta XL consists of an immediate-release component (22% of the dose) and a modified-release component (78% of the dose). If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Concerta XL) £42.45 36 mg MR tab Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed.Concerta XL consists of an immediate-release component (22% of the dose) and a modified-release component (78% of the dose). If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Concerta XL) £73.62 54 mg MR tab Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed.Concerta XL consists of an immediate-release component (22% of the dose) and a modified-release component (78% of the dose). If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Delmosart) £15.59 18 mg modified-release tablets Pack of 30

Methylphenidate (Delmosart) £18.41 27 mg modified-release tablets Pack of 30

Methylphenidate (Delmosart) £21.23 36 mg modified-release tablets Pack of 30

Methylphenidate (Delmosart) £36.81 54 mg modified-release tablets Pack of 30

Methylphenidate (Equasym) £2.67 5 mg tab Pack of 30

Methylphenidate (Equasym) £4.99 10 mg tab Pack of 30

Methylphenidate (Equasym) £9.59 20 mg tab Pack of 30

Methylphenidate (Equasym XL) £25.00 10 mg caps Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. Equasym XL consists of an immediate-release component (30% of the dose) and a modified-release component (70% of the dose). If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

22 January 2020 105/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Methylphenidate (Equasym XL) £30.00 20 mg caps Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. Equasym XL consists of an immediate-release component (30% of the dose) and a modified-release component (70% of the dose). If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Equasym XL) £35.00 30 mg caps Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. Equasym XL consists of an immediate-release component (30% of the dose) and a modified-release component (70% of the dose). If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Medikinet XL) £24.04 5 mg caps Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. Medikinet XL consists of an immediate-release component (50% of the dose) and a modified-release component (50% of the dose). If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Medikinet XL) £24.04 10 mg caps Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. Medikinet XL consists of an immediate-release component (50% of the dose) and a modified-release component (50% of the dose). If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Medikinet XL) £28.86 20 mg caps Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. Medikinet XL consists of an immediate-release component (50% of the dose) and a modified-release component (50% of the dose). If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Medikinet XL) £33.66 30 mg caps Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. Medikinet XL consists of an immediate-release component (50% of the dose) and a modified-release component (50% of the dose). If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Medikinet XL) £57.72 40 mg caps Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. Medikinet XL consists of an immediate-release component (50% of the dose) and a modified-release component (50% of the dose). If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

22 January 2020 106/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Methylphenidate (Medikinet XL) £62.52 50 mg caps Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. Medikinet XL consists of an immediate-release component (50% of the dose) and a modified-release component (50% of the dose). If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Medikinet XL) £67.32 60 mg caps Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Prescribing can be continued in primary care. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. Medikinet XL consists of an immediate-release component (50% of the dose) and a modified-release component (50% of the dose). If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Ritalin) £6.68 10 mg tab Pack of 30

Methylphenidate (Xaggitin XL) £15.58 18 mg tablets Pack of 30

Methylphenidate (Xaggitin XL) £18.40 27 mg tablets Pack of 30

Methylphenidate (Xaggitin XL) £21.22 36 mg tablets Pack of 30

Methylphenidate (Xaggitin XL) £36.80 54 mg tablets Pack of 30

Methylphenidate (Xenidate XL) £15.57 18 mg tablets Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. Xenidate XL consists of 21% of the dose contained in an immediate release (IR) phase and 79% contained in a prolonged-release (PR) phase. If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Xenidate XL) £18.39 27 mg tablets Pack of 30

Methylphenidate (Xenidate XL) £21.21 36 mg tablets Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. Xenidate XL consists of 21% of the dose contained in an immediate release (IR) phase and 79% contained in a prolonged-release (PR) phase. If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Xenidate XL) £36.79 54 mg tablets Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. Xenidate XL consists of 21% of the dose contained in an immediate release (IR) phase and 79% contained in a prolonged-release (PR) phase. If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

22 January 2020 107/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Methylphenidate £31.19 18 mg tablets M/R Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate £36.81 27 mg tablets M/R Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate £42.45 36 mg tablets M/R Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate £36.80 54 mg tablets M/R Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Matoride XL) £15.58 18 mg MR tablets Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. Matoride XL consists of 22% of the dose contained in an immediate release (IR) phase and 78% contained in a prolonged-release (PR) phase. If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Matoride XL) £21.22 36 mg MR tablets Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. Matoride XL consists of 22% of the dose contained in an immediate release (IR) phase and 78% contained in a prolonged-release (PR) phase. If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Matoride XL) £36.80 54 mg MR tablets Pack of 30 SPECIALIST INITIATION ONLY. Do not prescribe for patients under the care of CAMHS services. Sussex Partnership Trust prescribe for all their patients. Adults: SLAM will initiate and titrate medication until the patient is stable. Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of methylphenidate, prescribers should specify the brand to be dispensed. Matoride XL consists of 22% of the dose contained in an immediate release (IR) phase and 78% contained in a prolonged-release (PR) phase. If the prescriber is unclear which brand the patient is currently taking, please check with the patient first to avoid inadvertent changes.

Methylphenidate (Tranquilyn) £3.03 5 mg tablets Pack of 30

Methylphenidate (Tranquilyn) £5.49 10 mg tablets Pack of 30

Methylphenidate (Tranquilyn) £10.92 20 mg tablets Pack of 30

22 January 2020 108/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Methylphenidate Tab (Medikinet) £3.03 5 mg tab Pack of 30

Methylphenidate Tab (Medikinet) £5.49 10 mg tab Pack of 30

Methylphenidate Tab (Medikinet) £10.92 20 mg tab Pack of 30 4.5.1 - Central nervous system | Drugs used in the Treatment of Obesity | Gastro-Intestinal Anti-Obesity Drugs

Current Status Drug Tariff

Orlistat £26.87 120 mg caps Pack of 84 Only recommended in line with NICE GG 189 Obesity: identification, assessment and management

Orlistat (Alli) £19.20 60 mg cap Pack of 42 Over the counter product only.

Orlistat (Xenical) £31.63 120 mg caps Pack of 84 Prescribe generically

Sibutramine (Reductil) £25.00 15 mg cap Pack of 28 Discontinued Jan 2010

4.5.2 - Central nervous system | Drugs used in the Treatment of Obesity | Centrally-Acting Appetite Suppressants

Current Status Drug Tariff

Rimonabant (Acomplia) £44.00 20 mg tab Pack of 28 Discontinued October 2018

Sibutramine (Reductil) £25.00 10 mg cap Pack of 28 Discontinued Jan 2010

4.6 - Central nervous system | Drugs Used In Nausea And Vertigo

Current Status Drug Tariff

Cyclizine Tablets £7.14 50 mg tab Pack of 100

Domperidone £0.88 10 mg tab Pack of 30

22 January 2020 109/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Domperidone Solution £24.85 1 mg / ml S/F Pack of 200 Reserved for use only where swallowing difficulties are present.

Nabilone £196.00 1 mg capsule Pack of 20 Not assessed/do not prescribe. Note: is non-formulary at EKHUFT.

Nabilone £150.00 250 mcg capsule Pack of 20 Not assessed/do not prescribe. Note: Nabilone is non-formulary at EKHUFT. Unlicensed preparation. No cost control.

4.7.1 - Central nervous system | Analgesics | Non-Opioid Analgesics

Current Status Drug Tariff

Aspirin (plain) £10.69 300 mg tab Pack of 100

Aspirin Dispersible £3.09 300 mg tab Pack of 100

Aspirin E/C (Nu-Seals) £4.15 300 mg E/C tab Pack of 100

Co-codamol Capsules (Zapain) £3.85 30 /500mg cap Pack of 100 prescribing as zapain is more cost effective

Co-codamol Efferv £8.28 8 /500mg soluble tab Pack of 100

Co-codamol Efferv £8.16 30 /500mg soluble tabs (STRONG) Pack of 100

Co-Codamol Tablets £3.17 8 /500mg tab Pack of 100

Co-Codamol Tablets (Zapain Caplets) £3.11 30 / 500mg tab (Caplet form) Pack of 100 Prescribing as Zapain is more cost effective

Co-dydramol ( ) £3.17 10 /500mg tab Pack of 100

Migraleve Yellow £2.17 500 mg / 8mg tab Pack of 12

Paracetamol Capsule £0.98 500 mg Cap Pack of 32

Paracetamol Oral Suspension (not SF) £2.08 250 mg / 5ml Pack of 100

22 January 2020 110/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Paracetamol Paediatric SF Suspension £1.36 120 mg / 5ml SF Pack of 100

Paracetamol Paediatric SF Suspension (Medinol Paediatric) £0.62 120 mg / 5ml SF Pack of 100

Paracetamol SF Oral Suspension £2.66 250 mg / 5ml SF Pack of 200

Paracetamol Soluble £5.29 500 mg tab Pack of 60

Paracetamol Suppository £12.39 120 mg supps Pack of 10

Paracetamol Suppository £22.01 240 mg supps Pack of 10

Paracetamol Suppository £36.50 500 mg supps Pack of 10

Paracetamol Tablets £2.38 500 mg Tab Pack of 100

Aspirin / (Aspav) £5.98 500 mg / 7.71mg tab (dispersible) Pack of 30

Aspirin E/C £25.29 300 mg E/C tab Pack of 100

Co-codamol (Codipar) £7.25 15 mg / 500mg Capsules Pack of 100 Limited evidence base to support this dose of codeine

Co-codamol (Codipar) £8.25 15 mg / 500mg Effervescent tablets Pack of 100 Limited evidence base to support this dose of codeine

Co-codamol (Codipar) £8.25 15 mg/500mg tablets Pack of 100

Co-codamol (Kapake) £7.10 30 /500mg tab Pack of 100 Prescribe generically

Co-codamol (Kapake) £7.10 30 /500mg cap Pack of 100 Prescribe generically

Co-codamol (Solpadol) £6.74 30 /500mg caplets Pack of 100 Prescribe generically

22 January 2020 111/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Co-codamol (Solpadol) £6.74 30 /500mg cap Pack of 100 Prescribe generically

Co-codamol (Tylex) £8.80 30 /500mg effev. tab Pack of 90 Prescribe generically

Co-codamol (Tylex) £7.70 30 /500mg cap Pack of 100 Prescribe generically

Co-codamol Capsule (Feminax) £2.12 8 / 500mg cap Pack of 20 Prescribe generically.Capsules should be reserved for patients who cannot swallow tablets. Tablets are more cost effective.

Co-Codamol Capsules £20.71 8 /500mg cap Pack of 100 Capsules should be reserved for patients who cannot swallow tablets. Tablets are more cost effective.

Co-Codamol Capsules £5.50 30 /500mg cap Pack of 100 prescribing as zapain is more cost effective

Co-Codamol Tablets £4.60 30 / 500mg tab Pack of 100 prescribing as zapain is more cost effective

Co-Codaprin £96.85 8 /400 mg dispersible Pack of 100

Co-Proxamol Tablets £120.17 32.5 mg / 325mg tab Pack of 100

Paracetamol £1.00 10 mg in 1 mL, 100 mL vial Pack of 1

Paracetamol £1.00 10 mg in 1 mL, 50 mL vial Pack of 1

Paracetamol / Diphenhydramine Elixir (Medised) £2.52 120 mg / 12.5mg / 5ml (100ml unit) Pack of 100

Paracetamol Drops (Infadrops) £1.90 100 mg/ml oral drops Pack of 20

Paracetamol Paediatric SF Suspension (Calpol Infant) £0.47 120 mg / 5ml SF Pack of 100

Paracetamol SF Oral Suspension £24.00 500 mg / 5ml SF Pack of 150 Other strengths may be more cost effective

22 January 2020 112/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Nefopam (Acupan) £10.59 30 mg tab Pack of 90

Paracetamol Paediatric Suspension (not SF) £1.26 120 mg / 5ml Pack of 100

Paracetamol Suppository (Alvedon) £11.95 60 mg Supp Pack of 10

Paracetamol Suppository (Alvedon) £13.80 125 mg Supp Pack of 10

Paracetamol Suppository (Alvedon) £27.60 250 mg Supp Pack of 10 4.7.2 - Central nervous system | Analgesics | Opioid Analgesics

Current Status Drug Tariff

Tramadol MR (Marol) £6.94 100 mg tab Pack of 60 Preferred brand where is indicated

Tramadol MR (Marol) £10.39 150 mg tab Pack of 60 Preferred brand where Tramadol is indicated

Tramadol MR (Marol) £14.19 200 mg tab Pack of 60 Preferred brand where Tramadol is indicated

Fentanyl (PecFent Nasal Spray) £36.48 100 micrograms metered spray Pack of 8 Hospice recommendation only. (Updated: January 2015)

Fentanyl (PecFent Nasal Spray) £36.48 400 micrograms metered spray Pack of 8 Hospice recommendation only. (Updated: January 2015)

Fentanyl Nasal Spray (Instanyl) £59.50 50 mcg (10 doses) Pack of 10 Hospice recommendation only. (Updated: January 2015)

Fentanyl Nasal Spray (Instanyl) £59.50 100 mcg (10 doses) Pack of 10 Hospice recommendation only. (Updated: January 2015)

Fentanyl Nasal Spray (Instanyl) £59.50 200 mcg (10 doses) Pack of 10 Hospice recommendation only. (Updated: January 2015)

22 January 2020 113/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fentanyl Oral (Abstral Sublingual Tablet) £149.70 100 mcg unit tab Pack of 30 Hospice recommendation only.(Updated: January 2015)

Fentanyl Oral (Abstral Sublingual Tablet) £149.70 200 mcg unit tab Pack of 30 Hospice recommendation only.(Updated: January 2015)

Fentanyl Oral (Abstral Sublingual Tablet) £149.70 300 mcg unit tab Pack of 30 Hospice recommendation only.(Updated: January 2015)

Fentanyl Oral (Abstral Sublingual Tablet) £149.70 400 mcg unit tab Pack of 30 Hospice recommendation only.(Updated: January 2015)

Fentanyl Oral (Abstral Sublingual Tablet) £149.70 600 mcg unit tab Pack of 30 Hospice recommendation only.(Updated: January 2015)

Fentanyl Oral (Abstral Sublingual Tablet) £149.70 800 mcg unit tab Pack of 30 Hospice recommendation only.(Updated: January 2015)

Fentanyl Oral (Actiq) £210.41 200 mcg unit lozenge Pack of 30 Hospice recommendation only. (Updated: January 2015)

Fentanyl Oral (Actiq) £210.41 400 mcg unit lozenge Pack of 30 Hospice recommendation only. (Updated: January 2015)

Fentanyl Oral (Actiq) £210.41 600 mcg unit lozenge Pack of 30 Hospice recommendation only. (Updated: January 2015)

Fentanyl Oral (Actiq) £210.41 800 mcg unit lozenge Pack of 30 Hospice recommendation only. (Updated: January 2015)

Fentanyl Oral (Actiq) £210.41 1200 mcg unit lozenge Pack of 30 Hospice recommendation only. (Updated: January 2015)

Fentanyl Oral (Actiq) £210.41 1600 mcg unit lozenge Pack of 30 Hospice recommendation only. (Updated: January 2015)

22 January 2020 114/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fentanyl Oral (Effentora) £139.72 100 mcg unit buccal tab Pack of 28 Hospice recommendation only. (Updated: January 2015)

Fentanyl Oral (Effentora) £139.72 200 mcg unit buccal tab Pack of 28 Hospice recommendation only. (Updated: January 2015)

Fentanyl Oral (Effentora) £139.72 400 mcg unit buccal tab Pack of 28 Hospice recommendation only. (Updated: January 2015)

Fentanyl Oral (Effentora) £139.72 600 mcg unit buccal tab Pack of 28 Hospice recommendation only. (Updated: January 2015)

Fentanyl Oral (Effentora) £139.72 800 mcg unit buccal tab Pack of 28 Hospice recommendation only. (Updated: January 2015)

Tapentadol (Palexia) £24.91 50 mg SR tab Pack of 56 Specialist initiation where morphine and/or have failed to provide adequate pain control; or have been tried and not tolerated’

Tapentadol (Palexia) £49.82 100 mg SR tab Pack of 56 Specialist initiation where morphine and/or oxycodone have failed to provide adequate pain control; or have been tried and not tolerated’

Tapentadol (Palexia) £74.73 150 mg SR tab Pack of 56 Specialist initiation where morphine and/or oxycodone have failed to provide adequate pain control; or have been tried and not tolerated’

Tapentadol (Palexia) £99.64 200 mg SR tab Pack of 56 Specialist initiation where morphine and/or oxycodone have failed to provide adequate pain control; or have been tried and not tolerated’

Tapentadol (Palexia) £124.55 250 mg SR tab Pack of 56 Specialist initiation where morphine and/or oxycodone have failed to provide adequate pain control; or have been tried and not tolerated’

Buprenorphine (Bupeaze) £9.47 35 mcgs/hour transdermal patches Pack of 4 Bupeaze patches are the most cost effective preparation of this strength.Controlled drugs should be prescribed by brand patches should be prescribed in accordance with the Chronic Pain Guidelines: http://tinyurl.com/znwuw7f

Buprenorphine (Bupeaze) £13.99 52.5 mcgs/hour transdermal patches Pack of 4 Bupeaze patches are the most cost effective preparation of this strength.Controlled drugs should be prescribed by brand Buprenorphine patches should be prescribed in accordance with the Chronic Pain Guidelines: http://tinyurl.com/znwuw7f

22 January 2020 115/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Buprenorphine (Bupeaze) £17.99 70 mcgs/hour transdermal patches Pack of 4 Bupeaze patches are the most cost effective preparation of this strength.Controlled drugs should be prescribed by brand Buprenorphine patches should be prescribed in accordance with the Chronic Pain Guidelines: http://tinyurl.com/znwuw7f

Buprenorphine (Butec) £7.92 5 mcgs/hour transdermal patches Pack of 4 Butec patches are the most cost effective preparation for this strengthControlled drugs should be prescribed by brand Buprenorphine patches should be prescribed in accordance with the Chronic Pain Guidelines: http://tinyurl.com/znwuw7f

Buprenorphine (Butec) £14.20 10 mcgs/hour transdermal patches Pack of 4 Butec patches are the most cost effective preparation for this strengthControlled drugs should be prescribed by brand Buprenorphine patches should be prescribed in accordance with the Chronic Pain Guidelines: http://tinyurl.com/znwuw7f

Buprenorphine (Butec) £22.12 15 mcgs/hour transdermal patches Pack of 4 Butec patches are the most cost effective preparation for this strengthControlled drugs should be prescribed by brand Buprenorphine patches should be prescribed in accordance with the Chronic Pain Guidelines: http://tinyurl.com/znwuw7f

Buprenorphine (Butec) £25.86 20 mcgs/hour transdermal patches Pack of 4 Butec patches are the most cost effective preparation for this strengthControlled drugs should be prescribed by brand Buprenorphine patches should be prescribed in accordance with the Chronic Pain Guidelines: http://tinyurl.com/znwuw7f

Buprenorphine (Relevtec) £11.06 35 mcgs/hour transdermal patches Pack of 4

Buprenorphine (Relevtec) £16.60 52.5 mcgs/hour transdermal patches Pack of 4

Buprenorphine (Relevtec) £22.12 70 mcgs/hour transdermal patches Pack of 4

Buprenorphine (Temgesic) £5.04 200 mcg Tab Sublingual Pack of 50 On formulary only for use as strong for the relief of moderate to severe pain NOT for opioid substitution

Buprenorphine (Temgesic) £10.07 400 mcg Tab Sublingual Pack of 50 On formulary only for use as strong analgesic for the relief of moderate to severe pain NOT for opioid substitution

Codeine Phosphate (15mg) £1.04 15 mg tab Pack of 28

Codeine Phosphate (30mg) £1.21 30 mg tab Pack of 28

Codeine Phosphate (60mg) £1.79 60 mg tab Pack of 28

Diamorphine hydrochloride powder £12.82 5 mg powder for injection ampoules Pack of 5

Diamorphine hydrochloride powder £15.39 10 mg powder for injection ampoules Pack of 5

22 January 2020 116/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Diamorphine hydrochloride powder £15.63 30 mg powder for injection ampoules Pack of 5

Diamorphine hydrochloride powder £43.92 100 mg powder for injection ampoules Pack of 5

Diamorphine hydrochloride powder £190.48 500 mg powder for injection ampoules Pack of 5

Fentanyl Patch (Matrifen) £7.52 12 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Fentanyl Patch (Matrifen) £10.76 25 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Fentanyl Patch (Matrifen) £20.12 50 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Fentanyl Patch (Matrifen) £28.06 75 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Fentanyl Patch (Matrifen) £34.59 100 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Fentanyl Patch (Mezolar Matrix) £7.53 12 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Fentanyl Patch (Mezolar Matrix) £10.77 25 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Fentanyl Patch (Mezolar Matrix) £15.46 37.5 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Fentanyl Patch (Mezolar Matrix) £20.13 50 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Fentanyl Patch (Mezolar Matrix) £28.07 75 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

22 January 2020 117/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fentanyl Patch (Mezolar Matrix) £34.60 100 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Morphine Sulphate Oral Solution £1.68 10 mg / 5mls Pack of 100 For use for breakthrough pain in chronic pain consider immediate release morphine (Sevredol) in place of Oramorph.

Morphine Sulphate Oral Solution £6.00 10 mg / 5mls Pack of 300

Morphine Sulphate (Sevredol ) £5.31 10 mg tab Pack of 56 Consider using Sevredol for use in chronic pain in place of Oramorph. Controlled drugs should be prescribed by brand

Morphine Sulphate (Sevredol ) £10.61 20 mg tab Pack of 56 Consider using Sevredol for use in chronic pain in place of Oramorph. Controlled drugs should be prescribed by brand

Morphine Sulphate (Sevredol ) £28.02 50 mg tab Pack of 56 Consider using Sevredol for use in chronic pain in place of Oramorph. Controlled drugs should be prescribed by brand

Morphine Sulphate MR Capsules (Zomorph) £3.47 10 mg MR Cap Pack of 60 Zomorph is the most cost effective preparation for 12 hour modified release morphine capsulesControlled drugs should be prescribed by brand

Morphine Sulphate MR Capsules (Zomorph) £8.30 30 mg MR Cap Pack of 60 Zomorph is the most cost effective preparation for 12 hour modified release morphine capsulesControlled drugs should be prescribed by brand

Morphine Sulphate MR Capsules (Zomorph) £16.20 60 mg MR Cap Pack of 60 Zomorph is the most cost effective preparation for 12 hour modified release morphine capsulesControlled drugs should be prescribed by brand

Morphine Sulphate MR Capsules (Zomorph) £21.80 100 mg MR Cap Pack of 60 Zomorph is the most cost effective preparation for 12 hour modified release morphine capsulesControlled drugs should be prescribed by brand

Morphine Sulphate MR Capsules (Zomorph) £43.60 200 mg MR Cap Pack of 60 Zomorph is the most cost effective preparation for 12 hour modified release morphine capsulesControlled drugs should be prescribed by brand

Morphine Sulphate MR Tablet (MST Continus) £3.29 5 mg Tab MR Pack of 60

Morphine Sulphate MR Tablet (MST Continus) £9.10 15 mg Tab MR Pack of 60

22 January 2020 118/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Morphine Sulphate Solution (Oramorph) £1.89 10 mg / 5ml Pack of 100 For use for breakthrough pain in chronic pain consider immediate release morphine tablets (Sevredol) in place of Oramorph.

Morphine Sulphate Solution (Oramorph) £4.98 100 mg / 5ml CONCENTRATED Solution Pack of 30 For use for breakthrough pain in chronic pain consider immediate release morphine tablets (Sevredol) in place of Oramorph.

Morphine sulphate solution for injection £11.53 10 mg/1ml amp Pack of 10

Morphine sulphate solution for injection £68.95 20 mg/1ml amp Pack of 10

Morphine sulphate solution for injection £11.49 30 mg/1ml amp Pack of 10

Morphine sulphate solution for injection £7.94 60 mg/1ml amp Pack of 5

Morphine Sulphate SR £24.32 60 mg SR tab Pack of 60 Zomorph is the most cost effective preparation for 12 hour modified release morphine although a capsule form rather than a tablet. Controlled drugs should be prescribed by brand

Morphine Sulphate SR £38.50 100 mg SR tab Pack of 60 Zomorph is the most cost effective preparation for 12 hour modified release morphine although a capsule form rather than a tablet. Controlled drugs should be prescribed by brand

Morphine Sulphate Suppository £18.60 30 mg / supp Pack of 12

Oxycodone (Shortec) £6.86 5 mg caps Pack of 56 Oxycodone and morphine sulfate have a similar safety and efficacy profile, however morphine sulfate is significantly less costly than oxycodone. MORPHINE sulphate should therefore be considered first line where strong are required.

Oxycodone (Shortec) £13.72 10 mg caps Pack of 56 Oxycodone and morphine sulfate have a similar safety and efficacy profile, however morphine sulfate is significantly less costly than oxycodone. MORPHINE sulphate should therefore be considered first line where strong opioids are required.

Oxycodone (Shortec) £39.64 10 mg/ml concentrate oral solution ml S/F Pack of 120

Oxycodone (Shortec) £27.43 20 mg caps Pack of 56 Oxycodone and morphine sulfate have a similar safety and efficacy profile, however morphine sulfate is significantly less costly than oxycodone. MORPHINE sulphate should therefore be considered first line where strong opioids are required.

Oxycodone MR Tab (Longtec) £6.26 5 mg MR Tab Pack of 28 Oxycodone and morphine sulfate have a similar safety and efficacy profile, however morphine sulfate is significantly less costly than oxycodone. MORPHINE sulphate should therefore be considered first line where strong opioids are required.

22 January 2020 119/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Oxycodone MR Tab (Longtec) £12.52 10 mg MR Tab Pack of 56 Oxycodone and morphine sulfate have a similar safety and efficacy profile, however morphine sulfate is significantly less costly than oxycodone. MORPHINE sulphate should therefore be considered first line where strong opioids are required.

Oxycodone MR Tab (Longtec) £19.06 15 mg MR Tab Pack of 56 Oxycodone and morphine sulfate have a similar safety and efficacy profile, however morphine sulfate is significantly less costly than oxycodone. MORPHINE sulphate should therefore be considered first line where strong opioids are required.

Oxycodone MR Tab (Longtec) £25.04 20 mg MR Tab Pack of 56 Oxycodone and morphine sulfate have a similar safety and efficacy profile, however morphine sulfate is significantly less costly than oxycodone. MORPHINE sulphate should therefore be considered first line where strong opioids are required.

Oxycodone MR Tab (Longtec) £38.11 30 mg MR Tab Pack of 56 Oxycodone and morphine sulfate have a similar safety and efficacy profile, however morphine sulfate is significantly less costly than oxycodone. MORPHINE sulphate should therefore be considered first line where strong opioids are required.

Oxycodone MR Tab (Longtec) £50.09 40 mg MR Tab Pack of 56 Oxycodone and morphine sulfate have a similar safety and efficacy profile, however morphine sulfate is significantly less costly than oxycodone. MORPHINE sulphate should therefore be considered first line where strong opioids are required.

Oxycodone MR Tab (Longtec) £76.24 60 mg MR Tab Pack of 56 Oxycodone and morphine sulfate have a similar safety and efficacy profile, however morphine sulfate is significantly less costly than oxycodone. MORPHINE sulphate should therefore be considered first line where strong opioids are required.

Oxycodone MR Tab (Longtec) £100.19 80 mg MR Tab Pack of 56 Oxycodone and morphine sulfate have a similar safety and efficacy profile, however morphine sulfate is significantly less costly than oxycodone. MORPHINE sulphate should therefore be considered first line where strong opioids are required.

Oxycodone MR Tab (Longtec) £152.51 120 mg MR Tab Pack of 56 Oxycodone and morphine sulfate have a similar safety and efficacy profile, however morphine sulfate is significantly less costly than oxycodone. MORPHINE sulphate should therefore be considered first line where strong opioids are required.

Tramadol Capsules £2.73 50 mg cap Pack of 100

Tramadol Soluble (Zydol) £13.33 50 mg tab Pack of 100

Tramadol SR (Tramquel SR) £7.24 50 mg cap Pack of 60

Tramadol SR (Zydol SR) £4.60 50 mg tab Pack of 60

Buprenorphine £5.04 0.2 mg tab sublingual tab Pack of 50

Buprenorphine £1.36 0.4 mg tab sublingual tab Pack of 7

22 January 2020 120/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Buprenorphine £5.92 2 mg tab sublingual tab Pack of 7 DO NOT PRESCRIBE. All services are commissioned through Turning Point and patients should be referred back to Turning Point to obtain supplies to ensure this is only supplied with the required behavioural support. In the event of a request for an emergency supply. DO NOT PRESCRIBE. All patients are notified that Turning Point can be contacted 24/7 to discuss and, if appropriate, obtain an additional prescription. Other substance abuse services will have a similar arrangement. Contact details for Turning Point are Referrals (24/7 Helpline) Advice: 0300 123 1186.

Buprenorphine £17.01 8 mg tab sublingual tab Pack of 7 DO NOT PRESCRIBE. All services are commissioned through Turning Point and patients should be referred back to Turning Point to obtain supplies to ensure this is only supplied with the required behavioural support. In the event of a request for an emergency supply. DO NOT PRESCRIBE. All patients are notified that Turning Point can be contacted 24/7 to discuss and, if appropriate, obtain an additional prescription. Other substance abuse services will have a similar arrangement. Contact details for Turning Point are Referrals (24/7 Helpline) Advice: 0300 123 1186.

Buprenorphine £15.80 35 mcgs/hour transdermal patches Pack of 4

Buprenorphine £23.71 52.5 mcgs/hour transdermal patches Pack of 4

Buprenorphine £31.60 70 mcgs/hour transdermal patches Pack of 4

Buprenorphine (Buplast) £15.80 35 mcgm/hour transdermal patches Pack of 4

Buprenorphine (Buplast) £23.71 52.5 mcgm/hour transdermal patches Pack of 4

Buprenorphine (Buplast) £31.60 70 mcgm/hour transdermal patches Pack of 4

Buprenorphine (Hapoctasin) £9.48 35 micrograms/hour Transdermal patches Pack of 4

Buprenorphine (Hapoctasin) £14.23 52.5 micrograms/hour Transdermal patches Pack of 4

Buprenorphine (Hapoctasin) £18.96 70 micrograms/hour Transdermal patches Pack of 4

Buprenorphine (Temgesic) £2.46 300 mcg / 1ml Amp Pack of 5

Buprenorphine Patch (BuTrans) £17.60 5 mcg/hr transdermal Pack of 4

Buprenorphine Patch (BuTrans) £31.55 10 mcg / hour transderma Pack of 4

Buprenorphine Patch (BuTrans) £49.15 15 mcg/hr transdermal Pack of 4

Buprenorphine Patch (BuTrans) £57.46 20 mcg / hour transdermal Pack of 4

22 January 2020 121/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Buprenorphine Patch (Transtec) £15.80 35 mcg / hr transdermal Pack of 4 Bupeaze patches are the most cost effective preparation of this strength.Controlled drugs should be prescribed by brand Buprenorphine patches should be prescribed in accordance with the Chronic Pain Guidelines: http://tinyurl.com/znwuw7f

Buprenorphine Patch (Transtec) £23.71 52.5 mcg / hr transdermal Pack of 4 Bupeaze patches are the most cost effective preparation of this strength.Controlled drugs should be prescribed by brand Buprenorphine patches should be prescribed in accordance with the Chronic Pain Guidelines: http://tinyurl.com/znwuw7f

Buprenorphine Patch (Transtec) £31.60 70 mcg / hr transdermal Pack of 4 Bupeaze patches are the most cost effective preparation of this strength.Controlled drugs should be prescribed by brand Buprenorphine patches should be prescribed in accordance with the Chronic Pain Guidelines: http://tinyurl.com/znwuw7f

Codeine Linctus £6.64 25 mg / 5ml Pack of 500

Codeine Phosphate (60mg) £24.19 60 mg / ml injection (1ml amp) Pack of 10

Dihydrocodeine £4.25 30 mg tab Pack of 100

Dihydrocodeine (DF118 ) £11.51 40 mg tab forte Pack of 100

Dihydrocodeine Soln (Dihydrocodeine Elixir) £9.83 10 mg/5mls Pack of 150

Dihydrocodeine SR (DHC Continus) £5.20 60 mg SR Tab Pack of 56

Dihydrocodeine SR (DHC Continus) £8.66 90 mg SR Tab Pack of 56

Dihydrocodeine SR (DHC Continus) £10.95 120 mg SR Tab Pack of 56

Dipipanone / Tablets £440.65 10 / 30mg tab Pack of 50

Dipipanone / Cyclizine Tablets (Diconal) £9.57 10 / 30mg tab Pack of 50

Fentanyl Patch £12.59 12 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Fentanyl Patch £17.99 25 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Fentanyl Patch £33.66 50 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

22 January 2020 122/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fentanyl Patch £46.99 75 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Fentanyl Patch £57.86 100 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Fentanyl Patch (Durogesic Dtrans) £12.59 12 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Fentanyl Patch (Durogesic Dtrans) £17.99 25 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Fentanyl Patch (Durogesic Dtrans) £33.66 50 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Fentanyl Patch (Durogesic Dtrans) £46.99 75 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Fentanyl Patch (Durogesic Dtrans) £57.86 100 mcg/hr Pack of 5 Mezolar or Matrifen are most cost effective preparations. Prescribe by brand in line with recommendations for Controlled Drugs

Meptazinol (Meptid) £22.11 200 mg tab Pack of 112 Not on EKHUFT formualry

Methadone Injection (Physeptone) £7.63 10 mg/ml 1ml inj Pack of 10

Methadone Injection (Physeptone) £17.72 50 mg/ml 1ml inj Pack of 10

Methadone Injection (Synastone) £17.83 35 mg/3.5ml Pack of 10

Methadone Injection (Synastone) £20.45 50 mg/ml Pack of 10

Methadone Injection (Synastone) £20.45 50 mg/2ml Pack of 10

22 January 2020 123/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Methadone Tab £2.41 5 mg Tab Pack of 50 DO NOT PRESCRIBE. All East Kent services are commissioned through Turning Point and patients should be referred back to Turning Point to obtain supplies to ensure this is only supplied with the required behavioural support. In the event of a request for an emergency supply, DO NOT PRESCRIBE. All patients are notified that Turning Point can be contacted 24/7 to discuss and, if appropriate, obtain an additional prescription. Other substance abuse services will have a similar arrangement. Contact details for Turning Point for referrals and 24/7 Helpline: 0300 123 1186

Morphine / Cyclizine Injection (Cyclimorph) £8.77 10 / 50mg per 1ml Amp Pack of 5

Morphine / Cyclizine Injection (Cyclimorph) £9.12 15 / 50mg per 1ml Amp Pack of 5

Morphine Sulphate MR Suspension (MST Continus) £24.58 20 mg Suspension (Sachet) Pack of 30 Zomorph is the most cost effective preparation for 12 hour modified release morphine although a capsule form rather than a sachet. Controlled drugs should be prescribed by brand

Morphine Sulphate MR Suspension (MST Continus) £25.54 30 mg Suspension (Sachet) Pack of 30 Zomorph is the most cost effective preparation for 12 hour modified release morphine although a capsule form rather than a sachet. Controlled drugs should be prescribed by brand

Morphine Sulphate MR Suspension (MST Continus) £51.09 60 mg Suspension (Sachet) Pack of 30 Zomorph is the most cost effective preparation for 12 hour modified release morphine although a capsule form rather than a sachet. Controlled drugs should be prescribed by brand

Morphine Sulphate MR Suspension (MST Continus) £85.15 100 mg Suspension (Sachet) Pack of 30 Zomorph is the most cost effective preparation for 12 hour modified release morphine although a capsule form rather than a sachet. Controlled drugs should be prescribed by brand

Morphine Sulphate MR Suspension (MST Continus) £170.30 200 mg Suspension (Sachet) Pack of 30 Zomorph is the most cost effective preparation for 12 hour modified release morphine although a capsule form rather than a sachet. Controlled drugs should be prescribed by brand

Morphine Sulphate MR Tablet (MST Continus) £5.20 10 mg Tab MR Pack of 60 Zomorph is the most cost effective preparation for 12 hour modified release morphine although a capsule form rather than a tablet. Controlled drugs should be prescribed by brand

Morphine Sulphate MR Tablet (MST Continus) £12.47 30 mg Tab MR Pack of 60 Zomorph is the most cost effective preparation for 12 hour modified release morphine although a capsule form rather than a tablet. Controlled drugs should be prescribed by brand

Morphine Sulphate MR Tablet (MST Continus) £24.32 60 mg Tab MR Pack of 60 Zomorph is the most cost effective preparation for 12 hour modified release morphine although a capsule form rather than a tablet. Controlled drugs should be prescribed by brand

Morphine Sulphate MR Tablet (MST Continus) £38.50 100 mg Tab MR Pack of 60 Zomorph is the most cost effective preparation for 12 hour modified release morphine although a capsule form rather than a tablet. Controlled drugs should be prescribed by brand

22 January 2020 124/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Morphine Sulphate MR Tablet (MST Continus) £81.34 200 mg Tab MR Pack of 60 Zomorph is the most cost effective preparation for 12 hour modified release morphine although a capsule form rather than a tablet. Controlled drugs should be prescribed by brand

Morphine Sulphate SR £5.20 10 mg SR tab Pack of 60 Zomorph is the most cost effective preparation for 12 hour modified release morphine although a capsule form rather than a tablet. Controlled drugs should be prescribed by brand

Morphine Sulphate SR £12.47 30 mg SR tab Pack of 60 Zomorph is the most cost effective preparation for 12 hour modified release morphine although a capsule form rather than a tablet. Controlled drugs should be prescribed by brand

Oxycodone £11.43 5 mg capsules Pack of 56 Prescribing as Shortec is more cost effective.

Oxycodone £22.86 10 mg capsules Pack of 56 Prescribing as Shortec is more cost effective.

Oxycodone £45.71 20 mg capsules Pack of 56 Prescribing as Shortec is more cost effective.

Oxycodone (OxyNorm) £11.43 5 mg Cap Pack of 56 The branded generic Shortec is the most cost effective product to prescribe for oxycodone immediate release products.

Oxycodone (OxyNorm) £22.86 10 mg Cap Pack of 56 The branded generic Shortec is the most cost effective product to prescribe for oxycodone immediate release products.

Oxycodone (OxyNorm) £45.71 20 mg Cap Pack of 56 The branded generic Shortec is the most cost effective product to prescribe for oxycodone immediate release products.

Oxycodone / (Targinact) £17.56 5 mg / 2.5mg MR tab Pack of 56 Targinact is not recommended as the clinical benefit in patients receiving regular laxative therapy is uncertain and the economic case for use was not proven (in line with the Scottish Medicines Consortium advice June 2009) (Updated: July 2015)

Oxycodone / Naloxone (Targinact) £42.32 10 mg / 5mg MR tab Pack of 56 Targinact is not recommended as the clinical benefit in patients receiving regular laxative therapy is uncertain and the economic case for use was not proven (in line with the Scottish Medicines Consortium advice June 2009) (Updated: July 2015)

Oxycodone / Naloxone (Targinact) £84.62 20 mg / 10mg MR tab Pack of 56 Targinact is not recommended as the clinical benefit in patients receiving regular laxative therapy is uncertain and the economic case for use was not proven (in line with the Scottish Medicines Consortium advice June 2009) (Updated: July 2015)

22 January 2020 125/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Oxycodone / Naloxone (Targinact) £169.28 40 mg / 20mg MR tab Pack of 56 Targinact is not recommended as the clinical benefit in patients receiving regular laxative therapy is uncertain and the economic case for use was not proven (in line with the Scottish Medicines Consortium advice June 2009) (Updated: July 2015)

Oxycodone MR (Unspecified) £12.52 5 mg MR Tab Pack of 28 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

Oxycodone MR (Unspecified) £25.04 10 mg MR Tab Pack of 56 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

Oxycodone MR (Unspecified) £38.12 15 mg MR Tab Pack of 56 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

Oxycodone MR (Unspecified) £50.08 20 mg MR Tab Pack of 56 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

Oxycodone MR (Unspecified) £74.81 30 mg MR Tab Pack of 56 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

Oxycodone MR (Unspecified) £100.19 40 mg MR Tab Pack of 56 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

Oxycodone MR (Unspecified) £149.66 60 mg MR Tab Pack of 56 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

Oxycodone MR (Unspecified) £200.39 80 mg MR Tab Pack of 56 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

Oxycodone MR (Unspecified) £305.02 120 mg MR Tab Pack of 56 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

Oxycodone MR Tab (OxyContin) £12.52 5 mg MR Tab Pack of 28 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

Oxycodone MR Tab (OxyContin) £25.04 10 mg MR Tab Pack of 56 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

22 January 2020 126/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Oxycodone MR Tab (OxyContin) £38.12 15 mg MR Tab Pack of 56 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

Oxycodone MR Tab (OxyContin) £50.08 20 mg MR Tab Pack of 56 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

Oxycodone MR Tab (OxyContin) £76.23 30 mg MR Tab Pack of 56 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

Oxycodone MR Tab (OxyContin) £100.19 40 mg MR Tab Pack of 56 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

Oxycodone MR Tab (OxyContin) £152.49 60 mg MR Tab Pack of 56 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

Oxycodone MR Tab (OxyContin) £200.39 80 mg MR Tab Pack of 56 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

Oxycodone MR Tab (OxyContin) £305.02 120 mg MR Tab Pack of 56 The branded generic 'Longtec' is the most cost effective product to prescribe for oxycodone modified release products.

Pentazocine £89.43 25 mg tab Pack of 100

Pentazocine £59.68 50 mg cap Pack of 100

Pentazocine (Fortral [Not NHS]) £32.14 60 mg / 2ml Amp Injection Pack of 10

Pethidine Injection £5.11 50 mg / 1ml amp Pack of 10

Pethidine Injection £4.66 100 mg / 2ml amp Pack of 10

Pethidine Tablets £49.92 50 mg tab Pack of 50

Tramadol / Paracetamol (Tramacet) £9.68 37.5 mg / 325mg Tab Pack of 60 Tramacet not recommended due to sub-therapeutic dose of paracetamol

Tramadol Capsules (Tramake) £17.71 50 mg cap Pack of 100

22 January 2020 127/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Tramadol Capsules (Zamadol) £8.00 50 mg cap Pack of 100

Tramadol Capsules (Zydol Capsules) £7.63 50 mg cap Pack of 100

Tramadol Injection (Zydol) £4.00 100 mg / 2ml Pack of 5

Tramadol Melt Tablets (Zamadol Melt) £7.12 50 mg melt tab Pack of 60

Tramadol Sachets (Tramake Insts) £8.75 50 mg / sachet Pack of 60

Tramadol Sachets (Tramake Insts) £17.00 100 mg / sachet Pack of 60

Tramadol SR (Dromadol) £12.78 100 mg tab Pack of 60 consider branded generic marol

Tramadol SR (Dromadol) £19.17 150 mg tab Pack of 60 consider branded generic marol

Tramadol SR (Dromadol) £25.56 200 mg tab Pack of 60 consider branded generic marol

Tramadol SR (Larapam) £17.26 100 mg tab Pack of 60

Tramadol SR (Maxitram) £4.55 50 mg cap Pack of 60 consider branded generic marol

Tramadol SR (Maxitram) £12.14 100 mg cap Pack of 60 consider branded generic marol

Tramadol SR (Maxitram) £18.21 150 mg cap Pack of 60 consider branded generic marol

Tramadol SR (Maxitram) £24.28 200 mg cap Pack of 60 consider branded generic marol

Tramadol SR (Oldaram) £18.80 100 mg SR Tab Pack of 60 consider branded generic marol

22 January 2020 128/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Tramadol SR (Oldaram) £28.21 150 mg SR Tab Pack of 60 consider branded generic marol

Tramadol SR (Oldaram) £37.62 200 mg SR Tab Pack of 60 consider branded generic marol

Tramadol SR (Zamadol SR) £14.47 100 mg cap Pack of 60 consider branded generic marol

Tramadol SR (Zamadol SR) £21.71 150 mg cap Pack of 60 consider branded generic marol

Tramadol SR (Zamadol SR) £28.93 200 mg cap Pack of 60 consider branded generic marol

Tramadol SR (Zydol SR) £17.22 100 mg tab Pack of 60 consider branded generic marol

Tramadol SR (Zydol SR) £25.83 150 mg tab Pack of 60 consider branded generic marol

Tramadol SR (Zydol SR) £34.40 200 mg tab Pack of 60 consider branded generic marol

Tramadol SR Tabs (Unspecified) £14.47 100 mg tab Pack of 60 consider branded generic marol

Tramadol SR Tabs (Unspecified) £36.52 200 mg tab Pack of 60 consider branded generic marol

Tramadol Tablets (Zamadol 24Hr) £10.70 150 mg tabs Pack of 28

Tramadol Tablets (Zamadol 24Hr) £14.26 200 mg tabs Pack of 28

Tramadol Tablets (Zamadol 24Hr) £21.39 300 mg tabs Pack of 28

22 January 2020 129/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Tramadol Tablets (Zamadol 24Hr) £28.51 400 mg tabs Pack of 28

Tramadol XL (Tradorec XL) £14.10 100 mg MR tab Pack of 30

Tramadol XL (Tradorec XL) £14.98 200 mg MR tab Pack of 30

Tramadol XL (Tradorec XL) £22.47 300 mg MR tab Pack of 30

Tramadol XL (Zydol XL) £12.18 150 mg MR tab Pack of 30

Tramadol XL (Zydol XL) £17.98 200 mg MR tab Pack of 30

Tramadol XL (Zydol XL) £24.94 300 mg MR tab Pack of 30

Tramadol XL (Zydol XL) £32.47 400 mg MR tab Pack of 30

Diamorphine (Ayendi) £112.50 720 micrograms/actuation nasal spray 160 dose Pack of 160

Diamorphine (Ayendi) £123.75 1600 micrograms/actuation nasal spray 160 dose Pack of 1600

Diamorphine hydrochloride £37.13 10 mg tablet Pack of 100

Fentanyl Patch (Fencino) £8.46 12 mcg/hr Pack of 5

Fentanyl Patch (Fencino) £12.10 25 mcg/hr Pack of 5

Fentanyl Patch (Fencino) £22.62 50 mcg/hr Pack of 5

Fentanyl Patch (Fencino) £31.54 75 mcg/hr Pack of 5

Fentanyl Patch (Fencino) £38.88 100 mcg/hr Pack of 5

Fentanyl Patch (Fentalis Reservoir) £22.89 25 mcg/hr Pack of 5

Fentanyl Patch (Fentalis Reservoir) £42.77 50 mcg/hr Pack of 5

Fentanyl Patch (Fentalis Reservoir) £59.62 75 mcg/hr Pack of 5

Fentanyl Patch (Fentalis Reservoir) £73.49 100 mcg/hr Pack of 5

22 January 2020 130/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fentanyl Patch (Tilofyl) £27.00 25 mcg/hr Pack of 5

Fentanyl Patch (Tilofyl) £51.00 50 mcg/hr Pack of 5

Fentanyl Patch (Tilofyl) £71.00 75 mcg/hr Pack of 5

Fentanyl Patch (Tilofyl) £88.00 100 mcg/hr Pack of 5

Hydromorphone Capsule (Palladone) £8.82 1.3 mg cap Pack of 56

Hydromorphone Capsule (Palladone) £17.64 2.6 mg cap Pack of 56

Hydromorphone Capsule SR (Palladone SR) £20.98 2 mg cap Pack of 56

Hydromorphone Capsule SR (Palladone SR) £28.75 4 mg cap Pack of 56

Hydromorphone Capsule SR (Palladone SR) £56.08 8 mg cap Pack of 56

Hydromorphone Capsule SR (Palladone SR) £106.53 16 mg cap Pack of 56

Hydromorphone Capsule SR (Palladone SR) £159.82 24 mg cap Pack of 56

Methadone Tab (Physeptone) £2.84 5 mg tab Pack of 50

Morphine Injection (Minijet) £15.00 10 mg / 10ml disposable syringe Pack of 1

Morphine Sulphate MR Capsules (MXL) £10.91 30 mg MR Cap Pack of 28

Morphine Sulphate MR Capsules (MXL) £14.95 60 mg MR Cap Pack of 28

Morphine Sulphate MR Capsules (MXL) £22.04 90 mg MR Cap Pack of 28

Morphine Sulphate MR Capsules (MXL) £29.15 120 mg MR Cap Pack of 28

Morphine Sulphate MR Capsules (MXL) £36.43 150 mg MR Cap Pack of 28

Morphine Sulphate MR Capsules (MXL) £46.15 200 mg MR Cap Pack of 28

Morphine Sulphate MR Tablet (Morphgesic SR) £3.85 10 mg Tab MR Pack of 60

22 January 2020 131/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Morphine Sulphate MR Tablet (Morphgesic SR) £9.24 30 mg Tab MR Pack of 60

Morphine Sulphate MR Tablet (Morphgesic SR) £18.04 60 mg Tab MR Pack of 60

Morphine Sulphate MR Tablet (Morphgesic SR) £28.54 100 mg Tab MR Pack of 60

Morphine Sulphate Solution (Oramorph) £2.65 10 mg / 5ml Unit Dose Vial Pack of 20

Morphine Sulphate Solution (Oramorph) £7.44 30 mg / 5ml Unit Dose Vial Pack of 20

Morphine Sulphate Solution (Oramorph) £24.80 100 mg / 5ml Unit Dose Vial Pack of 20

Oxycodone £8.00 10 mg injection (1ml amp) Pack of 5

Oxycodone (OxyNorm) £9.71 5 mg / 5ml Liquid SF Pack of 250 The branded generic Shortec is the most cost effective product to prescribe for oxycodone immediate release products.

Oxycodone (OxyNorm) £8.00 10 mg injection (1ml amp) Pack of 5

Oxycodone (OxyNorm) £46.63 10 mg/ml Liquid SF Pack of 120 The branded generic Shortec is the most cost effective product to prescribe for oxycodone immediate release products.

Oxycodone (OxyNorm) £16.00 20 mg injection (2ml amp) Pack of 5

Oxycodone (OxyNorm) £70.10 50 mg injection (1ml amp) Pack of 5

Oxycodone Tablets (Lynlor) £8.00 5 mg caps Pack of 56

Oxycodone Tablets (Lynlor) £16.00 10 mg caps Pack of 56

Oxycodone Tablets (Lynlor) £32.00 20 mg caps Pack of 56

Tapentadol (Palexia) £24.91 50 mg tab Pack of 56 No application received for use from secondary care

Tapentadol (Palexia) £37.37 75 mg tab Pack of 56 No application received for use from secondary care

22 January 2020 132/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Tramadol SR (Tramquel SR) £14.47 100 mg cap Pack of 60 consider branded generic marol

Tramadol SR (Tramquel SR) £21.71 150 mg cap Pack of 60 consider branded generic marol

Tramadol SR (Tramquel SR) £28.93 200 mg cap Pack of 60 consider branded generic marol

Tramadol SR (Tramulief SR) £6.98 100 mg tab Pack of 60

Tramadol SR (Tramulief SR) £10.48 150 mg tab Pack of 60

Tramadol SR (Tramulief SR) £14.28 200 mg tab Pack of 60

Tramadol SR (Zamadol SR) £7.24 50 mg cap Pack of 60 4.7.3 - Central nervous system | Analgesics | Neuropathic Pain

Current Status Drug Tariff

Lidocaine 5% (Ralvo) £61.54 700 mg medicated plasters Pack of 30 Restricted use: Primary care prescribers should not initiate treatment (exception is patients with ongoing post-herpetic neuralgia, despite prior treatment as per NICE guidance.) Deprescribing supported for existing patients (outside of above exception).

Lidocaine £72.40 5 % medicated plasters Pack of 30 Prescribing as Ralvo is more cost-effective. Restricted use: Primary care prescribers should not initiate treatment (exception is patients with ongoing post- herpetic neuralgia, despite prior treatment as per NICE guidance.) Deprescribing supported for existing patients (outside of above exception).

Lidocaine (Versatis) £72.40 5 % medicated plasters Pack of 30 4.7.4.1 - Central nervous system | Analgesics | Treatment Of Acute Migraine

Current Status Drug Tariff

Aspirin / Metoclopramide Sachet (Migramax) £6.61 1 .6g / 10.5mg per sachet Pack of 6

Migraleve Pink £3.79 6.25 mg / 500mg / 8mg tab Pack of 12

Naratriptan £4.34 2.5 mg tab Pack of 6

22 January 2020 133/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Rizatriptan £13.37 5 mg tab Pack of 3 5mg is usually only required when renal or hepatic insufficiency or when used in conjunction with propranolol. It is significantly higher cost than 10mg

Rizatriptan £4.44 10 mg tab (orodispersible) Pack of 3

Rizatriptan £3.55 10 mg tab Pack of 3

Sumatriptan £1.50 50 mg tab Pack of 6

Sumatriptan £1.80 100 mg tab Pack of 6

Sumatriptan Injection £40.41 6 mg / 0.5ml Refill Pack of 2

Sumatriptan Injection £50.96 6 mg / 0.5ml PFS with Device Pack of 2

Sumatriptan Injection £50.13 6 mg / 0.5ml PFS Pack of 2

Sumatriptan Nasal Spray (Imigran Nasal Spray) £14.16 10 mg / spray Pack of 2

Sumatriptan Nasal Spray (Imigran Nasal Spray) £14.16 20 mg / spray Pack of 2

Zolmitriptan £7.66 2.5 mg tab Pack of 6

Zolmitriptan £12.38 2.5 mg orodispersible tab Pack of 6

Almotriptan (Almogran) £18.14 12.5 mg tab Pack of 6

Eletriptan (Relpax) £22.50 20 mg tab Pack of 6

Eletriptan (Relpax) £22.50 40 mg tab Pack of 6

Ergotamine / Cyclizine / Caffeine (Migril) £51.00 2 mg / 50mg / 100mg Tab Pack of 100

Frovatriptan £5.92 2.5 mg tablets Pack of 6

Frovatriptan (Migard) £16.67 2.5 mg tab Pack of 6

Naratriptan (Naramig) £24.55 2.5 mg tab Pack of 6

22 January 2020 134/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Rizatriptan £26.74 10 mg oral lyophilisates sugar free Pack of 6 Prescribe as generic orodispersable tablets. These can be taken in exactly the same way as lyophillasites/melts and effectiveness and speed of use will not be affected.

Rizatriptan (Maxalt) £26.74 5 mg tab Pack of 6 5mg is usually only required when renal or hepatic insufficiency or when used in conjunction with propranolol. It is significantly higher cost than 10mg

Rizatriptan (Maxalt) £26.74 10 mg tab Pack of 6 Prescribe generically

Rizatriptan Wafers (Maxalt Melt) £26.74 10 mg soluble tab Pack of 6 Prescribe as generic orodispersable tablets. These can be taken in exactly the same way as lyophillasites/melts and effectiveness and speed of use will not be affected.

Sumatriptan (Imigran) £31.85 50 mg tab Pack of 6 Prescribe generically

Sumatriptan (Imigran) £51.48 100 mg tab Pack of 6 Prescribe generically

Sumatriptan (Imigran Radis) £23.90 50 mg tab Pack of 6 Prescribe generically

Sumatriptan (Imigran Radis) £42.90 100 mg tab Pack of 6 Prescribe generically

Sumatriptan Inj (Imigran Subject) £48.49 6 mg Refill Pack of 2 Prescribe generically

Sumatriptan Inj (Imigran Subject) £50.96 6 mg Unit Pack of 2 Prescribe generically

Tolfenamic Acid (Clotam Rapid) £12.75 200 mg tab Pack of 10

Zolmitriptan £13.41 5 mg orodispersible tab Pack of 6 Significantly higher cost than immediate release tablets. Does not increase rate of absorption

Zolmitriptan (Zomig) £23.94 2.5 mg tab Pack of 6

22 January 2020 135/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Zolmitriptan Melt (Zomig Rapimelt) £23.99 2.5 mg dispersible tab Pack of 6

Zolmitriptan Melt (Zomig Rapimelt) £23.94 5 mg dispersible tab Pack of 6

Zolmitriptan Nasal Spray (Zomig) £36.50 5 mg / 0.1ml (6 Spray Unit) Pack of 6

Buclazine/Paracetamol/Codeine Tablet (Migraleve Complete) £4.06 8 pink / 4 yellow Pack of 12

Ergotamine/ Caffeine Suppository (Cafergot) £10.13 2 /100mg supps Pack of 30

Ergotamine/ Caffeine Tablet (Cafergot) £5.02 1 mg /100mg tab Pack of 30

Paracetamol / Domperidone (Domperamol) £6.51 500 / 10mg cap Pack of 16

Paracetamol and Metoclopramide (Paramax) £9.64 500 / 5mg tab Pack of 42

Paracetamol and Metoclopramide (Paramax) £12.52 500 / 5mg SF Sachets Pack of 42

Tolfenamic £24.63 200 mg tablets Pack of 10 4.7.4.2 - Central nervous system | Analgesics | Prophylaxis Of Migraine

Current Status Drug Tariff

Pizotifen £1.31 0.5 mg tab Pack of 28

Pizotifen £1.84 1.5 mg tab Pack of 28

Propranolol MR £4.88 160 mg capsules Pack of 28

Clonidine Hydrochloride (Dixarit) £6.99 25 mcg tab Pack of 112

Pizotifen (Sanomigran) £3.61 0.25 mg / 5mls elixir Pack of 300

Pizotifen (Sanomigran) £3.42 1.5 mg tab Pack of 28

Pizotifen (Sanomigran) £2.06 500 mcg tab Pack of 60 4.8.1 - Central nervous system | Antiepileptics | Control Of Epilepsy

Current Status Drug Tariff

22 January 2020 136/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pregabalin £2.34 25 mg cap Pack of 56

Pregabalin £3.09 50 mg cap Pack of 84

Pregabalin £2.47 75 mg cap Pack of 56

Pregabalin £3.96 100 mg cap Pack of 84

Pregabalin £3.09 150 mg cap Pack of 56

Pregabalin £5.03 200 mg cap Pack of 84

Pregabalin £4.16 225 mg cap Pack of 56

Pregabalin £5.28 300 mg cap Pack of 56

Brivaracetam (Briviact) £34.64 10 mg tablets Pack of 14 Not assessed/ do not prescribe

Brivaracetam (Briviact) £115.83 10 mg/ml oral solution Pack of 300 Not assessed/ do not prescribe

Brivaracetam (Briviact) £129.64 25 mg tablets Pack of 56 Not assessed/ do not prescribe

Brivaracetam (Briviact) £129.64 50 mg tablets Pack of 56 Not assessed/ do not prescribe

Brivaracetam (Briviact) £129.64 75 mg tablets Pack of 56 Not assessed/ do not prescribe

Brivaracetam (Briviact) £129.64 100 mg tablets Pack of 56 Not assessed/ do not prescribe

Eslicarbazepine Acetate (Zebinix) £136.00 800 mg tab Pack of 30 Specialist Initiation Only. http://bit.ly/Categ4

22 January 2020 137/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Lacosamide Syrup (Vimpat) £38.61 15 mg/ml syrup (200ml unit) Pack of 200 For prescribing guidelines please see http://bit.ly/Categ4

Lacosamide tab (Vimpat) £10.81 50 mg tab Pack of 14 For prescribing guidelines please see http://bit.ly/Categ4.

Lacosamide tab (Vimpat) £86.50 100 mg tab Pack of 56 For prescribing guidelines please see http://bit.ly/Categ4.

Lacosamide tab (Vimpat) £129.74 150 mg tab Pack of 56 For prescribing guidelines please see http://bit.ly/Categ4.

Lacosamide tab (Vimpat) £144.16 200 mg tab Pack of 56 For prescribing guidelines please see http://bit.ly/Categ4.

Perampanel (Fycompa) £35.00 2 mg tablets Pack of 7 SPECIALIST INITIATION ONLY. Prescribe Generically. East Kent Prescribing Group Guideline: http://www.canterburycoastalccg.nhs.uk/EasysiteWeb/getresource.axd?AssetID=386267&type=full&servicetype=Attachment

Perampanel (Fycompa) £140.00 4 mg tablets Pack of 28 SPECIALIST INITIATION ONLY. Prescribe Generically. East Kent Prescribing Group Guideline: http://www.canterburycoastalccg.nhs.uk/EasysiteWeb/getresource.axd?AssetID=386267&type=full&servicetype=Attachment

Perampanel (Fycompa) £140.00 6 mg tablets Pack of 28 SPECIALIST INITIATION ONLY. Prescribe Generically. East Kent Prescribing Group Guideline: http://www.canterburycoastalccg.nhs.uk/EasysiteWeb/getresource.axd?AssetID=386267&type=full&servicetype=Attachment

Perampanel (Fycompa) £140.00 8 mg tablets Pack of 28 SPECIALIST INITIATION ONLY. Prescribe Generically. East Kent Prescribing Group Guideline: http://www.canterburycoastalccg.nhs.uk/EasysiteWeb/getresource.axd?AssetID=386267&type=full&servicetype=Attachment

Perampanel (Fycompa) £140.00 10 mg tablets Pack of 28 SPECIALIST INITIATION ONLY. Prescribe Generically. East Kent Prescribing Group Guideline: http://www.canterburycoastalccg.nhs.uk/EasysiteWeb/getresource.axd?AssetID=386267&type=full&servicetype=Attachment

Perampanel (Fycompa) £140.00 12 mg tablets Pack of 28 SPECIALIST INITIATION ONLY. Prescribe Generically. East Kent Prescribing Group Guideline: http://www.canterburycoastalccg.nhs.uk/EasysiteWeb/getresource.axd?AssetID=386267&type=full&servicetype=Attachment

Topiramate £26.21 15 mg cap Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

22 January 2020 138/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Topiramate £16.02 25 mg cap Pack of 60 Prescribing Topiramate 50mg tablets instead of capsules is more cost effective. (1) If prescribing for MIGRAINE consider switching to tablets. (2) If prescribing for EPILEPSY, topiramate is in category 2 of the CHM guidance on switching between different manufacturers product for antiepileptics (i.e. the need for continued supply of a particular manufacturer’s product should be based on clinical judgement and consultation with patient and/or carer, taking into account factors such as seizure frequency and treatment history) A switch has NOT been provide to prevent accidental switching in epilepsy http://tinyurl.com/zptn6ge

Topiramate £5.69 25 mg tab Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Topiramate £55.08 50 mg cap Pack of 60 Prescribing Topiramate 50mg tablets instead of capsules is more cost effective. (1) If prescribing for MIGRAINE consider switching to tablets. (2) If prescribing for EPILEPSY, topiramate is in category 2 of the CHM guidance on switching between different manufacturers product for antiepileptics (i.e. the need for continued supply of a particular manufacturer’s product should be based on clinical judgement and consultation with patient and/or carer, taking into account factors such as seizure frequency and treatment history) A switch has NOT been provide to prevent accidental switching in epilepsy http://tinyurl.com/zptn6ge

Topiramate £11.59 50 mg tab Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Topiramate £19.72 100 mg tab Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Topiramate £44.67 200 mg tab Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Topiramate (Topamax) £19.29 25 mg tab Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Topiramate (Topamax) £31.69 50 mg tab Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Topiramate (Topamax) £56.76 100 mg tab Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Topiramate (Topamax) £110.23 200 mg tab Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Topiramate (Topamax Sprinkle) £14.79 15 mg sprinkle cap Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

22 January 2020 139/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Topiramate (Topamax Sprinkle) £22.18 25 mg sprinkle cap Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Topiramate (Topamax Sprinkle) £36.45 50 mg sprinkle cap Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Vigabatrin (Sabril) £24.60 500 mg sachets Pack of 50 Specialist Initiation Only

Vigabatrin (Sabril) £44.41 500 mg tab Pack of 100 Specialist Initiation Only

Zonisamide Capsule (Zonegran) £8.82 25 mg cap Pack of 14 For prescribing guidelines please see http://bit.ly/Categ4

Zonisamide Capsule (Zonegran) £47.04 50 mg cap Pack of 56 For prescribing guidelines please see http://bit.ly/Categ4

Zonisamide Capsule (Zonegran) £62.72 100 mg cap Pack of 56 For prescribing guidelines please see http://bit.ly/Categ4

Carbamazepine £5.02 400 mg tab Pack of 56

Carbamazepine (Tegretol) £2.07 100 mg tab Pack of 84

Carbamazepine (Tegretol) £3.83 200 mg tab Pack of 84

Carbamazepine (Tegretol) £5.02 400 mg tab Pack of 56

Carbamazepine Chewtabs (Tegretol) £3.16 100 mg chewtab Pack of 56

Carbamazepine Chewtabs (Tegretol) £5.88 200 mg chewtab Pack of 56

Carbamazepine Liquid (Tegretol) £6.12 100 mg / 5ml Pack of 300

Carbamazepine MR £5.20 200 mg Tab MR Pack of 56

22 January 2020 140/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Carbamazepine MR £10.24 400 mg Tab MR Pack of 56

Carbamazepine MR (Tegretol Retard) £5.20 200 mg Tab MR Pack of 56

Carbamazepine MR (Tegretol Retard) £10.24 400 mg Tab MR Pack of 56

Carbamazepine Suppositories (Tegretol Suppositories) £8.03 125 mg supp Pack of 5

Carbamazepine Suppositories (Tegretol Suppositories) £10.71 250 mg supp Pack of 5

Clobazam £3.82 10 mg tab Pack of 30

Clobazam (Frisium) £2.51 10 mg tab Pack of 30

Clonazepam £31.19 0.5 mg tab Pack of 100

Clonazepam £33.82 2 mg tab Pack of 100

Clonazepam (Rivotril) £3.69 0.5 mg tab Pack of 100

Clonazepam (Rivotril) £4.93 2 mg tab Pack of 100

Gabapentin £1.98 100 mg cap Pack of 100

Gabapentin £3.04 300 mg cap Pack of 100

Gabapentin £3.92 400 mg cap Pack of 100

Gabapentin £7.93 600 mg tab Pack of 100

Gabapentin £28.09 800 mg tab Pack of 100 This is a high cost product and it will be more cost effective to prescribe multiples of lower strengths

Gabapentin Oral Solution £65.51 50 mg / ml s/f Pack of 150

Lamotrigine £2.20 25 mg tab Pack of 56 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

22 January 2020 141/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Lamotrigine £2.70 50 mg tab Pack of 56 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Lamotrigine £4.36 100 mg tab Pack of 56 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Lamotrigine £5.72 200 mg tab Pack of 56 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Lamotrigine (Lamictal) £23.53 25 mg tab Pack of 56 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Lamotrigine (Lamictal) £40.02 50 mg tab Pack of 56 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Lamotrigine (Lamictal) £69.04 100 mg tab Pack of 56 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Lamotrigine (Lamictal) £117.35 200 mg tab Pack of 56 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Lamotrigine Dispersible £18.81 2 mg dispersible tab Pack of 30

Lamotrigine Dispersible £7.82 5 mg dispersible tab Pack of 28

Lamotrigine Dispersible £2.36 25 mg dispersible tab Pack of 56

Lamotrigine Dispersible £4.32 100 mg dispersible tab Pack of 56

Lamotrigine Dispersible (Lamictal Dispersible) £9.38 5 mg tab dispersible Pack of 28

Lamotrigine Dispersible (Lamictal Dispersible) £23.53 25 mg tab dispersible Pack of 56

Lamotrigine Dispersible (Lamictal Dispersible) £69.04 100 mg tab dispersible Pack of 56

Phenobarbital (Phenobarbitone) £20.71 15 mg tab Pack of 28

22 January 2020 142/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Phenobarbital (Phenobarbitone) £0.96 30 mg tab Pack of 28

Phenobarbital (Phenobarbitone) £7.31 60 mg tab Pack of 28

Phenytoin (Epanutin) £0.66 25 mg cap Pack of 28

Phenytoin (Epanutin) £0.67 50 mg cap Pack of 28

Phenytoin (Epanutin) £2.83 100 mg cap Pack of 84

Phenytoin (Epanutin) £2.83 300 mg cap Pack of 28

Phenytoin Capsules £7.24 25 mg caps Pack of 28

Phenytoin Capsules £7.07 50 mg caps Pack of 28

Phenytoin Capsules £11.03 100 mg caps Pack of 84

Phenytoin Capsules £9.11 300 mg caps Pack of 28

Phenytoin Infatabs (Epanutin Infatabs) £7.38 50 mg chewable tab Pack of 112

Phenytoin Oral Suspension (Epanutin) £4.27 30 mg / 5ml Pack of 500

Pregabalin £89.98 20 mg/ml oral solution s/f Pack of 473 Capsules can be opened and contents dissolve in water for administration. The capsule contents may have an unpleasant taste.

Sodium Valproate Crushable (Epilim) £5.60 100 mg tab Pack of 100

Sodium Valproate M/R (Epilim Chrono) £11.65 200 mg tab MR Pack of 100 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Sodium Valproate M/R (Epilim Chrono) £17.47 300 mg tab MR Pack of 100 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Sodium Valproate M/R (Epilim Chrono) £29.10 500 mg tab MR Pack of 100 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

22 January 2020 143/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Sodium Valproate Solution £9.77 200 mg / 5ml SF Pack of 300

Sodium Valproate Solution (Epilim) £9.33 200 mg / 5ml Syrup Pack of 300

Sodium Valproate Solution (Epilim) £7.78 200 mg / 5ml SF Pack of 300

Sodium Valproate Solution (Orlept) £3.60 200 mg / 5ml Pack of 300

Sodium Valproate Tablet £5.60 100 mg tab Pack of 100 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Sodium Valproate Tablet £9.67 200 mg tab EC Pack of 100 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Sodium Valproate Tablet £23.27 500 mg tab EC Pack of 100 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Sodium Valproate Tablet (Epilim) £7.70 200 mg tab EC Pack of 100 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Sodium Valproate Tablet (Epilim) £19.25 500 mg tab EC Pack of 100 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Valproic Acid (Convulex) £12.25 500 mg caps Pack of 100

Ethosuximide £173.00 250 mg cap Pack of 56

Ethosuximide (Zarontin) £5.41 250 mg caps Pack of 56

Ethosuximide (Zarontin) £4.22 250 mg/5mls syrup Pack of 200

Ethosuximide Capsule (Emeside) £38.23 250 mg cap Pack of 56

Ethosuximide Syrup (Emeside) £6.60 250 mg/5ml (blackcurrant) Pack of 200

Levetiracetam £7.69 100 mg/ml oral solution Pack of 300 On formulary through please note-the tablets can be crushed and administered. The active drug will dissolve but the excipients will not. Crushed levetiracetam tablets taste unpleasant. They can be diluted in orange juice to taste.

22 January 2020 144/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Levetiracetam £3.35 250 mg tab Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Levetiracetam £7.21 500 mg tab Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Levetiracetam £6.34 750 mg tab Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Levetiracetam £8.90 1000 mg tab Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Levetiracetam (Keppra) £28.01 250 mg tab Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Levetiracetam (Keppra) £49.32 500 mg tab Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Levetiracetam (Keppra) £84.02 750 mg tab (film coated) Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Levetiracetam (Keppra) £95.34 1000 mg tab Pack of 60 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Oxcarbazepine (Trileptal) £48.96 60 mg/ml Suspension Pack of 250

Oxcarbazepine (Trileptal) £8.37 150 mg tab Pack of 50

Oxcarbazepine (Trileptal) £24.48 300 mg tab Pack of 50

Oxcarbazepine (Trileptal) £48.96 600 mg tab Pack of 50

Oxcarbazepine tablets £8.37 150 mg tab Pack of 50

Oxcarbazepine tablets £7.16 300 mg tab Pack of 50

22 January 2020 145/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Oxcarbazepine tablets £38.71 600 mg tab Pack of 50

Valproic acid [as valproate semisodium] (Depakote) £17.08 250 mg E/C tab Pack of 90

Valproic acid [as valproate semisodium] (Depakote) £34.11 500 mg E/C tab Pack of 90

Levetiracetam (Keppra) £66.95 100 mg/ml oral solution Pack of 300 If patient is seizure free and stable, consistent supply of a particular manufacturer's AED preparation isrecommended.If a specific product is required (generic or brand) specify the manufacturer alongside the dose.

Brivaracetam (Briviact) £222.75 50 mg/5ml solution for injection vials Pack of 10 Not assessed/ do not prescribe

Lacosamide Infusion (Vimpat) £29.70 10 mg/ml (20ml unit) solution for infusion Pack of 1

Phenytoin injection £19.25 250 mg / 5ml Pack of 5

Sodium Valproate Injection (Epilim) £13.32 400 mg / vial Pack of 1

Clonazepam (Rivotril) £2.99 1 mg ampoules Pack of 5

Gabapentin (Neurontin) £18.29 100 mg Cap Pack of 100 Please prescribe generically

Gabapentin (Neurontin) £42.40 300 mg Cap Pack of 100 Please prescribe generically

Gabapentin (Neurontin) £49.06 400 mg Cap Pack of 100 Please prescribe generically

Gabapentin (Neurontin) £84.80 600 mg Tab Pack of 100 Please prescribe generically

Gabapentin (Neurontin) £98.13 800 mg Tab Pack of 100 Please prescribe generically

Phenytoin £10.27 100 mg tab Pack of 28 Prescribing phenytoin capsules represents better value for money. However this switch is only suitable for newly initiated patients.

22 January 2020 146/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pregabalin (Alzain) £4.99 25 mg capsules Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Alzain) £5.99 50 mg capsules Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Alzain) £5.99 75 mg capsules Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Alzain) £6.99 100 mg capsules Pack of 84 Consider prescribing generically as most cost effective option.

Pregabalin (Alzain) £6.99 150 mg capsules Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Alzain) £8.99 200 mg capsules Pack of 84 Consider prescribing generically as most cost effective option.

Pregabalin (Alzain) £7.99 225 mg capsules Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Alzain) £8.99 300 mg capsules Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Axalid) £19.95 25 mg caps Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Axalid) £19.95 50 mg caps Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Axalid) £19.95 75 mg caps Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Axalid) £19.95 100 mg caps Pack of 56 Consider prescribing generically as most cost effective option.

22 January 2020 147/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pregabalin (Axalid) £19.95 150 mg caps Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Axalid) £19.95 200 mg caps Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Axalid) £19.95 225 mg caps Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Axalid) £19.95 300 mg caps Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Lecaent) £64.39 25 mg capsules Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Lecaent) £96.59 50 mg capsules Pack of 84 Consider prescribing generically as most cost effective option.

Pregabalin (Lecaent) £64.39 75 mg capsules Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Lecaent) £96.59 100 mg capsules Pack of 84 Consider prescribing generically as most cost effective option.

Pregabalin (Lecaent) £64.39 150 mg capsules Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Lecaent) £96.59 200 mg capsules Pack of 84 Consider prescribing generically as most cost effective option.

Pregabalin (Lecaent) £64.39 225 mg capsules Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Lecaent) £64.39 300 mg capsules Pack of 56 Consider prescribing generically as most cost effective option.

22 January 2020 148/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pregabalin (Lyrica) £99.48 20 mg/ml oral solution ml Pack of 473

Pregabalin (Lyrica) £64.40 25 mg cap Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Lyrica) £96.60 50 mg Cap Pack of 84 Consider prescribing generically as most cost effective option.

Pregabalin (Lyrica) £64.40 75 mg Cap Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Lyrica) £96.60 100 mg Cap Pack of 84 Consider prescribing generically as most cost effective option.

Pregabalin (Lyrica) £64.40 150 mg Cap Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Lyrica) £96.60 200 mg Cap Pack of 84 Consider prescribing generically as most cost effective option.

Pregabalin (Lyrica) £64.40 225 mg Cap Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Lyrica) £64.40 300 mg Cap Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Rewisca) £5.84 25 mg Cap Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Rewisca) £8.72 50 mg Cap Pack of 84 Consider prescribing generically as most cost effective option.

Pregabalin (Rewisca) £5.42 75 mg Cap Pack of 56 Consider prescribing generically as most cost effective option.

22 January 2020 149/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pregabalin (Rewisca) £7.75 100 mg Cap Pack of 84 Consider prescribing generically as most cost effective option.

Pregabalin (Rewisca) £5.88 150 mg Cap Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Rewisca) £7.89 200 mg Cap Pack of 84 Consider prescribing generically as most cost effective option.

Pregabalin (Rewisca) £5.26 225 mg Cap Pack of 56 Consider prescribing generically as most cost effective option.

Pregabalin (Rewisca) £5.50 300 mg Cap Pack of 56 Consider prescribing generically as most cost effective option.

Retigabine (Trobalt) £24.33 50 mg tab x 21, 100mg tab x 42 (starter pack) Pack of 63

Retigabine (Trobalt) £19.46 50 mg tabs Pack of 84

Retigabine (Trobalt) £38.93 100 mg tabs Pack of 84

Retigabine (Trobalt) £77.86 200 mg tabs Pack of 84

Retigabine (Trobalt) £116.78 300 mg tabs Pack of 84

Retigabine (Trobalt) £127.68 400 mg tabs Pack of 84

Tiagabine (Gabitril) £52.04 5 mg tab Pack of 100

Tiagabine (Gabitril) £104.09 10 mg tab Pack of 100

Tiagabine (Gabitril) £156.13 15 mg tab Pack of 100 4.8.2 - Central nervous system | Antiepileptics | Drugs Used In Status Epilepticus

Current Status Drug Tariff

Midazolam (Epistatus) £45.76 10 mg in 1 mL oromucosal solution pre-filled oral syringes Pack of 1

22 January 2020 150/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Midazolam Oral Mucosal Solution (Buccolam) £82.00 2.5 mg syringe (0.5ml) Pack of 4

Midazolam Oral Mucosal Solution (Buccolam) £85.50 5 mg syringe (1ml) Pack of 4

Midazolam Oral Mucosal Solution (Buccolam) £89.00 7.5 mg syringe (1.5ml) Pack of 4

Midazolam Oral Mucosal Solution (Buccolam) £91.50 10 mg syringe (2ml) Pack of 4 4.9.1 - Central nervous system | Drugs Used In Park'ism/Related Disorders | Dopaminergic Drugs Used In Parkinsonism

Current Status Drug Tariff

Co-careldopa (Sinemet-Plus) £12.88 25 /100mg Tab Pack of 100 prescribing as sinemet plus is more cost effective

Ropinirole (Repinex XL) £6.20 2 mg tablets Pack of 28

Ropinirole (Repinex XL) £12.50 4 mg tablets Pack of 28

Ropinirole (Repinex XL) £21.00 8 mg tablets Pack of 28

Entacapone £3.58 200 mg tab Pack of 30

Entacapone (Comtess) £17.24 200 mg tab Pack of 30 Specialist Initiation Only

Levodopa / Carbidopa / Entacapone Tablet (Stalevo) £69.31 50 mg / 12.5mg / 200mg tab Pack of 100

Levodopa / Carbidopa / Entacapone Tablet (Stalevo) £69.31 75 mg / 18.75mg / 200mg tab Pack of 100

Levodopa / Carbidopa / Entacapone Tablet (Stalevo) £69.31 100 mg / 25mg / 200mg tab Pack of 100

Levodopa / Carbidopa / Entacapone Tablet (Stalevo) £69.31 125 mg / 31.25mg / 200mg tab Pack of 100

Levodopa / Carbidopa / Entacapone Tablet (Stalevo) £69.31 150 mg / 37.5mg / 200mg tab Pack of 100

Levodopa / Carbidopa / Entacapone Tablet (Stalevo) £69.31 200 mg / 50mg / 200mg tab Pack of 100

Pramipexole £4.28 0.088 mg tab Pack of 30

22 January 2020 151/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pramipexole £10.42 0.18 mg tab Pack of 100

Pramipexole £46.30 0.35 mg tab Pack of 100

Pramipexole £36.30 0.7 mg tab Pack of 100

Pramipexole (Pipexus) £64.98 1.05 mg modified-release tablets Pack of 30

Pramipexole (Pipexus) £101.18 1.57 mg modified-release tablets Pack of 30

Pramipexole (Pipexus) £129.96 2.1 mg modified-release tablets Pack of 30

Pramipexole (Pipexus) £168.64 2.62 mg modified-release tablets Pack of 30

Pramipexole (Pipexus) £194.94 3.15 mg modified-release tablets Pack of 30

Pramipexole (Pipexus) £16.25 260 mcg modified-release tablets Pack of 30

Pramipexole (Pipexus) £32.49 520 mcg modified-release tablets Pack of 30

Ropinirole £3.04 0.25 mg tab Pack of 12

Ropinirole £6.20 0.5 mg tab Pack of 28

Ropinirole £57.16 1 mg tab Pack of 84

Ropinirole £9.95 2 mg tab Pack of 84

Ropinirole £185.63 5 mg tab Pack of 84

Ropinirole Tablet (Requip) £56.71 1 mg tab Pack of 84

Ropinirole Tablet (Requip) £113.44 2 mg tab Pack of 84

Ropinirole Tablet (Requip) £195.92 5 mg tab Pack of 84

Ropinirole Tablet (Requip Follow On Pack) £74.40 42 x 0.5mg / 42 x 1mg / 63 x 2mg Pack of 147

Ropinirole Tablet (Requip Starter Pack) £40.10 42 x 0.25mg / 42 x 0.5mg / 21x1mg Pack of 105

22 January 2020 152/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Co-beneldopa £4.96 62.5 mg (50/12.5mg) caps Pack of 100

Co-beneldopa £6.91 125 mg (100/25mg) caps Pack of 100

Co-beneldopa £11.78 250 mg (200/50mg) caps Pack of 100

Co-beneldopa (Madopar Capsules) £4.96 62.5 mg (50/12.5mg) caps Pack of 100

Co-beneldopa (Madopar Capsules) £6.91 125 mg (100/25mg) caps Pack of 100

Co-beneldopa (Madopar Capsules) £8.50 250 mg (200/50mg) caps Pack of 60

Co-beneldopa (Madopar Dispersible) £5.90 62.5 mg (50/12.5mg) disp tab Pack of 100

Co-beneldopa (Madopar Dispersible) £10.45 125 mg (100/25mg) disp tab Pack of 100

Co-beneldopa CR (Madopar CR) £12.77 125 mg (100/25mg) CR caps Pack of 100

Co-careldopa (Sinemet-110) £7.30 10 /100mg tab Pack of 100

Co-careldopa (Sinemet-62.5) £6.28 12.5 /50mg Tab Pack of 90

Co-Careldopa £13.83 10 /100mg tab Pack of 100

Co-Careldopa £9.44 25 /100mg tab Pack of 100 prescribing by brand is more cost effective

Co-Careldopa £34.99 25 /250mg tab Pack of 100

Co-careldopa 275 (Sinemet-275) £13.72 25 /250mg Tab Pack of 90

Co-careldopa MR (Half Sinemet CR) £11.60 25 /100mg Tab MR Pack of 60

Co-careldopa MR (Sinemet CR) £11.60 50 /200mg Tab MR Pack of 60

Ropinirole tablet (Adartrel) £15.75 0.5 mg tab Pack of 28

Ropinirole tablet (Adartrel) £31.51 2 mg tab Pack of 28

22 January 2020 153/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Selegiline £9.91 5 mg tab Pack of 60

Selegiline £9.67 10 mg tab Pack of 30

Selegiline Hydrochloride (Eldepryl) £17.93 10 mg/5ml syrup 200 ml Pack of 200

Amantadine hydrochloride (Symmetrel) £6.66 50 mg / 5ml syrup Pack of 150

Amantadine hydrochloride (Symmetrel) £3.30 100 mg cap Pack of 56

Apomorphine Injection (Apo-Go) £123.91 30 mg/ 3ml pen injection Pack of 5

Apomorphine Injection (Apo-Go) £73.11 50 mg/ 10ml pre-filled syringe Pack of 5

Cabergoline £34.99 0.5 mg tab Pack of 8

Cabergoline £64.25 1 mg tab Pack of 20

Cabergoline £73.12 2 mg tab Pack of 20

Cabergoline £68.24 4 mg tab Pack of 16

Cabergoline (Cabaser) £83.00 1 mg tab Pack of 20

Cabergoline (Cabaser) £83.00 2 mg tab Pack of 20

Cabergoline (Cabaser) £75.84 4 mg tab Pack of 16

Pergolide £36.41 1 mg tab (1000 mcg tab) Pack of 30

Pergolide £36.03 50 mcg tab Pack of 100

Pergolide £10.82 250 mcg tab Pack of 30

Pergolide (Celance) £43.44 1 mg tab (1000 mcg tab) Pack of 100

Pergolide (Celance) £21.12 250 mcg tab Pack of 100

Rasagiline (Azilect) £70.72 1 mg tab Pack of 28

22 January 2020 154/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Rotigotine (Neupro) £77.24 1 mg patch Pack of 28

Rotigotine (Neupro) £81.10 2 mg patch Pack of 28

Rotigotine (Neupro) £142.79 2 mg, 4mg, 6mg, 8mg patch starter pack Pack of 28

Rotigotine (Neupro) £102.35 3 mg patch Pack of 28

Rotigotine (Neupro) £123.60 4 mg patch Pack of 28

Rotigotine (Neupro) £149.93 6 mg patch Pack of 28

Rotigotine (Neupro) £149.93 8 mg patch Pack of 28

Levodopa/ Carbidopa (Duodopa) £77.00 20 mg/5mg/ml (intestinal gel in cassette) Pack of 100 Duodopa is not recommended for use in the East Kent Health economy.

Pramipexole (Mirapexin) £129.96 1.05 mg MR tab Pack of 30 Prescribing as Pipexus is more cost effective.

Pramipexole (Mirapexin) £202.36 1.57 mg MR tab Pack of 30 Prescribing as Pipexus is more cost effective.

Pramipexole (Mirapexin) £259.91 2.1 mg MR tab Pack of 30 Prescribing as Pipexus is more cost effective.

Pramipexole (Mirapexin) £337.27 2.62 mg MR tab Pack of 30 Prescribing as Pipexus is more cost effective.

Pramipexole (Mirapexin) £389.87 3.15 mg MR tab Pack of 30 Prescribing as Pipexus is more cost effective.

Pramipexole (Mirapexin) £11.24 88 mcg tab Pack of 30 Please prescribe generically.

Pramipexole (Mirapexin) £74.95 180 mcg tab Pack of 100 Please prescribe generically.

22 January 2020 155/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pramipexole (Mirapexin) £32.49 260 mcg MR tab Pack of 30 Prescribing as Pipexus is more cost effective.

Pramipexole (Mirapexin) £149.90 350 mcg tab Pack of 100 Please prescribe generically.

Pramipexole (Mirapexin) £64.98 520 mcg MR tab Pack of 30 Prescribing as Pipexus is more cost effective.

Pramipexole (Mirapexin) £299.82 700 mcg tab Pack of 100 Please prescribe generically.

Pramipexole (Oprymea) £102.28 1.05 mg MR tab Pack of 30

Pramipexole (Oprymea) £159.26 1.57 mg MR tab Pack of 30

Pramipexole (Oprymea) £204.56 2.1 mg MR tab Pack of 30

Pramipexole (Oprymea) £3.23 88 mcg tab Pack of 30

Pramipexole (Oprymea) £15.46 180 mcg tab Pack of 100

Pramipexole (Oprymea) £25.56 260 mcg MR tab Pack of 30

Pramipexole (Oprymea) £108.23 350 mcg tab Pack of 100

Pramipexole (Oprymea) £51.14 520 mcg MR tab Pack of 30

Pramipexole (Oprymea) £117.63 700 mcg tab Pack of 100

Ropinirole extended release (Requip XL) £12.54 2 mg XL tab Pack of 28 Prescribe after Secondary Care Initiation.

Ropinirole extended release (Requip XL) £25.09 4 mg XL tab Pack of 28 Prescribe after Secondary Care Initiation.

22 January 2020 156/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ropinirole extended release (Requip XL) £42.11 8 mg XL tab Pack of 28 Prescribe after Secondary Care Initiation.

Ropinirole XL £12.54 2 mg XL tab Pack of 28

Ropinirole XL £25.09 4 mg XL tab Pack of 28

Ropinirole XL £42.11 8 mg XL tab Pack of 28

Ropinirole XL (Ralnea XL) £10.65 2 mg XL tab Pack of 28

Ropinirole XL (Ralnea XL) £21.32 4 mg XL tab Pack of 28

Ropinirole XL (Ralnea XL) £35.79 8 mg XL tab Pack of 28

Selegiline Hydrochloride (Eldepryl) £9.91 5 mg tab Pack of 60 Prescribe generically

Selegiline Hydrochloride (Eldepryl) £9.67 10 mg tab Pack of 30 Prescribe generically

Selegiline Melt Tablets (Zelapar) £43.16 1.25 mg lysophilisate tab Pack of 30

Tolcapone (Tasmar) £95.20 100 mg tab Pack of 100 4.9.2 - Central nervous system | Drugs Used In Park'ism/Related Disorders | Antimuscarinic Drugs Used In Parkin'ism

Current Status Drug Tariff

Orphenadrine Hydrochloride (Disipal) £8.59 50 mg tab Pack of 250 Prescribing as Disipal 50mg tablets represents better value for money

Trihexyphenidyl Syrup (Broflex) £7.44 5 mg / 5ml blackcurrant Pack of 200

Trihexyphenidyl Tablet £3.67 2 mg Tab Pack of 84

Trihexyphenidyl Tablet £17.91 5 mg Tab Pack of 84

22 January 2020 157/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Orphenadrine Hydrochloride £80.00 50 mg tab Pack of 100 Prescribing as Disipal 50mg tablets represents better value for money.

4.9.3 - Central nervous system | Drugs Used In Park'ism/Related Disorders | Essentialtremor,Chorea,Tics&Reldisorders

Current Status Drug Tariff

Tetrabenazine Tablet (Xenazine) £100.00 25 mg tab Pack of 112

Riluzole £44.96 50 mg tab Pack of 56

Botulinum A Toxin (Dysport) £92.40 300 unit vial Pack of 1

Botulinum A Toxin (Dysport) £154.00 500 unit vial Pack of 1

Botulinum A Toxin (Xeomin) £72.00 50 u vial Pack of 1

Botulinum A Toxin (Xeomin) £129.90 100 u vial Pack of 1

Botulinum toxin b (Neurobloc) £148.27 5000 u/1ml injection Pack of 1

Botulinum toxin type A (Azzalure) £64.00 125 unit powder Pack of 1

Botulinum toxin type A (Azzalure) £128.00 125 unit powder Pack of 2

Botulinum toxin type A (Botox) £77.50 50 unit powder Pack of 1

Botulinum toxin type A (Botox) £138.20 100 unit powder Pack of 1

Botulinum toxin type A (Botox) £138.20 100 unit powder Pack of 1

Botulinum toxin type A (Botox) £276.40 200 unit powder Pack of 1

Botulinum toxin type A (Vistabel) £77.50 50 unit powder Pack of 1

Riluzole (Rilutek) £320.33 50 mg tab Pack of 56 4.10 - Central nervous system | Drugs Used In Substance Dependence

Current Status Drug Tariff

22 January 2020 158/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Bupropion / Amfebutamone (Zyban) £41.76 150 mg tab Pack of 60 Use in depression is NOT recommended. This is an unlicensed indication. No evidence has been provided to support use in the local health economy.

Varenicline (Champix) £27.30 0.5 & 1mg tab Initiation Pack (11 x 0.5mg tab & 14 x 1mg tab) Pack of 25 Supply of Champix is funded through KCC stop smoking services and is supplied under Patient Group Direction (PGD) from community pharmacies who provide the required behavioural support . This product should therefore NOT BE PRESCRIBED by most GP practices. The only practices who could consider prescribing are dispensing practices who ALSO hold a stop smoking contract.

Varenicline (Champix) £54.60 0.5 mg tab Pack of 56 Supply of Champix is funded through KCC stop smoking services and is supplied under Patient Group Direction (PGD) from community pharmacies who provide the required behavioural support . This product should therefore NOT BE PRESCRIBED by most GP practices. The only practices who could consider prescribing are dispensing practices who ALSO hold a stop smoking contract.

Varenicline (Champix) £27.30 1 mg tab Pack of 28 Supply of Champix is funded through KCC stop smoking services and is supplied under Patient Group Direction (PGD) from community pharmacies who provide the required behavioural support . This product should therefore NOT BE PRESCRIBED by most GP practices. The only practices who could consider prescribing are dispensing practices who ALSO hold a stop smoking contract.

Nicotine Gum (Nicorette Gum) £3.25 2 mg Original Pack of 30 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD. Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy

Nicotine Gum (Nicorette Gum) £9.27 2 mg Mint Pack of 105 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD. Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy

Nicotine Gum (Nicorette Gum) £10.27 2 mg Freshmint Pack of 105 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD. Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy

Nicotine Gum (Nicorette Gum) £10.27 2 mg Freshfruit Pack of 105 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD. Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy

Nicotine Gum (Nicorette Gum) £3.99 4 mg Original Pack of 30 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD. Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy

Nicotine Gum (Nicorette Gum) £11.28 4 mg Mint Pack of 105 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD. Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy

22 January 2020 159/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Nicotine Gum (Nicorette Gum) £12.56 4 mg Freshmint Pack of 105 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD. Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy

Nicotine Gum (Nicorette Gum) £12.57 4 mg Freshfruit Pack of 105 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD. Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy

Nicotine Gum (Nicorette Icy White) £10.26 2 mg Pack of 105 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Gum (Nicorette Icy White) £12.55 4 mg Pack of 105 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Gum (Nicotinell Gum) £3.01 2 mg Mint Flavoured Pack of 24 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Gum (Nicotinell Gum) £3.01 2 mg Fruit Flavoured Pack of 24 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Gum (Nicotinell Gum) £3.01 2 mg Classic Pack of 24 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Gum (Nicotinell Gum) £3.01 2 mg Licorice Flavoured Pack of 24 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Gum (Nicotinell Gum) £3.30 4 mg Mint Flavoured Pack of 24 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Gum (Nicotinell Gum) £3.30 4 mg Fruit Flavoured Pack of 24 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

22 January 2020 160/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Nicotine Gum (Nicotinell Gum) £3.30 4 mg Classic Pack of 24 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Gum (Nicotinell Gum) £3.30 4 mg Licorice Flavoured Pack of 24 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Gum (Niquitin CQ Gum) £1.71 2 mg (mint) Pack of 12 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Gum (Niquitin CQ Gum) £1.71 4 mg (mint) Pack of 12 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Inhalator (Nicorette Inhalator) £4.46 10 mg / cartridge with mouthpiece Pack of 6 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Inhalator (Nicorette Inhalator) £17.78 15 mg / cartridge with mouthpiece Pack of 20 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Lozenge (Nicopass) £1.68 1.5 mg fresh mint Pack of 12 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Lozenge (Nicotinell Lozenge) £4.27 1 mg Mint Flavoured Pack of 36 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Lozenge (Nicotinell Lozenge) £4.95 2 mg Mint Flavoured Pack of 36 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Lozenge (Niquitin CQ) £5.91 2 mg (mint) Pack of 36 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

22 January 2020 161/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Nicotine Lozenge (Niquitin CQ) £7.40 2 mg (original) Pack of 72 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Lozenge (Niquitin CQ) £5.91 4 mg (original) Pack of 36 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Lozenge (Niquitin CQ) £5.91 4 mg (mint) Pack of 36 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Microtab (Nicorette Microtab) £4.83 2 mg tablets Pack of 30 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Mini Lozenge (Niquitin CQ) £10.85 1.5 mg mint Pack of 60 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Nasal Spray (Nicorette Nasal Spray) £16.18 0.5 mg / puff 10ml unit Pack of 10 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD. Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy

Nicotine Patch (Nicorette) £9.97 5 mg/16hrs Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD. Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy

Nicotine Patch (Nicorette) £10.37 10 mg/16hrs Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD. Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy

Nicotine Patch (Nicorette) £10.37 15 mg/16hrs Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD. Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy

Nicotine Patch (Nicorette Invisi-patch) £10.99 10 mg Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

22 January 2020 162/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Nicotine Patch (Nicorette Invisi-patch) £11.10 15 mg Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Patch (Nicorette Invisi-patch) £11.15 25 mg Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Patch (Nicotinell TTS) £9.40 14 mg/24 hours Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Patch (Nicotinell TTS) £9.40 21 mg/24 hours Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Patch (NiQuitin CQ (Clear)) £11.48 7 mg/24 hours Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Patch (NiQuitin CQ (Clear)) £11.48 14 mg/24 hours Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Patch (NiQuitin CQ (Clear)) £59.83 14 mg/24 hours Pack of 42 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Patch (NiQuitin CQ (Clear)) £11.48 21 mg/24 hours Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Patch (NiQuitin CQ (Clear)) £18.79 21 mg/24 hours Pack of 14 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Patch (Niquitin Cq Patches) £11.48 7 mg/24 hours Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

22 January 2020 163/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Nicotine Patch (Niquitin Cq Patches) £11.48 14 mg/24 hours Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Patch (Niquitin Cq Patches) £11.48 21 mg/24 hours Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Patch (Niquitin Cq Patches) £18.79 21 mg/24 hours Pack of 14 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Patch (Unspecified) £9.97 7 mg/24 hours Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Patch (Unspecified) £9.97 14 mg/24 hours Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Patch (Unspecified) £9.07 15 mg/24 hours Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Patch (Unspecified) £9.97 21 mg/24 hours Pack of 7 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Spray (Nicorette QuickMist) £13.03 1 mg spray (13.2ml unit) Pack of 13 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Acamprosate (Campral) £28.80 333 mg tab e/c Pack of 168 DO NOT PRESCRIBE. All services are commissioned through Turning Point and patients should be referred back to Turning Point to obtain supplies to ensure this is only supplied with the required behavioural support. In the event of a request for an emergency supply. DO NOT PRESCRIBE. All patients are notified that Turning Point can be contacted 24/7 to discuss and, if appropriate, obtain an additional prescription. Other substance abuse services will have a similar arrangement. Contact details for Turning Point are Referrals (24/7 Helpline) Advice: 0300 123 1186.

22 January 2020 164/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Buprenorphine (Subutex) £1.36 0.4 mg sublingual tab Pack of 7 DO NOT PRESCRIBE unless you are one of the very few practices in East Kent which have a contract for Opioid substitution therapy services. All services are commissioned through Turning Point and patients should be referred back to Turning Point to obtain supplies to ensure this is only supplied with the required behavioural support .In the event of a request for an emergency supply. DO NOT PRESCRIBE. All patients are notified that Turning Point can be contacted 24/7 to discuss and if appropriate, obtain an additional prescription. Other substance abuse services will have a similar arrangement.Contact details for Turning Point are Referrals, 24/7 Helpline, Advice 0300 123 1186

Buprenorphine (Subutex) £4.45 2 mg sublingual tab Pack of 7 DO NOT PRESCRIBE. All services are commissioned through Turning Point and patients should be referred back to Turning Point to obtain supplies to ensure this is only supplied with the required behavioural support. In the event of a request for an emergency supply. DO NOT PRESCRIBE. All patients are notified that Turning Point can be contacted 24/7 to discuss and, if appropriate, obtain an additional prescription. Other substance abuse services will have a similar arrangement. Contact details for Turning Point are Referrals (24/7 Helpline) Advice: 0300 123 1186.

Buprenorphine (Subutex) £13.34 8 mg sublingual tab Pack of 7 DO NOT PRESCRIBE. All services are commissioned through Turning Point and patients should be referred back to Turning Point to obtain supplies to ensure this is only supplied with the required behavioural support. In the event of a request for an emergency supply. DO NOT PRESCRIBE. All patients are notified that Turning Point can be contacted 24/7 to discuss and, if appropriate, obtain an additional prescription. Other substance abuse services will have a similar arrangement. Contact details for Turning Point are Referrals (24/7 Helpline) Advice: 0300 123 1186.

Buprenorphrine Naloxone Hydrochloride (Suboxone) £25.60 2 mg/0.5mg tab Pack of 28 DO NOT PRESCRIBE. All services are commissioned through Turning Point and patients should be referred back to Turning Point to obtain supplies to ensure this is only supplied with the required behavioural support. In the event of a request for an emergency supply. DO NOT PRESCRIBE. All patients are notified that Turning Point can be contacted 24/7 to discuss and, if appropriate, obtain an additional prescription. Other substance abuse services will have a similar arrangement. Contact details for Turning Point are Referrals (24/7 Helpline) Advice: 0300 123 1186.

Buprenorphrine Naloxone Hydrochloride (Suboxone) £76.73 8 mg/2mg tab Pack of 28 DO NOT PRESCRIBE. All services are commissioned through Turning Point and patients should be referred back to Turning Point to obtain supplies to ensure this is only supplied with the required behavioural support. In the event of a request for an emergency supply. DO NOT PRESCRIBE. All patients are notified that Turning Point can be contacted 24/7 to discuss and, if appropriate, obtain an additional prescription. Other substance abuse services will have a similar arrangement. Contact details for Turning Point are Referrals (24/7 Helpline) Advice: 0300 123 1186.

Methadone 1mg/1ml oral solution £1.06 1 mg/ml solution SF Pack of 100 DO NOT PRESCRIBE. All East Kent services are commissioned through Turning Point and patients should be referred back to Turning Point to obtain supplies to ensure this is only supplied with the required behavioural support. In the event of a request for an emergency supply, DO NOT PRESCRIBE. All patients are notified that Turning Point can be contacted 24/7 to discuss and, if appropriate, obtain an additional prescription. Other substance abuse services will have a similar arrangement. Contact details for Turning Point for referrals and 24/7 Helpline: 0300 123 1186

Methadone 1mg/1ml oral solution £5.35 1 mg/ml solution Pack of 500 DO NOT PRESCRIBE. All East Kent services are commissioned through Turning Point and patients should be referred back to Turning Point to obtain supplies to ensure this is only supplied with the required behavioural support. In the event of a request for an emergency supply, DO NOT PRESCRIBE. All patients are notified that Turning Point can be contacted 24/7 to discuss and, if appropriate, obtain an additional prescription. Other substance abuse services will have a similar arrangement. Contact details for Turning Point for referrals and 24/7 Helpline: 0300 123 1186

Methadone Mixture (Physeptone) £6.42 1 mg/ml Pack of 500 DO NOT PRESCRIBE. All services are commissioned through Turning Point and patients should be referred back to Turning Point to obtain supplies to ensure this is only supplied with the required behavioural support. In the event of a request for an emergency supply. DO NOT PRESCRIBE. All patients are notified that Turning Point can be contacted 24/7 to discuss and, if appropriate, obtain an additional prescription. Other substance abuse services will have a similar arrangement. Contact details for Turning Point are Referrals (24/7 Helpline) Advice: 0300 123 1186.

22 January 2020 165/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Methadone Mixture (Physeptone) £6.42 1 mg/ml sugar free Pack of 500 DO NOT PRESCRIBE. All services are commissioned through Turning Point and patients should be referred back to Turning Point to obtain supplies to ensure this is only supplied with the required behavioural support. In the event of a request for an emergency supply. DO NOT PRESCRIBE. All patients are notified that Turning Point can be contacted 24/7 to discuss and, if appropriate, obtain an additional prescription. Other substance abuse services will have a similar arrangement. Contact details for Turning Point are Referrals (24/7 Helpline) Advice: 0300 123 1186.

Methadone oral concentrate (Methadose) £12.01 10 mg/ml SF Pack of 150

Methadone oral concentrate (Methadose) £24.02 20 mg/ml SF Pack of 150

Nalmefene (Selincro) £42.42 18 mg tablets Pack of 14 DO NOT PRESCRIBE. All services are commissioned through Turning Point and patients should be referred back to Turning Point to obtain supplies to ensure this is only supplied with the required behavioural support. In the event of a request for an emergency supply. DO NOT PRESCRIBE. All patients are notified that Turning Point can be contacted 24/7 to discuss and, if appropriate, obtain an additional prescription. Other substance abuse services will have a similar arrangement. Contact details for Turning Point are Referrals (24/7 Helpline) Advice: 0300 123 1186.

Naltrexone (Nalorex) £22.34 50 mg tab Pack of 28 DO NOT PRESCRIBE. All services are commissioned through Turning Point and patients should be referred back to Turning Point to obtain supplies to ensure this is only supplied with the required behavioural support. In the event of a request for an emergency supply. DO NOT PRESCRIBE.All patients are notified that Turning Point can be contacted 24/7 to discuss and, if appropriate, obtain an additional prescription. Other substance abuse services will have a similar arrangement. Contact details for Turning Point are Referrals (24/7 Helpline) Advice: 0300 123 1186.

Lofexidine Tablet (BritLofex) £61.79 200 mcg tab Pack of 60 DO NOT PRESCRIBE. All services are commissioned through Turning Point and patients should be referred back to Turning Point to obtain supplies to ensure this is only supplied with the required behavioural support. In the event of a request for an emergency supply. DO NOT PRESCRIBE. All patients are notified that Turning Point can be contacted 24/7 to discuss and, if appropriate, obtain an additional prescription. Other substance abuse services will have a similar arrangement. Contact details for Turning Point are Referrals (24/7 Helpline) Advice: 0300 123 1186. 4.10.2 - Central nervous system | Drugs Used In Substance Dependence | Nicotine Dependence

Current Status Drug Tariff

Nicotine (Nicorette Fruitfusion) £12.12 6 mg medicated chewing gum Pack of 105 The majority of NRT preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). HOWEVER, there is NO PGD in place for this product until July 2016 and so it can be supplied on FP10 if requested by a stop smoking adviser see Information for GP practices for detailsQUIT line Telephone 0300 123 1220 (patient info and referrals)

Nicotine Lozenge (Unspecified) £4.27 1 mg Pack of 36 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Lozenges £9.39 2 mg lozenge Pack of 72 Nicotine Replacement Therapy (NRT) preparations should be supplied through the stop smoking service under Patient Group Direction (PGD). Dispensing practices with 'Stop smoking' contract can supply on FP10 if patient is on dispensing list AND receiving behavioural support AND cannot access a pharmacy.

Nicotine Lozenges £9.39 4 mg lozenge Pack of 72 4.11 - Central nervous system | Drugs for Dementia

Current Status Drug Tariff 22 January 2020 166/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CurrentCCG Status Drug Tariff

Galantamine XL (Gatalin XL) £25.94 8 mg MR Caps Pack of 28 Shared Care and Preferred.

Galantamine XL (Gatalin XL) £32.45 16 mg MR Caps Pack of 28 Shared Care and Preferred.

Galantamine XL (Gatalin XL) £39.90 24 mg MR Caps Pack of 28 Shared Care and Preferred.

Rivastigmine Transdermal Patch £77.97 4.6 mg / 24hr Pack of 30

Rivastigmine Transdermal Patch £19.97 9.5 mg / 24hr Pack of 30

Donepezil £0.99 5 mg tab Pack of 28 Shared care under development

Donepezil £1.15 10 mg tab Pack of 28 Shared care under development

Galantamine £61.97 8 mg tab Pack of 56 Shared Care but not preferred.

Galantamine £74.10 12 mg tab Pack of 56 Shared Care but not preferred.

Galantamine (Reminyl) £120.00 4 mg / ml Solution Pack of 100 Shared Care but not preferred.

Galantamine (Reminyl) £68.32 8 mg tab Pack of 56 Shared Care but not preferred.

Galantamine (Reminyl) £84.00 12 mg tab Pack of 56 Shared Care but not preferred.

Galantamine XL (Galsya XL) £44.09 8 mg MR caps Pack of 28 Shared Care but not preferred.

22 January 2020 167/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Galantamine XL (Galsya XL) £55.16 16 mg MR caps Pack of 28 Shared Care but not preferred.

Galantamine XL (Galsya XL) £67.83 24 mg MR caps Pack of 28 Shared Care but not preferred.

Galantamine XL (Reminyl XL) £51.88 8 mg MR Caps Pack of 28 Shared Care but not preferred.

Galantamine XL (Reminyl XL) £64.90 16 mg MR Caps Pack of 28 Shared Care but not preferred.

Galantamine XL (Reminyl XL) £79.80 24 mg MR Caps Pack of 28 Shared Care but not preferred.

Galantamine XL (Unspecified Galantamine XL) £51.88 8 mg MR Caps Pack of 28 Shared care but not preferred.

Galantamine XL (Unspecified Galantamine XL) £64.90 16 mg MR Caps Pack of 28 Shared care but not preferred.

Galantamine XL (Unspecified Galantamine XL) £79.80 24 mg MR Caps Pack of 28 Shared care but not preferred.

Memantine £1.62 10 mg Tab Pack of 28

Memantine £55.14 10 mg/ml oral solution s/f Pack of 50

Memantine £110.28 10 mg/ml oral solution s/f Pack of 100

Memantine £1.96 20 mg Tab Pack of 28

Memantine (Ebixa) £34.50 10 mg Tab Pack of 28 Shared care.

22 January 2020 168/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Memantine (Ebixa) £69.01 20 mg tab Pack of 28 Shared care.

Rivastigmine Capsules £2.35 1.5 mg Caps Pack of 28 Shared care and preferred.

Rivastigmine Capsules £2.80 3 mg Caps Pack of 28 Shared care and preferred.

Rivastigmine Capsules £29.74 4.5 mg Caps Pack of 28 Shared care and preferred.

Rivastigmine Capsules £32.19 6 mg Caps Pack of 28 Shared care and preferred.

Rivastigmine Capsules (Exelon) £33.25 1.5 mg caps Pack of 28 Shared Care but not preferred.

Rivastigmine Capsules (Exelon) £33.25 3 mg caps Pack of 28 Shared Care but not preferred.

Rivastigmine Capsules (Exelon) £33.25 4.5 mg caps Pack of 28 Shared Care but not preferred.

Rivastigmine Capsules (Exelon) £33.25 6 mg caps Pack of 28 Shared Care but not preferred.

Rivastigmine Solution (Exelon) £99.14 2 mg / ml Pack of 120 Shared Care but not preferred.

Rivastigmine transdermal patch (Exelon) £77.97 4.6 mg / 24hr Pack of 30 Shared Care but not preferred.

Rivastigmine transdermal patch (Exelon) £77.97 9.5 mg / 24hr Pack of 30 Shared Care but not preferred.

22 January 2020 169/403 Formulary Book [4: Central nervous system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Rivastigmine transdermal patches (Alzest) £35.10 4.6 mg/24hours Pack of 30 Alzest is the preferred choice.

Rivastigmine transdermal patches (Alzest) £19.97 9.5 mg/24hours Pack of 30 Alzest is the preferred choice.

Donepezil £8.87 5 mg tab orodispersible Pack of 28

Donepezil £10.36 10 mg tab orodispersible Pack of 28

Donepezil (Aricept) £59.85 5 mg tab Pack of 28

Donepezil (Aricept) £83.89 10 mg tab Pack of 28

Donepezil (Aricept Evess) £59.85 5 mg tab orodispersible Pack of 28

Donepezil (Aricept Evess) £83.89 10 mg tab orodispersible Pack of 28 5.1 - Infections | Antibacterial Drugs | Skin Conditions

Current Status Drug Tariff

Aztreonam (Azactam) £9.40 1 g injection Pack of 1

Aztreonam (Azactam) £18.82 2 g injection Pack of 1 5.1.1.1 - Infections | Antibacterial Drugs | Benzylpenicillin&Phenoxymethylpenicillin

Current Status Drug Tariff

Benzylpenicillin Injection (Crystapen) £5.81 600 mg / vial Pack of 2

Penicillin V (Phenoxymethylpenicillin) £2.91 125 mg/5ml Pack of 100

Penicillin V (Phenoxymethylpenicillin) £5.17 125 mg/5ml SF Pack of 100

Penicillin V (Phenoxymethylpenicillin) £1.14 250 mg tab Pack of 28

Penicillin V (Phenoxymethylpenicillin) £4.78 250 mg/5ml Pack of 100

Penicillin V (Phenoxymethylpenicillin) £7.72 250 mg/5ml SF Pack of 100

22 January 2020 170/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG 5.1.1.2 - Infections | Antibacterial Drugs | Penicillinase-Resistant Penicillins

Current Status Drug Tariff

Flucloxacillin £1.67 250 mg caps Pack of 28

Flucloxacillin £2.68 500 mg caps Pack of 28

Flucloxacillin (Floxapen) £6.40 250 mg Caps Pack of 28

Flucloxacillin (Floxapen) £12.82 500 mg Caps Pack of 28

Flucloxacillin (Fluclomix) £5.67 250 mg caps Pack of 28

Flucloxacillin (Fluclomix) £11.36 500 mg caps Pack of 28

Flucloxacillin Injection £41.75 1 g vial Pack of 10

Flucloxacillin Injection £10.43 250 mg vial Pack of 10

Flucloxacillin Injection £20.85 500 mg vial Pack of 10

Flucloxacillin Suspension £2.86 125 mg/5mls Pack of 100

Flucloxacillin Suspension £18.84 125 mg/5mls sugar free Pack of 100

Flucloxacillin Suspension £8.07 250 mg/5mls Pack of 100

Flucloxacillin Suspension £23.80 250 mg/5mls sugar free Pack of 100

Flucloxacillin Suspn (Floxapen) £3.95 125 mg/5mls Pack of 100

Flucloxacillin Suspn (Floxapen) £8.02 250 mg/5mls Pack of 100 5.1.1.3 - Infections | Antibacterial Drugs | Broad-Spectrum Penicillins

Current Status Drug Tariff

Amoxicillin 3g Sachet (Amoxil) £2.99 3 g Sachet SF Pack of 2

Amoxicillin 3g Sachet (Amoxycillin) £9.99 3 g Sachet Pack of 2

Amoxicillin Cap (Amoxycillin) £1.30 250 mg cap Pack of 21

22 January 2020 171/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Amoxicillin Cap (Amoxycillin) £1.47 500 mg cap Pack of 21

Amoxicillin Injection £1.31 1 g injection Pack of 1

Amoxicillin Injection £3.60 250 mg injection Pack of 10

Amoxicillin Injection £5.48 500 mg injection Pack of 10

Amoxicillin Suspension (amoxycillin) £1.75 125 mg / 5ml Pack of 100

Amoxicillin Suspension (amoxycillin) £1.34 125 mg / 5ml SF Pack of 100

Amoxicillin Suspension (amoxycillin) £1.92 250 mg / 5ml Pack of 100

Amoxicillin Suspension (amoxycillin) £1.56 250 mg / 5ml SF Pack of 100

Ampicillin Capsule £20.50 250 mg cap Pack of 28

Ampicillin Capsule £40.30 500 mg cap Pack of 28

Ampicillin Injection £78.30 500 mg vial Pack of 10

Ampicillin Suspension £29.86 125 mg/5ml Pack of 100

Ampicillin Suspension £38.86 250 mg/5ml Pack of 100

Co-amoxiclav £2.18 375 mg tab (250/125mg) Pack of 21 For the conditions covered in HPA Management of infection guidance for primary care, co-amoxiclav is forfirst line use only in the following• Upper UTI in CHILDREN,• Acute Pyelonephritis,• Facial Cellulitis,• Human or animal bites

Co-amoxiclav £2.50 625 mg tab (500/125mg) Pack of 21 For the conditions covered in HPA Management of infection guidance for primary care, co-amoxiclav is forfirst line use only in the following• Upper UTI in CHILDREN,• Acute Pyelonephritis,• Facial Cellulitis,• Human or animal bites

Co-Amoxiclav Dispersible (Augmentin) £9.63 375 mg Dispersible Tab Pack of 21 Liquid preparations are more cost effective

Co-Amoxiclav Injection £27.62 1.2 g vial Pack of 10

Co-Amoxiclav Injection £14.90 600 mg vial Pack of 10

22 January 2020 172/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Co-amoxiclav suspension £2.12 125 /31 per 5mls (SF) Pack of 100 For the conditions covered in HPA Management of infection guidance for primary care, co-amoxiclav is forfirst line use only in the following• Upper UTI in CHILDREN,• Acute Pyelonephritis,• Facial Cellulitis,• Human or animal bites

Co-amoxiclav suspension £2.59 250 /62 per 5mls (SF) Pack of 100 For the conditions covered in HPA Management of infection guidance for primary care, co-amoxiclav is forfirst line use only in the following• Upper UTI in CHILDREN,• Acute Pyelonephritis,• Facial Cellulitis,• Human or animal bites

Co-amoxiclav suspension £5.79 400 /57mg per 5mls (SF) Pack of 70 For the conditions covered in HPA Management of infection guidance for primary care, co-amoxiclav is forfirst line use only in the following• Upper UTI in CHILDREN,• Acute Pyelonephritis,• Facial Cellulitis,• Human or animal bites

Co-fluampicil £2.61 250 / 250 mg Cap Pack of 28

Co-fluampicil Suspension (Magnapen) £4.99 125 / 125 mg per 5ml Pack of 100

Amoxicillin Cap (Amix) £6.45 500 mg cap Pack of 21 Prescribing generically is more cost effective

Amoxicillin Cap (Amoxil) £0.92 250 mg cap Pack of 21 Prescribing generically is more cost effective

Amoxicillin Cap (Amoxil) £0.89 500 mg cap Pack of 21 Prescribing generically is more cost effective

Amoxicillin Suspension (Amix Susp) £1.93 125 mg / 5ml Pack of 100 Prescribing generically is more cost effective

Amoxicillin Suspension (Amix Susp) £3.86 250 mg / 5ml Pack of 100 Prescribing generically is more cost effective

Amoxicillin Suspension (Amoxil) £3.18 125 mg / 1.25mls paed suspn Pack of 20 Prescribing generically is more cost effective

Amoxicillin Suspension (Amoxil) £0.59 125 mg / 5ml SF Pack of 100 Prescribing generically is more cost effective

Amoxicillin Suspension (Amoxil) £0.59 250 mg / 5ml SF Pack of 100 Prescribing generically is more cost effective

22 January 2020 173/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Amoxicillin Suspension (Galenamox) £1.19 125 mg / 5ml Pack of 100 Prescribing generically is more cost effective

Amoxicillin Suspension (Galenamox) £2.19 250 mg / 5ml Pack of 100 Prescribing generically is more cost effective

Ampicillin Capsule (Penbritin) £2.10 250 mg cap Pack of 28 Prescribing generically is more cost effective

Ampicillin Capsule (Penbritin) £5.28 500 mg cap Pack of 28 Prescribing generically is more cost effective

Co-amoxiclav (Augmentin Tabs) £5.03 375 mg tab Pack of 21 Prescribing generically is more cost effective

Co-amoxiclav (Augmentin Tabs) £9.60 625 mg tab Pack of 21 Prescribing generically is more cost effective

Co-Amoxiclav Injection (Augmentin) £10.60 1.2 g vial Pack of 10 Prescribing generically is more cost effective

Co-Amoxiclav Injection (Augmentin) £10.60 600 mg vial Pack of 10 Prescribing generically is more cost effective

Co-amoxiclav suspension (Augmentin Suspension) £3.54 125 /31 per 5mls (SF) Pack of 100 Prescribing generically is more cost effective

Co-amoxiclav suspension (Augmentin Suspension) £3.60 250 /62 per 5mls (SF) Pack of 100 Prescribing generically is more cost effective

Co-amoxiclav suspension (Augmentin Suspension) £5.79 400 /57 per 5mls (SF) DUO Pack of 70 Prescribing generically is more cost effective

Co-fluampicil (Magnapen) £4.00 250 / 250 mg Cap Pack of 20 Prescribing generically is more cost effective

5.1.1.5 - Infections | Antibacterial Drugs | Mecillinams

22 January 2020 174/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pivmecillinam Tablet (Selexid) £5.40 200 mg tab Pack of 10 Pivmecillinam may be prescribed for UTI treatment in adults (no fever or flank pain) in accordance with EKPG recommendations: http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?categoryesctl7576148=9822&assetdet7576137=421178&categoryesctl7925247=9809(updated: July 2015) 5.1.2 - Infections | Antibacterial Drugs | Cephalosporins and other Beta-Lactams

Current Status Drug Tariff

CEFTAZIDIME INJ 1G CP (hosp) £9.45 1 1G Pack of 1

Cefaclor Capsule £6.80 250 mg Cap Pack of 21 Cephalosporins are not first line for Urinary Tract Infection:UTI in adults (no fever or flank pain) use trimethoprim or nitrofurantoin capsules. Lower UTI in children use trimethoprim or nitrofurantoin;(Trimethoprim suspension is significantly lower cost than nitrofurantoin suspension)For pregnancy and second line treatment see full Management of Infection in Primary Care guidelinehttp://www.easternandcoastalkent.nhs.uk/home/independent- contractors/medicines-management/drug-formulary-and-prescribing-policies/infections/

Cefaclor Capsule £32.09 500 mg Cap Pack of 50 Cephalosporins are not first line for Urinary Tract Infection:UTI in adults (no fever or flank pain) use trimethoprim or nitrofurantoin capsules. Lower UTI in children use trimethoprim or nitrofurantoin;(Trimethoprim suspension is significantly lower cost than nitrofurantoin suspension)For pregnancy and second line treatment see full Management of Infection in Primary Care guidelinehttp://www.easternandcoastalkent.nhs.uk/home/independent- contractors/medicines-management/drug-formulary-and-prescribing-policies/infections/

Cefaclor Suspension £4.13 125 mg / 5ml suspension Pack of 100 Cephalosporins are not first line for Urinary Tract Infection:UTI in adults (no fever or flank pain) use trimethoprim or nitrofurantoin capsules. Lower UTI in children use trimethoprim or nitrofurantoin;(Trimethoprim suspension is significantly lower cost than nitrofurantoin suspension)For pregnancy and second line treatment see full Management of Infection in Primary Care guidelinehttp://www.easternandcoastalkent.nhs.uk/home/independent- contractors/medicines-management/drug-formulary-and-prescribing-policies/infections/

Cefaclor Suspension £5.16 125 mg / 5ml SF suspension Pack of 100 Cephalosporins are not first line for Urinary Tract Infection:UTI in adults (no fever or flank pain) use trimethoprim or nitrofurantoin capsules. Lower UTI in children use trimethoprim or nitrofurantoin;(Trimethoprim suspension is significantly lower cost than nitrofurantoin suspension)For pregnancy and second line treatment see full Management of Infection in Primary Care guidelinehttp://www.easternandcoastalkent.nhs.uk/home/independent- contractors/medicines-management/drug-formulary-and-prescribing-policies/infections/

Cefaclor Suspension £8.26 250 mg / 5ml suspension Pack of 100 Cephalosporins are not first line for Urinary Tract Infection:UTI in adults (no fever or flank pain) use trimethoprim or nitrofurantoin capsules. Lower UTI in children use trimethoprim or nitrofurantoin;(Trimethoprim suspension is significantly lower cost than nitrofurantoin suspension)For pregnancy and second line treatment see full Management of Infection in Primary Care guidelinehttp://www.easternandcoastalkent.nhs.uk/home/independent- contractors/medicines-management/drug-formulary-and-prescribing-policies/infections/

Cefaclor Suspension £10.32 250 mg / 5ml SF suspension Pack of 100 Cephalosporins are not first line for Urinary Tract Infection:UTI in adults (no fever or flank pain) use trimethoprim or nitrofurantoin capsules. Lower UTI in children use trimethoprim or nitrofurantoin;(Trimethoprim suspension is significantly lower cost than nitrofurantoin suspension)For pregnancy and second line treatment see full Management of Infection in Primary Care guidelinehttp://www.easternandcoastalkent.nhs.uk/home/independent- contractors/medicines-management/drug-formulary-and-prescribing-policies/infections/

Cefixime (Suprax) £10.53 100 mg/5ml paediatric oral suspension powder Pack of 50

Cefixime (Suprax) £13.23 200 mg tab Pack of 7

22 January 2020 175/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Cefradine / Cephradine £3.66 250 mg cap Pack of 20 UTI in adults (no fever or flank pain) use trimethoprim or nitrofurantoin capsules. Lower UTI in children use trimethoprim or nitrofurantoin; (Trimethoprim suspension is significantly lower cost than nitrofurantoin suspension)For pregnancy and second line treatment see full Management of Infection in Primary Care guidelinehttp://www.easternandcoastalkent.nhs.uk/home/independent-contractors/medicines-management/drug-formulary-and-prescribing- policies/infections

Cefradine / Cephradine £4.98 500 mg cap Pack of 20 UTI in adults (no fever or flank pain) use trimethoprim or nitrofurantoin capsules. Lower UTI in children use trimethoprim or nitrofurantoin; (Trimethoprim suspension is significantly lower cost than nitrofurantoin suspension)For pregnancy and second line treatment see full Management of Infection in Primary Care guidelinehttp://www.easternandcoastalkent.nhs.uk/home/independent-contractors/medicines-management/drug-formulary-and-prescribing- policies/infections

Cefuroxime (Zinnat) £4.56 125 mg tab Pack of 14

Cefuroxime (Zinnat) £5.52 125 mg sachets Pack of 14

Cefuroxime (Zinnat) £5.20 125 mg / 5ml Pack of 70

Cefuroxime (Zinnat) £9.11 250 mg tab Pack of 14

Cephalexin/ Cefalexin Capsules £1.93 250 mg cap Pack of 28 Cephalosporins are not first line for Urinary Tract Infection:UTI in adults (no fever or flank pain) use trimethoprim or nitrofurantoin capsules. Lower UTI in children use trimethoprim or nitrofurantoin;(Trimethoprim suspension is significantly lower cost than nitrofurantoin suspension)For pregnancy and second line treatment see full Management of Infection in Primary Care guidelinehttp://www.easternandcoastalkent.nhs.uk/home/independent- contractors/medicines-management/drug-formulary-and-prescribing-policies/infections/

Cephalexin/ Cefalexin Capsules £2.15 500 mg cap Pack of 21 Cephalosporins are not first line for Urinary Tract Infection:UTI in adults (no fever or flank pain) use trimethoprim or nitrofurantoin capsules. Lower UTI in children use trimethoprim or nitrofurantoin;(Trimethoprim suspension is significantly lower cost than nitrofurantoin suspension)For pregnancy and second line treatment see full Management of Infection in Primary Care guidelinehttp://www.easternandcoastalkent.nhs.uk/home/independent- contractors/medicines-management/drug-formulary-and-prescribing-policies/infections/

Cephalexin/ Cefalexin Susp £0.84 125 mg/5ml suspn Pack of 100 Cephalosporins are not first line for Urinary Tract Infection:UTI in adults (no fever or flank pain) use trimethoprim or nitrofurantoin capsules. Lower UTI in children use trimethoprim or nitrofurantoin;(Trimethoprim suspension is significantly lower cost than nitrofurantoin suspension)For pregnancy and second line treatment see full Management of Infection in Primary Care guidelinehttp://www.easternandcoastalkent.nhs.uk/home/independent- contractors/medicines-management/drug-formulary-and-prescribing-policies/infections/

Cephalexin/ Cefalexin Susp £1.40 250 mg/5ml suspn Pack of 100 Cephalosporins are not first line for Urinary Tract Infection:UTI in adults (no fever or flank pain) use trimethoprim or nitrofurantoin capsules. Lower UTI in children use trimethoprim or nitrofurantoin;(Trimethoprim suspension is significantly lower cost than nitrofurantoin suspension)For pregnancy and second line treatment see full Management of Infection in Primary Care guidelinehttp://www.easternandcoastalkent.nhs.uk/home/independent- contractors/medicines-management/drug-formulary-and-prescribing-policies/infections/

Cephalexin/ Cefalexin Susp (Ceporex) £5.57 500 mg/5ml suspn Pack of 100 Cephalosporins are not first line for Urinary Tract Infection:UTI in adults (no fever or flank pain) use trimethoprim or nitrofurantoin capsules. Lower UTI in children use trimethoprim or nitrofurantoin;(Trimethoprim suspension is significantly lower cost than nitrofurantoin suspension)For pregnancy and second line treatment see full Management of Infection in Primary Care guidelinehttp://www.easternandcoastalkent.nhs.uk/home/independent- contractors/medicines-management/drug-formulary-and-prescribing-policies/infections/

22 January 2020 176/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Cephalexin/ Cefalexin Tablets £2.37 250 mg tab Pack of 28 Cephalosporins are not first line for Urinary Tract Infection:UTI in adults (no fever or flank pain) use trimethoprim or nitrofurantoin capsules. Lower UTI in children use trimethoprim or nitrofurantoin;(Trimethoprim suspension is significantly lower cost than nitrofurantoin suspension)For pregnancy and second line treatment see full Management of Infection in Primary Care guidelinehttp://www.easternandcoastalkent.nhs.uk/home/independent- contractors/medicines-management/drug-formulary-and-prescribing-policies/infections/

Cephalexin/ Cefalexin Tablets £2.86 500 mg tab Pack of 21 Cephalosporins are not first line for Urinary Tract Infection:UTI in adults (no fever or flank pain) use trimethoprim or nitrofurantoin capsules. Lower UTI in children use trimethoprim or nitrofurantoin;(Trimethoprim suspension is significantly lower cost than nitrofurantoin suspension)For pregnancy and second line treatment see full Management of Infection in Primary Care guidelinehttp://www.easternandcoastalkent.nhs.uk/home/independent- contractors/medicines-management/drug-formulary-and-prescribing-policies/infections/

Aztreonam (Azactam) £24.03 500 mg injection Pack of 5

Aztreonam nebulised (Cayston) £2181.53 75 mg powder and solvent Pack of 84 No application for shared care received. Not recommended for prescribing in primary care

Cefotaxime Injection £4.50 1 g vial Pack of 1

Cefotaxime Injection £8.57 2 g vial Pack of 1

Cefotaxime Injection £2.14 500 mg vial Pack of 1

Ceftazidime (Fortum) £8.79 1 g injection Pack of 1

Ceftazidime (Fortum) £17.59 2 g infusion pack Pack of 1

Ceftazidime (Fortum) £17.59 2 g monovial Pack of 1

Ceftazidime (Fortum) £25.76 3 g injection Pack of 1

Ceftazidime (Fortum) £2.20 250 mg injection Pack of 1

Ceftazidime (Fortum) £4.40 500 mg injection Pack of 1

Ceftriaxone Injection (Rocephin) £9.58 1 g vial Pack of 1 Tertiary centres such as Royal National orthopaedic centre (RNOH) may request the CCG to fund Ceftriaxone to support early discharge. This is accepted as non- contract activity and the requesting trust should contact [email protected] to confirm route for payment. (Updated: Jan 15)

Ceftriaxone Injection (Rocephin) £19.18 2 g vial Pack of 1 Tertiary centres such as Royal National orthopaedic centre (RNOH) may request the CCG to fund Ceftriaxone to support early discharge. This is accepted as non- contract activity and the requesting trust should contact [email protected] to confirm route for payment. (Updated: Jan 15)

22 January 2020 177/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ceftriaxone Injection (Rocephin) £2.40 250 mg vial Pack of 1 Tertiary centres such as Royal National orthopaedic centre (RNOH) may request the CCG to fund Ceftriaxone to support early discharge. This is accepted as non- contract activity and the requesting trust should contact [email protected] to confirm route for payment. (Updated: Jan 15)

Ceftriaxone IV Injection £9.58 1 g vial Pack of 1 Tertiary centres such as Royal National orthopaedic centre (RNOH) may request the CCG to fund Ceftriaxone to support early discharge. This is accepted as non- contract activity and the requesting trust should contact [email protected] to confirm route for payment. (Updated: Jan 15)

Cefuroxime for injection (Zinacef) £4.70 1.5 g Bolus vial Pack of 1

Cefuroxime for injection (Zinacef) £4.70 250 mg vial Pack of 5

Cefuroxime for injection (Zinacef) £11.72 750 mg vial Pack of 5

Meropenem Injection (Meronem) £103.14 500 mg vial Pack of 10

Meropenem Injection (Meronem) £206.28 1000 mg vial Pack of 10

Cefaclor Capsule (Distaclor) £43.32 500 mg Cap Pack of 50 Prescribing generically is more cost effective

Cefaclor MR Tablet (Distaclor MR) £9.10 375 mg tab MR Pack of 14 Immediate release preparations are more cost effective. Cephalosporins are not first line for Urinary Tract Infection:For UTI in adults (no fever or flank pain), use trimethoprim or nitrofurantoin capsules. For lower UTI in children, use trimethoprim or nitrofurantoin but please note, Trimethoprim suspension is a significantly lower cost than nitrofurantoin suspensionFor pregnancy and second line treatment see full Management of Infection in Primary Care guideline on CCG intranet.

Cefaclor MR Tablet (Unspecified) £6.93 375 mg tab MR Pack of 14 Immediate release preparations are more cost effective. Cephalosporins are not first line for Urinary Tract Infection:For UTI in adults (no fever or flank pain), use trimethoprim or nitrofurantoin capsules. For lower UTI in children, use trimethoprim or nitrofurantoin but please note, Trimethoprim suspension is a significantly lower cost than nitrofurantoin suspensionFor pregnancy and second line treatment see full Management of Infection in Primary Care guideline on CCG intranet

Cefaclor Suspension (Distaclor) £4.13 125 mg / 5ml suspension Pack of 100 Prescribing generically is more cost effective

Cefaclor Suspension (Distaclor) £8.26 250 mg / 5ml suspension Pack of 100 Prescribing generically is more cost effective

Cefradine / Cephradine (Velosef) £3.17 250 mg cap Pack of 20 Prescribing generically is more cost effective

22 January 2020 178/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Cefradine / Cephradine (Velosef) £3.77 250 /5ml 100ml oral solution Pack of 100 Prescribing generically is more cost effective

Cefradine / Cephradine (Velosef) £4.44 500 mg injection Pack of 5 Prescribing generically is more cost effective

Cefradine / Cephradine (Velosef) £6.13 500 mg cap Pack of 20 Prescribing generically is more cost effective

Cephalexin/ Cefalexin Capsules (Ceporex) £4.02 250 mg cap Pack of 28 Prescribing generically is more cost effective

Cephalexin/ Cefalexin Capsules (Ceporex) £7.85 500 mg cap Pack of 28 Prescribing generically is more cost effective

Cephalexin/ Cefalexin Capsules (Keflex) £1.46 250 mg cap Pack of 28 Prescribing generically is more cost effective

Cephalexin/ Cefalexin Capsules (Keflex) £1.98 500 mg cap Pack of 21 Prescribing generically is more cost effective

Cephalexin/ Cefalexin Susp (Ceporex) £1.43 125 mg/5ml suspn Pack of 100 Prescribing generically is more cost effective

Cephalexin/ Cefalexin Susp (Ceporex) £2.87 250 mg/5ml suspn Pack of 100 Prescribing generically is more cost effective

Cephalexin/ Cefalexin Susp (Keflex) £0.84 125 mg/5ml suspn Pack of 100 Prescribing generically is more cost effective

Cephalexin/ Cefalexin Susp (Keflex) £1.40 250 mg/5ml suspn Pack of 100 Prescribing generically is more cost effective

Cephalexin/ Cefalexin Tablets (Ceporex) £4.02 250 mg tab Pack of 28 Prescribing generically is more cost effective

22 January 2020 179/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Cephalexin/ Cefalexin Tablets (Ceporex) £7.85 500 mg tab Pack of 28 Prescribing generically is more cost effective

Cephalexin/ Cefalexin Tablets (Keflex) £1.60 250 mg tab Pack of 28 Prescribing generically is more cost effective

Cephalexin/ Cefalexin Tablets (Keflex) £2.08 500 mg tab Pack of 21 Prescribing generically is more cost effective

Cefadroxil £6.45 500 mg caps Pack of 20

Cefadroxil Monohydrate (Baxan) £1.54 125 /5ml suspension 60ml Pack of 60

Cefadroxil Monohydrate (Baxan) £3.05 250 /5ml suspension 60ml Pack of 60

Cefadroxil Monohydrate (Baxan) £4.57 500 /5ml suspension 60ml Pack of 60

Cefpodoxime (Orelox) £9.78 100 mg tab Pack of 10 5.1.3 - Infections | Antibacterial Drugs | Tetracyclines

Current Status Drug Tariff

Lymecycline £4.38 408 mg hard cap Pack of 28

Demeclocycline £200.66 150 mg cap Pack of 28 For use in Syndrome of inappropriate antidiuretic hormone secretion (SIADH) http://www.ekhuft.nhs.uk/patients-and-visitors/services/a-z-of- services/pharmacy-services/ekhuft-formulary/endocrine-system/

Doxycycline £1.86 50 mg caps Pack of 28

Doxycycline £1.64 100 mg caps Pack of 8

Doxycycline (Vibramycin) £4.91 100 mg dispersible tab Pack of 8

Oxytetracycline £1.90 250 mg tab Pack of 28

Tetracycline £2.63 250 mg tab Pack of 28

22 January 2020 180/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Doxycycline (Vibramycin) £7.74 50 mg caps Pack of 28 Prescribing generically is more cost effective

Doxycycline (Vibramycin) £4.18 100 mg caps Pack of 8 Prescribing generically is more cost effective

Lymecycline (Tetralysal 300) £6.95 408 mg cap Pack of 28

Minocycline Capsules (Aknemin) £15.27 50 mg Cap (prescribe generically) Pack of 56 In view of the availability of alternatives and safety concerns, minocycline is NOT recommended for acne.

Minocycline Capsules (Aknemin) £13.09 100 mg Cap (prescribe generically) Pack of 28 In view of the availability of alternatives and safety concerns, minocycline is NOT recommended for acne.

Minocycline MR (Acnamino MR) £21.14 100 mg MR cap Pack of 56

Minocycline MR (Minocin) £5.74 100 mg tab Pack of 16 In view of the availability of alternatives and safety concerns, minocycline is NOT recommended for acne.

Minocycline MR (Minocin) £20.08 100 mg tab Pack of 56 In view of the availability of alternatives and safety concerns, minocycline is NOT recommended for acne.

Minocycline MR (Sebomin) £19.93 100 mg MR cap Pack of 56

Minocycline MR (Sebren) £22.82 100 mg MR cap Pack of 56

Minocycline Tab £6.19 50 mg tab Pack of 28 In view of the availability of alternatives and safety concerns, minocycline is NOT recommended for acne.

Minocycline Tab £14.18 100 mg tab Pack of 28 In view of the availability of alternatives and safety concerns, minocycline is NOT recommended for acne.

Minocycline Tab (Blemix) £25.64 50 mg tab Pack of 84

Minocycline Tab (Blemix) £23.40 100 mg tab Pack of 50

Minocycline Tab (Minocin) £16.20 50 mg tab Pack of 84

22 January 2020 181/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Oxytetracycline (Oxytetramix) £1.85 250 mg tab Pack of 28 5.1.4 - Infections | Antibacterial Drugs | Aminoglycosides

Current Status Drug Tariff

Tobramycin Nebuliser (Bramitob) £1187.00 300 mg/4ml vial Pack of 56 For patients who this has been prescribed for previously - continue to prescribeFor patients where this is a new request - prescribe but provide details to your prescribing adviser to enable costs to be recovered from specialised commissioningRationale-The supply of specialist medication for cystic fibrosis is within the tariff for the National Commissioning Board specialist services from April 1st 2013. The mechanism for supplying medication to patients is still under review.

Tobramycin Nebuliser (Tobi) £1305.92 300 mg/5ml (28 days) Pack of 56 For patients who this has been prescribed for previously - continue to prescribeFor patients where this is a new request - prescribe but provide details to your prescribing adviser to enable costs to be recovered from specialised commissioningRationale-The supply of specialist medication for cystic fibrosis is within the tariff for the National Commissioning Board specialist services from April 1st 2013. The mechanism for supplying medication to patients is still under review.

Gentamicin Injection (Cidomycin) £6.88 80 mg / 2ml Amp Pack of 5 5.1.5 - Infections | Antibacterial Drugs | Macrolides

Current Status Drug Tariff

Azithromycin Solution £11.04 200 mg/5ml Pack of 30

Azithromycin Tablet £1.28 250 mg tab Pack of 4

Azithromycin Tablet £1.26 500 mg tab Pack of 3

Clarithromycin £1.45 250 mg tab Pack of 14

Clarithromycin £2.36 500 mg tab Pack of 14

Clarithromycin Suspension £3.36 125 mg/5ml Pack of 70

Clarithromycin Suspension £4.84 250 mg / 5ml Pack of 70

Erythromycin Suspension (not SF) £5.35 125 mg/5mls Pack of 100

Erythromycin Suspension (not SF) £8.77 250 mg/5mls Pack of 100

Erythromycin Suspension (not SF) £15.00 500 mg/5mls Pack of 100

22 January 2020 182/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Erythromycin Suspension SF £5.35 125 mg/5mls Pack of 100

Erythromycin Suspension SF £8.48 250 mg/5mls Pack of 100

Erythromycin Suspension SF £12.99 500 mg/5mls Pack of 100

Erythromycin Tablets £1.69 250 mg tab Pack of 28

Azithromycin Capsule (Zithromax) £10.74 250 mg cap Pack of 6 Prescribing generically is more cost effective

Azithromycin Suspension (Zithromax) £4.06 200 mg / 5ml Pack of 15 Prescribing generically is more cost effective

Clarithromycin (Klaricid) £7.00 250 mg Tab Pack of 14 PrePrescribing generically is more cost effective

Clarithromycin (Klaricid) £11.30 500 mg Tab Pack of 14 Prescribing generically is more cost effective

Clarithromycin Suspension (Klaricid Suspn) £5.26 125 mg / 5ml Pack of 70 Prescribing generically is more cost effective

Clarithromycin Suspension (Klaricid Suspn) £11.68 250 mg powder Pack of 14 Prescribing generically is more cost effective

Clarithromycin Suspension (Klaricid Suspn) £10.51 250 mg / 5ml Pack of 70 Prescribing generically is more cost effective

Clarithromycin XL (Klaricid XL) £6.72 500 mg tab Pack of 7 Prescribing generically is more cost effective

Erythromycin Capsules £5.61 250 mg caps Pack of 28 More cost effective options are available. Prescribe tablets where appropriate.

22 January 2020 183/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Erythromycin Suspension SF (Erythroped) £3.06 125 mg / 5ml Pack of 140 Prescribing generically is more cost effective

Erythromycin Suspension SF (Erythroped) £5.95 250 mg / 5ml Pack of 140 Prescribing generically is more cost effective

Erythromycin Tablets (Erythrocin) £18.20 250 mg tab (filmtabs) Pack of 100 Prescribing generically is more cost effective

Erythromycin Tablets (Erythrocin) £36.40 500 mg tab Pack of 100 Prescribing generically is more cost effective

Erythromycin Tablets (Erythroped A) £10.78 500 mg tab Pack of 28 More cost effective options are available

Erythromycin Tablets (Rommix) £4.96 250 mg Tab Pack of 28 Prescribing generically is more cost effective

Telithromycin (Ketek) £18.56 400 mg tab Pack of 10 More cost effective options are available

5.1.6 - Infections | Antibacterial Drugs | Clindamycin and Lincomycin

Current Status Drug Tariff

Clindamycin (Dalacin C) £7.45 75 mg caps Pack of 24

Clindamycin Caps £2.64 150 mg caps Pack of 24

Clindamycin (Dalacin C) £13.72 150 mg caps Pack of 24 Prescribing generically is more cost effective

Clindamycin (Dalacin C) £31.01 300 mg phosphate amp (2ml unit) Pack of 5 5.1.7 - Infections | Antibacterial Drugs | Some Other Antibiotics

Current Status Drug Tariff

22 January 2020 184/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fidaxomicin (Dificlir) £1350.00 200 mg fc tab Pack of 20 East Kent Prescribing Group (EKPG) have agreed the use of Fidaxomicin in primary care for the treatment of Clostridium difficile infection (CDI) however this is restricted to: Consultant microbiologist approval and treatment of the second relapse (i.e. third or subsequent episode of CDI) Licensed dose is 200mg twice daily with a recommended treatment duration of 10 days Due to the cost of this item, local community pharmacies are unlikely to hold as a stock item but due to the chronic nature of CDI, the usual next day delivery service (excluding weekends and bank holiday) is seen as suitable. Fidaxomicin is available in a pack of 20x 200mg tablets. Please order this pack size to avoid charges for broken bulk. An algorithm to support use is available here: https://tinyurl.com/y76787jb

Promixin £204.00 1 1 million unit powder nebuliser solution unit dose vials Pack of 30

Rifaximin (Targaxan) £259.23 550 mg tab Pack of 56

Vancomycin £146.38 250 mg cap Pack of 28

Chloramphenicol Capsules £377.00 250 mg cap Pack of 60

Fosfomycin (Monuril) £4.86 3 g granules sachets Pack of 1

Fusidic Acid Tab (Fucidin) £6.02 250 mg Tab Pack of 10

Vancomycin £132.49 125 mg cap Pack of 28

Colistimethate Sodium Injection (Colomycin Injection) £11.41 0.5 million unit vial Pack of 10 For patients who this has been prescribed for previously - continue to prescribeFor patients where this is a new request - prescribe but provide details to your prescribing adviser to enable costs to be recovered from specialised commissioningRationale-The supply of specialist medication for cystic fibrosis is within the tariff for the National Commissioning Board specialist services from April 1st 2013. The mechanism for supplying medication to patients is still under review.

Colistimethate Sodium Injection (Colomycin Injection) £18.00 1 million unit vial Pack of 10 For patients who this has been prescribed for previously - continue to prescribeFor patients where this is a new request - prescribe but provide details to your prescribing adviser to enable costs to be recovered from specialised commissioningRationale-The supply of specialist medication for cystic fibrosis is within the tariff for the National Commissioning Board specialist services from April 1st 2013. The mechanism for supplying medication to patients is still under review.

Colistimethate Sodium Injection (Colomycin Injection) £32.40 2 million unit vial Pack of 10 For patients who this has been prescribed for previously - continue to prescribeFor patients where this is a new request - prescribe but provide details to your prescribing adviser to enable costs to be recovered from specialised commissioningRationale-The supply of specialist medication for cystic fibrosis is within the tariff for the National Commissioning Board specialist services from April 1st 2013. The mechanism for supplying medication to patients is still under review.

Colistimethate (Colobreathe) £968.80 1662500 unit inhalation powder capsules Pack of 56

Daptomycin (Cubicin) £62.00 350 mg powder for concentrate for solution for infusion vials Pack of 1 Tertiary centres such as Royal National orthopaedic centre (RNOH) may request the CCG to fund (insert drug name) to support early discharge. This is accepted as non- contract activity and the requesting trust should contact [email protected] to confirm route for payment. (Updated: Jan 2015)

22 January 2020 185/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Daptomycin (Cubicin) £88.57 500 mg powder for concentrate for solution for infusion vials Pack of 1 Tertiary centres such as Royal National orthopaedic centre (RNOH) may request the CCG to fund (insert drug name) to support early discharge. This is accepted as non- contract activity and the requesting trust should contact [email protected] to confirm route for payment. (Updated: Jan 2015)

Fosfomycin (Fomicyt ) £150.00 2 g powder for solution for infusion vials Pack of 10

Linezolid Suspension (Zyvox) £222.50 100 mg / 5ml Pack of 150

Linezolid Tabs (Zyvox) £445.00 600 mg tab Pack of 10

Targocid (Teicoplanin) £3.93 200 mg powder and solvent for injection vials Pack of 1 Tertiary centres such as Royal National orthopaedic centre (RNOH) may request the CCG to fund Teicoplanin to support early discharge. This is accepted as non- contract activity and the requesting trust should contact [email protected] to confirm route for payment. (Updated: Jan 15)

Targocid (Teicoplanin) £7.32 400 mg powder and solvent for injection vials Pack of 1 Tertiary centres such as Royal National orthopaedic centre (RNOH) may request the CCG to fund Teicoplanin to support early discharge. This is accepted as non- contract activity and the requesting trust should contact [email protected] to confirm route for payment. (Updated: Jan 15) 5.1.8 - Infections | Antibacterial Drugs | Sulphonamides And Trimethoprim

Current Status Drug Tariff

Co-Trimoxazole £1.91 480 mg tab Pack of 28

Co-Trimoxazole (Septrin) £15.52 480 mg Tab Pack of 100

Co-Trimoxazole (Septrin) £23.46 960 mg Forte Tab Pack of 100

Co-Trimoxazole Suspension (Septrin) £2.45 240 mg / 5ml Paediactric Suspension Pack of 100

Co-Trimoxazole Suspension (Septrin) £4.41 480 mg / 5ml Adult Suspension Pack of 100

Trimethoprim £0.89 100 mg tab Pack of 28

Trimethoprim £0.91 200 mg tab Pack of 14

Trimethoprim Suspn £4.99 50 mg/5ml SF Suspension Pack of 100

Trimethoprim (Trimopan) £0.90 200 mg tab Pack of 14 Prescribing generically is more cost effective

Sulfadiazine (Sulphadiazine) £200.75 500 mg tab Pack of 56

22 January 2020 186/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG 5.1.9 - Infections | Antibacterial Drugs | Antituberculosis Drugs

Current Status Drug Tariff

Ethambutol £11.51 100 mg tab Pack of 56 EKHUFT policy is to supply all medication for TB. Providers outside the local health economy may have a different policy. Please check with your prescribing adviser.

Ethambutol £42.74 400 mg tab Pack of 56 EKHUFT policy is to supply all medication for TB. Providers outside the local health economy may have a different policy. Please check with your prescribing adviser.

Isoniazid £23.98 100 mg tab Pack of 28 EKHUFT policy is to supply all medication for TB. Providers outside the local health economy may have a different policy. Please check with your prescribing adviser.

Rifabutin (Mycobutin) £90.38 150 mg caps Pack of 30 EKHUFT policy is to supply all medication for TB. Providers outside the local health economy may have a different policy. Please check with your prescribing adviser.

Rifampicin £123.90 300 mg Cap Pack of 100 EKHUFT policy is to supply all medication for TB. Providers outside the local health economy may have a different policy. Please check with your prescribing adviser.

Rifampicin (Rifadin) £4.27 100 mg / 5ml Syrup Pack of 120 EKHUFT policy is to supply all medication for TB. Providers outside the local health economy may have a different policy. Please check with your prescribing adviser.

Rifampicin (Rifadin) £18.32 150 mg Cap Pack of 100 EKHUFT policy is to supply all medication for TB. Providers outside the local health economy may have a different policy. Please check with your prescribing adviser.

Rifampicin (Rifadin) £36.63 300 mg Cap Pack of 100 EKHUFT policy is to supply all medication for TB. Providers outside the local health economy may have a different policy. Please check with your prescribing adviser.

Rifampicin / Isoniazid (Rifinah) £19.09 150 mg/100mg tab Pack of 84 EKHUFT policy is to supply all medication for TB. Providers outside the local health economy may have a different policy. Please check with your prescribing adviser.

Rifater £26.34 120 mg tab Pack of 100 EKHUFT policy is to supply all medication for TB. Providers outside the local health economy may have a different policy. Please check with your prescribing adviser. 5.1.10 - Infections | Antibacterial Drugs | Antileprotic Drugs

Current Status Drug Tariff

Dapsone £12.87 50 mg tab Pack of 28

22 January 2020 187/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Dapsone £67.09 100 mg tab Pack of 28 5.1.11 - Infections | Antibacterial Drugs | Metronidazole, Tinidazole & Ornidazole

Current Status Drug Tariff

Metronidazole £4.02 200 mg tab Pack of 21

Metronidazole £3.97 400 mg tab Pack of 21

Metronidazole £39.29 500 mg tab Pack of 21

Metronidazole (Flagyl) £23.06 1 g suppository Pack of 10

Metronidazole (Flagyl) £15.18 500 mg suppository Pack of 10

Metronidazole Oral Suspension £37.29 200 mg/5mls Pack of 100

Tinidazole Tablet (Fasigyn) £11.04 500 mg tab Pack of 16

Metronidazole (Flagyl) £4.49 200 mg tab Pack of 21 Prescribing generically is more cost effective

Metronidazole (Flagyl) £6.34 400 mg tab Pack of 14 Prescribing generically is more cost effective

5.1.12 - Infections | Antibacterial Drugs | Quinolones

Current Status Drug Tariff

Ciprofloxacin £2.11 100 mg tab Pack of 6 Health Protection Agency recommend restricitng use to where it is absolutely necessary due to C difficile.

Ciprofloxacin £0.81 250 mg tab Pack of 10 Health Protection Agency recommend restricitng use to where it is absolutely necessary due to C difficile.

Ciprofloxacin £1.01 500 mg tab Pack of 10 Health Protection Agency recommend restricitng use to where it is absolutely necessary due to C difficile.

22 January 2020 188/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ciprofloxacin £8.00 750 mg tab Pack of 10 Health Protection Agency recommend restricitng use to where it is absolutely necessary due to C difficile.

Ciprofloxacin Suspension (Ciproxin) £21.29 250 mg / 5ml (strawberry flavour) Pack of 100 Health Protection Agency recommend restricitng use to where it is absolutely necessary due to C difficile.

Levofloxacin £5.43 250 mg tab Pack of 5 Health Protection Agency recommend restricitng use to where it is absolutely necessary due to C difficile.

Levofloxacin £12.14 500 mg tab Pack of 5 Health Protection Agency recommend restricitng use to where it is absolutely necessary due to C difficile.

Levofloxacin (Tavanic) £12.93 500 mg tab Pack of 5 Prescribing generically is more cost effective

Moxifloxacin (Avelox) £10.21 400 mg tab Pack of 5 For pregnancy and second line treatment see full Management of Infection in Primary Care guideline on CCG intranet

Nalidixic Acid (Negram) £12.83 500 mg tab Pack of 56 Health Protection Agency recommend restricitng use to where it is absolutely necessary due to C difficile.

Norfloxacin £5.14 400 mg tab Pack of 6 Health Protection Agency recommend restricitng use to where it is absolutely necessary due to C difficile.

Ofloxacin £8.09 200 mg tab Pack of 10 Health Protection Agency recommend restricitng use to where it is absolutely necessary due to C difficile.

Ofloxacin £13.36 400 mg tab Pack of 5 Health Protection Agency recommend restricitng use to where it is absolutely necessary due to C difficile.

Ofloxacin (Tarivid IV) £16.16 2 mg / ml Pack of 100

Ciprofloxacin (Ciproxin) £6.59 250 mg tab Pack of 10 Prescribing generically is more cost effective

22 January 2020 189/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ciprofloxacin (Ciproxin) £12.49 500 mg tab Pack of 10 Prescribing generically is more cost effective

Ciprofloxacin (Ciproxin) £17.78 750 mg tab Pack of 10 Prescribing generically is more cost effective

Levofloxacin (Tavanic) £7.23 250 mg tab Pack of 5 Prescribing generically is more cost effective

Norfloxacin (Utinor) £2.19 400 mg Tab Pack of 6 Prescribing generically is more cost effective

Ofloxacin (Tarivid) £7.53 200 mg tab Pack of 10 Prescribing generically is more cost effective

Ofloxacin (Tarivid) £7.52 400 mg tab Pack of 5 Prescribing generically is more cost effective

5.1.13 - Infections | Antibacterial Drugs | Urinary-Tract Infections

Current Status Drug Tariff

Nitrofurantoin SR (Macrobid) £9.50 100 mg SR Caps Pack of 14

Nitrofurantoin £13.73 50 mg capsules Pack of 30 1. Prescribing as 100mg MR capsules (BD) is more cost effective.

Nitrofurantoin £10.43 100 mg capsules Pack of 30

Nitrofurantoin (Macrodantin) £6.91 100 mg Cap Pack of 30

Nitrofurantoin Suspension £446.95 25 mg / 5ml Pack of 300 Significant cost. Please consider capsules

Methenamine (Hiprex) £19.74 1 g Tab Pack of 60 BNF- Drug of limited therapeutic value

22 January 2020 190/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Nitrofurantoin £7.90 50 mg tab Pack of 28 1. Prescribing as 100mg MR capsules (BD) is more cost effective. 2. Prescribing as 50mg capsules is next most cost effective.

Nitrofurantoin £7.72 100 mg tab Pack of 28 The most cost effective way to prescribe Nitrofurantoin for acute UTI treatment is nitrofurantoin M/R capsules 100mg

Nitrofurantoin (Macrodantin) £3.66 50 mg Cap Pack of 30 Brand has been discontinued

5.2 - Infections | Antifungal Drugs

Current Status Drug Tariff

Nystatin Oral Suspension (Nystan) £1.80 100000 units/ml 30 ml unit Pack of 1 Most cost effective preparation however due to high demand there may be stock shortages

Fluconazole Capsules £0.93 50 mg Cap Pack of 7

Fluconazole Capsules £0.87 150 mg Cap Pack of 1

Fluconazole Capsules £4.80 200 mg Cap Pack of 7

Fluconazole Oral Suspension (Diflucan) £16.61 50 mg / 5ml (35ml unit) Pack of 35

Fluconazole Oral Suspension (Diflucan) £66.42 200 mg / 5ml (35ml unit) Pack of 35

Griseofulvin £51.06 125 mg / 5ml suspension Pack of 100

Griseofulvin (Grisovin) £8.96 500 mg tab Pack of 100

Itraconazole Capsules £3.14 100 mg Cap Pack of 15

Itraconazole Solution (Sporanox Liquid) £58.34 10 mg/ ml Pack of 150

Nystatin Oral Suspension £2.74 100000 units/ml Pack of 30

Terbinafine Cream £1.52 1 % cream Pack of 15

22 January 2020 191/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Terbinafine Tabs £2.84 250 mg tab Pack of 28 For nail infections usually 6 weeks to 3 months. DO NOT PUT ON REPEAT

Amphotericin (Fungizone) £3.88 50 mg powder Pack of 50

Amphotericin B (Amphocil) £104.10 50 mg Vial Pack of 1

Amphotericin liposomal injection (Abelcet) £775.04 100 20 ml concentrate Pack of 100

Amphotericin liposomal injection (AmBisome) £966.90 50 mg powder Pack of 50

Anidulafungin (Ecalta) £299.99 100 mg powder and solvent Pack of 100

Posaconazole (Noxafil) £491.20 40 mg/ml oral suspension Pack of 105 Please refer back to specialist for prescribing

Posaconazole (Noxafil) £596.96 100 mg gastro-resistant tablets Pack of 24 Please refer back to specialist for prescribing

Posaconazole (Noxafil ) £211.00 300 mg/16.7ml concentrate for solution for infusion vials Pack of 1 Please refer back to specialist for prescribing

Voriconazole (Vfend) £551.37 40 mg / ml powder for oral suspension Pack of 1 Hospital onlyDo not prescribe - refer request back to prescriber.High cost drug reimbursed separately from NHS England tariff (Payment by Results excluded).(Updated 25/10/2016).

Voriconazole (Vfend) £275.68 50 mg tab Pack of 28 Hospital onlyDo not prescribe - refer request back to prescriber.High cost drug reimbursed separately from NHS England tariff (Payment by Results excluded).(Updated 25/10/2016).

Voriconazole (Vfend) £77.14 200 mg vial 30ml Pack of 1 Hospital onlyDo not prescribe - refer request back to prescriber.High cost drug reimbursed separately from NHS England tariff (Payment by Results excluded).(Updated 25/10/2016).

Voriconazole (Vfend) £1102.74 200 mg tab Pack of 28 Hospital onlyDo not prescribe - refer request back to prescriber.High cost drug reimbursed separately from NHS England tariff (Payment by Results excluded).(Updated 25/10/2016).

Fluconazole (Canesten Oral Capsule) £6.33 150 mg cap Pack of 1 More cost effective preparations are available

22 January 2020 192/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fluconazole Capsules (Diflucan) £16.61 50 mg Cap Pack of 7 Prescribing generically is more cost effective

Fluconazole Capsules (Diflucan) £7.12 150 mg Cap Pack of 1 Prescribing generically is more cost effective

Fluconazole Capsules (Diflucan) £66.42 200 mg Cap Pack of 7 Prescribing generically is more cost effective

Fluconazole Suspension £25.85 50 mg / 5ml Pack of 35 Prescribing as Diflucan is more cost effective.

Itraconazole Capsules (Sporanox) £13.77 100 mg Cap Pack of 15 Prescribing generically is more cost effective

Itraconazole Capsules (Sporanox) £25.72 100 mg Cap (PULSE) Pack of 28 Prescribing generically is more cost effective

Ketoconazole Tablets (Nizoral) £17.50 200 mg tab Pack of 30 BNF Drug of limited therapeutic value associated with hepatotoxicity

Terbinafine Tabs (Lamisil Tablets) £41.09 250 mg tab Pack of 28 Prescribing generically is more cost effective

5.3.1 - Infections | Antiviral Drugs | HIV Infection

Current Status Drug Tariff

Darunavir (Prezista) £446.70 75 mg fc tab Pack of 480

Darunavir (Prezista) £446.70 150 mg fc tab Pack of 240

Darunavir (Prezista) £446.70 300 mg fc tab Pack of 120

Darunavir (Prezista) £297.80 400 mg fc tab Pack of 60

Darunavir (Prezista) £446.70 600 mg fc tab Pack of 60

22 January 2020 193/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Darunavir (Prezista) £297.80 800 mg fc tab Pack of 30

Darunavir (Prezista ) £248.17 100 mg/ml oral suspension S/F Pack of 200

Darunavir / Cobicistat (Rezolsta) £317.24 800 mg/150mg tablets Pack of 30

Emtricitabine (Emtriva) £39.53 10 mg/ml oral solution Pack of 170

Emtricitabine (Emtriva) £138.98 200 mg capsules Pack of 30

Emtricitabine / Tenofovir alafenamide (Descovy) £355.73 200 mg/10mg tablets Pack of 30

Emtricitabine / Tenofovir alafenamide (Descovy) £355.73 200 mg/25mg tablets Pack of 30

Emtricitabine/Tenofovir (Truvada) £355.73 200 200mg/245mg tablets Pack of 30

Ritonavir (Norvir) £19.44 100 mg tablets Pack of 30

Abacavir / lamivudine (Kivexa) £352.25 600 mg / 300mg FC Tab Pack of 30

Abacavir sulfate (Ziagen) £55.72 20 mg / ml oral solution (240ml unit) Pack of 1

Abacavir sulfate (Ziagen) £208.95 300 mg tab Pack of 60

Atazanavir (Reyataz) £303.38 300 mg capsules Pack of 30

Entecavir (Baraclude) £363.26 1 mg tab Pack of 30

Lamivudine £74.17 100 mg tablets Pack of 28

Lamivudine (Epivir) £143.32 150 mg tab Pack of 60

Lamivudine (Epivir) £157.51 300 mg tab Pack of 30

Lamivudine (Zeffix) £22.79 5 mg / ml Pack of 240

Lamivudine (Zeffix) £78.09 100 mg tab Pack of 28

Lamivudine / Zidovudine (Combivir) £300.12 150 / 300mg tab Pack of 60

22 January 2020 194/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Rilpivirine (Edurant) £186.92 25 mg tab Pack of 28

Tenofovir Disoproxil (Viread) £204.39 245 mg tabs Pack of 30

Zidovudine / Lamivudine £70.61 300 mg/150 mg Pack of 60 5.3.2.1 - Infections | Antiviral Drugs | Herpes Simplex and Varicella-Zoster

Current Status Drug Tariff

Aciclovir Dispersible £1.47 200 mg Disp tab Pack of 25 Non-dispersable tablets are more cost effective

Aciclovir Dispersible £11.98 400 mg Disp tab Pack of 56 Non-dispersable tablets are more cost effective

Aciclovir Dispersible £10.99 800 mg Disp tab Pack of 35 Non-dispersable tablets are more cost effective

Aciclovir Suspension (sugar free) £35.77 200 mg / 5ml Pack of 125

Aciclovir Suspension (sugar free) £39.48 400 mg / 5ml Pack of 100

Aciclovir Suspension (sugar free) (Zovirax) £29.56 200 mg / 5ml Pack of 125

Aciclovir Tabs £1.35 200 mg tab Pack of 25

Aciclovir Tabs £3.08 400 mg tab Pack of 56

Aciclovir Tabs £4.27 800 mg tab Pack of 35

Famciclovir £65.42 125 mg tab Pack of 10

Famciclovir £177.86 250 mg tab Pack of 21

Famciclovir £185.00 500 mg tab Pack of 14

Famciclovir £141.98 750 mg tab Pack of 7

22 January 2020 195/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Valaciclovir £2.57 500 mg tab Pack of 10 Renal patients under care from Kent and Medway acute trusts are supplied within tariff via homecare. If non renal patients or renal from out of area consultant need to provide individualised shared care Liver transplant patients should have information from their specialist centre and initial three months supply

Valaciclovir (Valtrex) £123.28 250 mg tab Pack of 60

Valaciclovir (Valtrex) £86.30 500 mg tab Pack of 42

Famciclovir (Famvir) £53.45 125 mg tab Pack of 10 Prescribing generically is more cost effective

Famciclovir (Famvir) £187.04 250 mg tab Pack of 21 Prescribing generically is more cost effective

Famciclovir (Famvir) £249.43 500 mg tab Pack of 14 Prescribing generically is more cost effective

Famciclovir (Famvir) £148.79 750 mg tab Pack of 7 Prescribing generic is more cost effective

5.3.2.2 - Infections | Antiviral Drugs | Cytomegalovirus Infection

Current Status Drug Tariff

Valganciclovir (Valcyte) £1027.40 450 mg tab Pack of 60 Do not prescribe. Prescribing of Valganciclovir is the responsibility of NHS England and as such should be prescribed by the specialist service. (Updated: Dec 2014) 5.3.3 - Infections | Antiviral Drugs | Viral Hepatitis

Current Status Drug Tariff

Adefovir Dipivoxil (Hepsera) £252.22 10 mg tab Pack of 30

Boceprevir (Victrelis) £2800.00 200 mg capsule Pack of 336

Entecavir (Baraclude) £363.26 0.5 mg tab Pack of 30

Telaprevir (Incivo) £7466.00 375 mg tablets Pack of 126

Telbivudine Tablet (Sebivo) £290.33 600 mg tab Pack of 28

22 January 2020 196/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG 5.3.3.2 - Infections | Antiviral Drugs | Chronic hepatitis C

Current Status Drug Tariff

Sofosbuvir (Sovaldi) £11660.98 400 mg tablets Pack of 28 5.3.4 - Infections | Antiviral Drugs | Influenza

Current Status Drug Tariff

Oseltamivir (Tamiflu) £15.41 75 mg cap Pack of 10 for prophylaxis only when influenza is circulating in the community

Zanamivir (Relenza) £16.36 5 mg/blister (5disks each with 4 blisters) Pack of 5 5.3.5 - Infections | Antiviral Drugs | Respiratory Syncytial Virus

Current Status Drug Tariff

Palivizumab Injection (Synagis) £306.34 50 mg unit Pack of 1

Palivizumab Injection (Synagis) £563.64 100 mg unit Pack of 1 5.4.1 - Infections | Antiprotozoal Drugs | Antimalarials

Current Status Drug Tariff

Quinine Bisulphate £3.98 300 mg tab Pack of 28

Quinine Sulphate £1.95 200 mg Pack of 28

Quinine Sulphate £3.58 300 mg Pack of 28

Chloroquine (Avloclor) £39.75 250 mg tab (=155mg Chloquine) Pack of 100 Not available on an NHS prescription

Chloroquine (Nivaquine) £2.01 200 mg tab (=150mg chloroquine) Pack of 28 Not available on an NHS prescription

Mefloquine (Lariam) £14.53 250 mg tab Pack of 8 Not available on an NHS prescription

Proguanil / Atovaquone (Malarone) £6.26 25 mg / 62.5mg Tab (Paediactric) Pack of 12 Not available on an NHS prescription

22 January 2020 197/403 Formulary Book [5: Infections] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Proguanil / Atovaquone (Malarone) £25.21 100 mg / 250mg Tab Pack of 12 Not available on an NHS prescription

Proguanil / Chloroquine (Paludrine/Avloclor) £11.95 100 mg / 250mg Tab Pack of 98 Not available on an NHS prescription

Proguanil Tab (Paludrine) £11.95 100 mg Tab Pack of 98 Not available on an NHS prescription

5.5.1 - Infections | Anthelmintics | Drugs For Threadworms

Current Status Drug Tariff

Mebendazole (Vermox) £1.34 100 mg tab Pack of 6

Mebendazole Suspn (Vermox Suspn) £1.55 100 mg/5mls Pack of 30

Piperazine & Senna (Pripsen) £1.98 4 g / Sachet Pack of 2 6.1.1.1 - Endocrine system | Drugs Used In Diabetes | Short-Acting Insulins

Current Status Drug Tariff

Apidra Cartridge (OptiPen / Autopen) £28.30 3 ml cartridge (Optipen Pro1) Pack of 5

Apidra SoloStar £28.30 3 ml prefilled pen Pack of 5

Apidra Vial £16.00 10 ml vial (100units/ml) Pack of 1

Soluble Insulin Cartridge (Insuman Rapid) £17.50 3 ml cartridge (for OptiPen Pro 1) Pack of 5

Soluble Insulin Prefilled Injection (Insuman Rapid (Optiset) (DISCONTD)) £17.50 3 ml disposable unit (Optiset) Pack of 5 ?optiset

Insulin aspart (Fiasp) £14.08 100 units/ml solution for injection 10ml vials Pack of 1 Specialist initiation by consultant diabetologist, Diabetes Nurse Specialist or GP with Specialist Interest in Diabetes. This is used as an alternative second line to insulin aspart ‘Novorapid.’

Insulin aspart (Fiasp FlexTouch) £30.60 100 units/ml solution for injection 3ml pre-filled pen Pack of 5 Specialist initiation by consultant diabetologist, Diabetes Nurse Specialist or GP with Specialist Interest in Diabetes. This is used as an alternative second line to insulin aspart ‘Novorapid.’

22 January 2020 198/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Insulin aspart (Fiasp Penfill) £28.31 100 units/ml solution for injection 3ml cartridges Pack of 5 Specialist initiation by consultant diabetologist, Diabetes Nurse Specialist or GP with Specialist Interest in Diabetes. This is used as an alternative second line to insulin aspart ‘Novorapid.’

Actrapid (discontd) (Actrapid Novolet) £19.87 5 x 3ml Novolet disposable Pen Pack of 5

Actrapid Vial £7.48 10 ml Vial (100 units/ml) Pack of 1

Humulin S Cartridge £19.08 3 ml Cartridge Pack of 5

Humulin S Vial (Humulin S) £15.68 10 ml Vial (100units / ml) Pack of 10

Insulin aspart (NovoRapid PumpCart) £15.10 100 units/ml solution for injection 1.6ml cartridges Pack of 5

Insulin Aspart (Novorapid) £30.60 3 ml prefilled pen (Flexpen) Pack of 5

Insulin Aspart (Novorapid) £28.31 3 ml cartidge (Penfill) Pack of 5

Insulin Aspart (Novorapid) £14.08 10 ml vial (100units/ml) Pack of 1

Insulin lispro (Humalog ) £16.61 10 ml vial (100 units / ml) Pack of 10

Insulin Lispro Cartridge (Humalog) £28.31 3 ml Cartridge Pack of 5

Insulin Lispro Kwik Pen (Humalog) £29.46 100 units/ml solution for injection 3ml pre-filled disposable injection Pack of 5

Insulin Lispro Prefilled Pen (Humalog) £29.46 3 ml Disposable unit Pack of 5

Novorapid Flextouch Prefilled Pen £32.13 5 x 3ml (prefilled pen) Pack of 5

Hypurin Bovine Neutral Cartridge £41.58 3 ml Cartridge Pack of 5

Insulin Protamine Zinc Vial (Hypurin Bovine Protamine Zinc) £27.72 10 ml vial (100 units/ml) Pack of 1

Soluble Insulin (Hypurin Porcine Neutral) £34.43 100 units / ml Vial (10ml vial) Pack of 1

Soluble Insulin Vial (Hypurin Bovine Neutral Vial) £27.72 10 ml Vial (100 Units / ml) Pack of 1

Soluble Insulin Vial (Velosulin Vial) £7.48 10 ml vial (100 units/ml) Pack of 10

22 January 2020 199/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG 6.1.1.2 - Endocrine system | Drugs Used In Diabetes | Intermediate And Long-Acting Insulins

Current Status Drug Tariff

Biphasic Isophane Insulin (Insuman Comb 15 Cartridge) £17.50 3 ml cartridge (100 units / ml) Pack of 5

Biphasic Isophane Insulin Prefilled Injection (Insuman Comb 25 (Optiset)) £17.50 3 ml disposable unit Pack of 5

Biphasic Isophane Insulin Prefilled Injection (Insuman Comb 25 (Solostar)) £19.80 3 ml disposable unit (Solostar) Pack of 5

Biphasic isophane insulin Vial (Insuman Comb 25) £5.61 5 ml vial (100 units / ml) Pack of 1

Insulin glargine (Abasaglar) £35.28 100 units/ml solution for injection 3ml cartridges Pack of 5 Abasaglar is the preferred brand in East Kent for new patients.

Insulin glargine (Abasaglar KwikPen) £35.28 100 units/ml solution for injection 3ml pre-filled pen Pack of 5 Abasaglar is the preferred brand in East Kent for new patients.

Isophane Insulin Cartridge (Insuman Basal Cartridge) £17.50 3 ml Cartridge (for OptiPen Pro 1) Pack of 5

Isophane Insulin Prefilled Injection (Insuman Basal Solostar) £19.80 3 ml disposable unit (100units/ml) Pack of 5

Isophane Insulin Vial (Insuman Basal Vial) £5.61 5 ml vial (100 units / ml) Pack of 1

Insulin Degludec (Tresiba) £46.60 100 u / ml (3ml cartridge) (Penfill) Pack of 5 This is only for initiation by diabetes specialist consultants, diabetes specialist nurses and GPs with specialist interest in diabetes. Criteria for use are specified in the PRGC document PR 2017-04 Insulin degludec for type 1 diabetes in adults and PRGC document PR 2019-06: Insulin degludec for adults with type 2 diabetes mellitus

Insulin Degludec (Tresiba Flextouch) £46.60 100 u/ml (3ml prefilled pen) Pack of 5 This is only for initiation by diabetes specialist consultants, diabetes specialist nurses and GPs with specialist interest in diabetes. Criteria for use are specified in the PRGC document PR 2017-04 Insulin degludec for type 1 diabetes in adults and PRGC document PR 2019-06: Insulin degludec for adults with type 2 diabetes mellitus

Insulin Degludec (Tresiba Flextouch) £55.92 200 u/ml (3ml prefilled pen) Pack of 3 This is only for initiation by diabetes specialist consultants, diabetes specialist nurses and GPs with specialist interest in diabetes. Criteria for use are specified in the PRGC document PR 2017-04 Insulin degludec for type 1 diabetes in adults and PRGC document PR 2019-06: Insulin degludec for adults with type 2 diabetes mellitus

Humalog Mix25 Cartridge £29.46 3 ml Cartridge Pack of 5

Humalog Mix25 Prefilled Pen £30.98 3 ml Disposable Pen Pack of 5

Humalog Mix25 Vial £16.61 10 ml vial (100units/ml) Pack of 10

22 January 2020 200/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Humalog Mix50 Prefilled Pen £30.98 3 ml Disposable Pen Pack of 5

Human Insulatard Cartridge (Penfill) £22.90 3 ml cartridge Pack of 5

Humulin I Cartridge £19.08 3 ml Cartridge Pack of 5

Humulin I Preloaded Pen £21.70 3 ml Disposable Pen (kwikpen) Pack of 5

Humulin I Vial £15.68 10 ml Vial (100units / ml) Pack of 1

Humulin M3 Cartridge £19.08 3 ml Cartridge Pack of 5

Humulin M3 Preloaded Pen £21.70 3 ml Disposable Pen (kwikpen) Pack of 5

Humulin M3 Vial £15.68 10 ml Vial (100units / ml) Pack of 1

Insulatard Prefilled Pen £22.86 5 x 3ml Flexpen (discontinued) Pack of 5

Insulatard Prefilled Pen £19.87 5 x 3ml Novolet (discontinued) Pack of 5

Insulatard Prefilled Pen £20.40 5 x 3ml Innolet Pack of 5

Insulatard Vial £7.48 10 ml Vial (100units / ml) Pack of 1

Insulin Detemir (Levemir Flexpen) £42.00 3 ml preloaded pen Pack of 5

Insulin Detemir (Levemir Innolet) £44.85 3 ml prefilled pen Pack of 5

Insulin Detemir (Levemir Penfill) £42.00 3 ml cartridge Pack of 5

Insulin glargine (Toujeo) £33.13 300 units/ml solution for injection 1.5ml pre-filled SoloStar pen pre-filled disposable injection Pack of 3 Patients requiring doses of insulin which exceed the end of their current delivery device (typically 60 to 80 units per day) or patients who experience difficulty with injections at doses greater than 40 units per day.

Insulin Glargine (Lantus) £37.77 3 ml cartridge (for OptiPen / Autopen) Pack of 5 Restricted to patients commenced on Lantus prior to February 2016.

Insulin Glargine (Lantus) £37.77 3 ml SoloStar pen Pack of 5 Restricted to patients commenced on Lantus prior to February 2016.

22 January 2020 201/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Insulin Glargine (Lantus) £27.92 10 ml vial (100units / ml) Pack of 1 Restricted to patients commenced on Lantus prior to February 2016.

Insulin Zinc Suspension Vial (Hypurin Bovine Lente) £27.72 10 ml vial (100units/ml) Pack of 1

Isophane Insulin Cartridge (Hypurin Bovine Isophane) £41.58 3 ml cartridge (100units/ml) Pack of 5

Isophane Insulin Cartridge (Hypurin Porcine Isophane Cartridge) £51.64 3 ml cartridge (for Autopen) Pack of 5

Isophane Insulin Cartridge (Hypurin Porcine Isophane Cartridge) £51.64 3 ml cartridge (30/70 mix) Pack of 5

Isophane Insulin Vial (Hypurin Bovine Isophane) £27.72 10 ml vial (100units/ml) Pack of 1

Isophane Insulin Vial (Hypurin Bovine Isophane) £27.72 10 ml vial (30/70 mix 100units/ml) Pack of 1

Isophane Insulin Vial (Hypurin Porcine Isophane Vial) £34.43 100 units / ml (10ml vial) Pack of 1

Mixtard 30 Vial £7.48 10 ml Vial (100units / ml) Pack of 1

Mixtard 30 Penfill £11.44 1.5 ml penfill Pack of 5

Mixtard 30 Penfill £19.08 3 ml penfill cartridge Pack of 5

Mixtard 30 Preloaded Device (Mixtard 30 InnoLet ) £20.40 3 ml disposable Unit Pack of 5

Mixtard 30 Preloaded Pen (Mixtard 30 Novolet ) £19.87 3 ml disposable Pen Pack of 5

NovoMix 30 Cartridge (Penfill) £28.79 3 ml penfill cartridge Pack of 5

NovoMix 30 Prefilled Pen (FlexPen ) £29.89 3 ml pre-filled pen Pack of 5

Ultratard Injection £7.48 100 units / ml (10ml vial) Pack of 1

Insulin degludec / Liraglutide (Xultophy) £159.22 100 units/ml/Liraglutide 3.6mg/ml solution for injection 3ml pre-filled pen Pack of 5 Not recommended for prescribing in East Kent as not yet assessed. Insulin degludec is NOT recommended for prescribing in East Kent.

6.1.1.3 - Endocrine system | Drugs Used In Diabetes | Hypodermic equipment

Current Status Drug Tariff

22 January 2020 202/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Hypodermic insulin needles (GlucoRx CarePoint) £2.75 4 mm/31gauge hypodermic insulin needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (GlucoRx CarePoint) £2.75 5 mm/31gauge hypodermic insulin needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (GlucoRx CarePoint) £2.75 6 mm/31gauge hypodermic insulin needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (GlucoRx CarePoint) £2.75 8 mm/31gauge hypodermic insulin needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (GlucoRx CarePoint) £2.75 10 mm/29gauge hypodermic insulin needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (GlucoRx CarePoint) £2.75 12 mm/29gauge hypodermic insulin needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (GlucoRx CarePoint Ultra) £2.75 4 mm/32 gauge hypodermic insulin needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic Injection Pen (Clikstar) £25.00 3 Reusable for 3ml cartridge 1-80 units Blue Pack of 1

Hypodermic insulin needles (TriCare ) £3.95 4 mm/32gauge insulin needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (TriCare ) £3.95 5 mm/31gauge insulin needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (TriCare ) £3.95 6 mm/31gauge insulin needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (TriCare ) £3.95 8 mm/31gauge insulin needles for pre-filled / reusable pen injectors screw on Pack of 100

Insulin Pen Device (Novopen 3) £25.95 3 ml pen Demi Pack of 1

Insulin Pen Device (Novopen 3) £25.95 3 ml pen Classic Pack of 1

Insulin Pen Device (Novopen 3) £25.07 3 ml pen Junior (Green) Pack of 1

Insulin Pen Device (Novopen 5) £26.86 3 ml cartridge Blue Pack of 1

Insulin Pen Device (Novopen 5) £26.86 3 ml cartridge Silver Pack of 1

Insulin Pen Injection Device (Humapen Luxura) £26.82 1 Pen (unspecified colour) Pack of 1

Lancets (palmdoc iCare Advanced) £2.85 0.38 mm/30gauge Pack of 100

Pen Needles (GlucoRX FinePoint) £4.50 4 mm / 31G Pack of 100

22 January 2020 203/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pen Needles (GlucoRX FinePoint) £4.50 5 mm / 31G Pack of 100

Pen Needles (GlucoRX FinePoint) £4.50 6 mm / 31G Pack of 100

Pen Needles (GlucoRX FinePoint) £4.50 8 mm / 31G Pack of 100

Pen Needles (GlucoRX FinePoint) £4.50 10 mm / 29G Pack of 100

Pen Needles (GlucoRX FinePoint) £4.50 12 mm / 29G Pack of 100

Pen Needles (Omnican Fine) £3.95 4 mm/32 gauge Pack of 100

Pen Needles (Omnican Fine) £3.95 5 mm/32 gauge Pack of 100

Pen Needles (Omnican Fine) £3.95 6 mm/32 gauge Pack of 100

Reusable Insulin Injection Pen (Autopen 24) £16.71 3 mL (1-21 units) Pack of 1 Only for use when insulin is administered by community nursing team

Reusable Insulin Injection Pen (Autopen 24) £16.71 3 mL (2-42 units) Pack of 1 Only for use when insulin is administered by community nursing team

BD Micro-Fine Pen Needles £9.69 4 mm/32G Plus needle Pack of 100 GlucoRx Care point needles are the most cost effective insulin pen needles in East Kent. BD Microfine needles and Novofine needles are restricted to patients for whom other needles have been confirmed as not acceptable

BD Micro-Fine Pen Needles £9.69 4 mm/32 gauge ULTRA Pack of 100 GlucoRx Care point needles are the most cost effective insulin pen needles in East Kent. BD Microfine needles and Novofine needles are restricted to patients for whom other needles have been confirmed as not acceptable.

BD Micro-Fine Pen Needles £9.69 5 mm/31G Plus needle (short) Pack of 100 GlucoRx Care point needles are the most cost effective insulin pen needles in East Kent. BD Microfine needles and Novofine needles are restricted to patients for whom other needles have been confirmed as not acceptable

BD Micro-Fine Pen Needles £7.90 8 mm/31G Plus needle (short) Pack of 100 GlucoRx Care point needles are the most cost effective insulin pen needles in East Kent. BD Microfine needles and Novofine needles are restricted to patients for whom other needles have been confirmed as not acceptable.

Blood glucose biosensor testing strips (palmdoc iCare Advanced Solo testing strips) £13.50 1 Testing strips Pack of 50

22 January 2020 204/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Blood Lancets (Microdot) £3.00 0.31 mm / 30G Pack of 100 GlucoRx lancets are the preferred lancet

Hypodermic insulin needles (Glucoject) £5.95 4 mm/32gauge needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (Glucoject) £5.95 5 mm/31gauge needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (Glucoject) £5.95 6 mm/31gauge needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (Glucoject) £5.95 8 mm/31gauge needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (Glucoject) £5.95 12 mm/29gauge needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (Insupen) £5.95 4 mm/32gauge Pack of 100 Glucoject needles are the most cost effective insulin pen needles in East Kent.

Hypodermic insulin needles (Insupen) £5.95 5 mm/31gauge Pack of 100 Glucoject needles are the most cost effective insulin pen needles in East Kent.

Hypodermic insulin needles (Insupen) £5.95 6 mm/31gauge Pack of 100 Glucoject needles are the most cost effective insulin pen needles in East Kent

Hypodermic insulin needles (Insupen) £5.95 6 mm/32gauge Pack of 100 Glucoject needles are the most cost effective insulin pen needles in East Kent.

Hypodermic insulin needles (Insupen) £5.95 8 mm/31gauge Pack of 100 Glucoject needles are the most cost effective insulin pen needles in East Kent.

Hypodermic insulin needles (Insupen) £5.95 8 mm/32gauge Pack of 100 Glucoject needles are the most cost effective insulin pen needles in East Kent.

Hypodermic insulin needles (Insupen) £5.95 12 mm/29gauge Pack of 100 Glucoject needles are the most cost effective insulin pen needles in East Kent.

Hypodermic insulin needles (Mylife Penfine Classic ) £3.55 4 mm / 32G Pack of 100

Hypodermic insulin needles (Mylife Penfine Classic ) £3.55 6 mm / 32G Pack of 100

22 January 2020 205/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Hypodermic insulin needles (Mylife Penfine Classic ) £3.55 8 mm / 31G Pack of 100

Hypodermic insulin needles (Nanopass) £7.60 4 mm/32.5 gauge Pack of 100

Hypodermic insulin needles (Nanopass) £7.60 8 mm/32.5 gauge Pack of 100

Hypodermic insulin needles (NeedleBay) £6.95 4 mm/32gauge insulin needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (NeedleBay) £6.95 5 mm/31gauge insulin needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (NeedleBay) £6.95 8 mm/31gauge insulin needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (Neon Verifine) £4.50 5 mm/31gauge Pack of 100

Hypodermic insulin needles (Neon Verifine) £4.50 6 mm/31gauge Pack of 100

Hypodermic insulin needles (Neon Verifine) £4.50 8 mm/31gauge Pack of 100

Hypodermic insulin needles (Neon Verifine) £4.50 10 mm/30gauge Pack of 100

Hypodermic insulin needles (Neon Verifine) £4.50 12 mm/29gauge Pack of 100

Hypodermic insulin needles (PROFine) £3.80 4 mm/32gauge Pack of 100

Hypodermic insulin needles (PROFine) £3.80 5 mm/31gauge Pack of 100

Hypodermic insulin needles (PROFine) £3.80 6 mm/31gauge Pack of 100

Hypodermic insulin needles (PROFine) £3.80 8 mm/31gauge Pack of 100

Hypodermic insulin needles (PROFine) £3.80 12 mm/29gauge Pack of 100

Insujet 3ml catridger adaptor pack £21.70 3 ml cartridge adaptor pack Pack of 1

InsuJet nozzle pack £28.40 1 nozzle pack Needle-free Ins D/System Pack of 1

Insulin Pen Device (Novopen 4) £26.86 3 ml pen (silver) Pack of 1 NovoPen 4 has been discontinued please consider NovoPen 5 but consider checking with patient/carer or Diabetic specialist first to avoid confusion. (updated: July 2015)

22 January 2020 206/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Insulin Pen Device (Novopen 4) £26.86 3 ml pen (blue) Pack of 1 NovoPen 4 has been discontinued please consider NovoPen 5 but consider checking with patient/carer or Diabetic specialist first to avoid confusion. (updated: July 2015)

Lancets (Acti-Lance) £5.49 1.5 mm/28gauge Pack of 100

Lancets (Acti-Lance) £5.49 1.8 mm/23gauge Pack of 100

Lancets (Acti-Lance) £5.49 2 mm/17gauge Pack of 100

Lancets (Advocate) £2.95 0.31 mm/30gauge Pack of 100

Lancets (Dario) £3.45 0.31 mm/30gauge Pack of 100

Lancets (Droplet) £2.19 0.2 mm/33gauge Pack of 100

Lancets (Droplet) £2.19 0.31 mm/30gauge Pack of 100

Lancets (Droplet) £2.19 0.36 mm/28gauge Pack of 100

Lancets (GlucoZen) £4.99 0.36 mm/28gauge Pack of 200

Lancets (OneTouch Delica) £5.85 0.32 mm/30gauge Pack of 200

Lancets (SylkFeel Ultra-Thin) £3.65 1 single use 0.2mm/33gauge Pack of 100

Novofine Needles £13.02 6 mm 31G Pack of 100 Glucoject needles are the most cost effective insulin pen needles in East Kent. BD Microfine needles and Novofine needles are restricted to patients for whom other needles have been confirmed as not acceptable.

Novofine Needles £9.24 8 mm 30G (0.3mm) Pack of 100 Glucoject needles are the most cost effective insulin pen needles in East Kent. BD Microfine needles and Novofine needles are restricted to patients for whom other needles have been confirmed as not acceptable.

Novofine Needles £9.40 12 mm 28G (0.36mm) Pack of 100 Glucoject needles are the most cost effective insulin pen needles in East Kent. BD Microfine needles and Novofine needles are restricted to patients for whom other needles have been confirmed as not acceptable.

Pen needles (Microdot Droplet) £5.95 4 mm / 32 g Pack of 100

22 January 2020 207/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pen needles (Microdot Droplet) £5.95 6 mm / 31g Pack of 100 GlucoRx finepoint needles are the preferred needles

Pen needles (Microdot Droplet) £5.95 8 mm / 31g Pack of 100 GlucoRx finepoint needles are the preferred needles

Pen Needles (Comfort Point) £2.75 4 mm / 31G Pack of 100

Pen Needles (Comfort Point) £2.75 6 mm / 31G Pack of 100

Pen Needles (Comfort Point) £2.75 8 mm / 31G Pack of 100

Pen Needles (Comfort Point) £2.75 12 mm / 29G Pack of 100

Pen Needles (Mylife Clickfine) £9.11 4 mm / 32G Pack of 100

Pen Needles (Omnican Fine) £5.95 4 mm/31 gauge Pack of 100

Pen Needles (Omnican Fine) £5.95 5 mm/31 gauge Pack of 100

Pen Needles (Omnican Fine) £5.95 6 mm / 31G Pack of 100

Pen Needles (Omnican Fine) £5.95 8 mm / 31G Pack of 100

Pen Needles (Omnican Fine) £5.95 10 mm / 30G Pack of 100

Pen Needles (Omnican Fine) £5.95 12 mm / 29G Pack of 100

Pen Needles (Unifine Pentips) £11.75 4 mm (32G) Pack of 100

Pen needles (BD Viva) £3.55 4 mm/32gauge pre-filled / reusable pen injectors screw on Pack of 90 Glucoject needles are the most cost effective insulin pen needles in East Kent.

Pen needles (BD Viva) £3.55 5 mm/31gauge pre-filled / reusable pen injectors screw on Pack of 90 Glucoject needles are the most cost effective insulin pen needles in East Kent.

Pen needles (BD Viva) £3.55 8 mm/31gauge pre-filled / reusable pen injectors screw on Pack of 90 Glucoject needles are the most cost effective insulin pen needles in East Kent.

22 January 2020 208/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pen Needles and Remover (Unifine Pentips Plus) £5.95 4 mm All in One 32G Pack of 100

Safety Lancets (Sarstedt) £10.92 1.6 mm/28 gauge Pack of 200

Safety Lancets (Sarstedt) £10.92 1.8 mm/18 gauge Pack of 200

Safety Lancets (Sarstedt) £10.92 1.8 mm/21 gauge Pack of 200

Safety Lancets (Sterilance Lite II) £5.70 1.8 mm/18 gauge Pack of 100

Safety Lancets (Sterilance Lite II) £5.70 1.8 mm/21 gauge Pack of 100

Safety Lancets (Sterilance Lite II) £5.70 1.8 mm/26 gauge Pack of 100

Safety Lancets (Sterilance Lite II) £5.70 1.8 mm/28 gauge Pack of 100

Safety Lancets (Sterilance Lite II) £5.70 2.4 mm/21 gauge Pack of 100

Safety Lancets (Sterilance Lite II) £5.70 2.4 mm/26 gauge Pack of 100 6.1.2.1 - Endocrine system | Drugs Used In Diabetes | Sulfonylureas

Current Status Drug Tariff

Gliclazide £1.06 80 mg tab Pack of 28

Gliclazide (Diaglyk) £6.89 80 mg tab Pack of 60

Gliclazide (Zicron) £3.36 40 mg tab Pack of 28 Please reserve for patients who are unable to break the scored 80mg tablets as 40mg tablets are considerably more expensive.

Gliclazide MR £2.81 30 mg SR tab Pack of 28

Gliclazide MR (Diamicron MR) £2.81 30 mg SR tab Pack of 28

Gliclazide MR (Edicil MR) £2.62 30 mg tab Pack of 28

Gliclazide MR (Nazdol MR) £2.35 30 mg SR tab Pack of 28

Glimepiride £1.86 1 mg tab Pack of 30

22 January 2020 209/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Glimepiride £2.13 2 mg tab Pack of 30

Glimepiride £2.53 3 mg tab Pack of 30

Glimepiride £3.20 4 mg tab Pack of 30

Glipizide Tablet £5.26 5 mg tab Pack of 56

Glipizide Tablet (Glibenese) £4.36 5 mg tab Pack of 56

Glipizide Tablet (Minodiab) £1.48 2.5 mg tab Pack of 28

Glipizide Tablet (Minodiab) £1.26 5 mg tab Pack of 28

Tolbutamide £21.20 500 mg tab Pack of 28

Glibenclamide £13.78 2.5 mg tab Pack of 28

Glibenclamide £4.28 5 mg tab Pack of 28

Glibenclamide (Daonil / Semi-Daonil) £2.69 5 mg tab Pack of 28

Gliclazide (Diamicron) £4.38 80 mg tab Pack of 60

Glimepiride (Amaryl) £4.33 1 mg tab Pack of 30

Glimepiride (Amaryl) £7.13 2 mg tab Pack of 30

Glimepiride (Amaryl) £10.75 3 mg tab Pack of 30

Glimepiride (Amaryl) £14.24 4 mg tab Pack of 30

Gliquidone (Glurenorm) £17.54 30 mg tab Pack of 100 6.1.2.2 - Endocrine system | Drugs Used In Diabetes | Biguanides

Current Status Drug Tariff

Metformin £1.05 500 mg tab Pack of 28

22 January 2020 210/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Metformin £1.47 850 mg tab Pack of 56

Metformin (Glucophage) £3.20 750 mg SR Tab Pack of 28

Metformin (Sukkarto) £2.38 500 mg tablets SR Pack of 56

Metformin (Sukkarto) £3.82 1000 mg tablets SR Pack of 56 Prescribing the Brand Sukkarto is more cost effective (Updated April 2016)

Metformin (Glucophage) £3.29 500 mg powder sachet Pack of 30 Reserved for patients who are unable to swallow tablets.

Metformin (Glucophage) £4.00 500 mg SR Tab Pack of 56 Prescribing the Brand Sukkarto is more cost effective (Updated April 2016)

Metformin (Glucophage) £3.20 1000 mg SR tab Pack of 28

Metformin (Glucophage) £6.58 1000 mg powder sachet Pack of 30 Reserved for patients who are unable to swallow tablets.

Metformin Oral Solution £7.16 500 mg / 5ml SF Pack of 150 Reserved for patients who are unable to swallow tablets and for whom sachets are not clinically suitable.

Metformin SR £4.00 500 mg SR Tab Pack of 56 Prescribing the Brand Sukkarto is more cost effective (Updated April 2016)

Metformin (Glucophage) £2.88 500 mg tab Pack of 84

Metformin (Glucophage) £3.20 850 mg tab Pack of 56

Metformin MR (Diagemet XL) £1.49 500 mg SR Tab Pack of 28

Metformin Solution (Metsol) £59.90 500 mg / 5ml Pack of 100 Metformin solution is 20x more expensive than powder sachets

Metformin SR (Bolamyn SR) £3.20 500 mg SR tab Pack of 28

22 January 2020 211/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Metformin SR (Glucient SR) £2.51 500 mg SR tab Pack of 28

Metformin SR (Metabet) £6.14 500 mg SR tab Pack of 56 6.1.2.3 - Endocrine system | Drugs Used In Diabetes | Other Antidiabetics

Current Status Drug Tariff

Alogliptin (Vipidia) £26.60 6.25 mg tablets Pack of 28 Alogliptin is the preferred DPP4i in East Kent. http://bit.ly/Categ6 (Updated: December 14)

Alogliptin (Vipidia) £26.60 12.5 mg tablets Pack of 28 Alogliptin is the preferred DPP4i in East Kent. http://bit.ly/Categ6 (Updated: December 14)

Alogliptin (Vipidia) £26.60 25 mg tablets Pack of 28 Alogliptin is the preferred DPP4i in East Kent. http://bit.ly/Categ6 (Updated: December 14)

Dulaglutide (Trulicity) £73.25 0.75 mg/0.5ml solution for injection pre-filled pen disposable injection Pack of 4

Dulaglutide (Trulicity) £73.25 1.5 mg/0.5ml solution for injection pre-filled pen disposable injection Pack of 4

Acarbose £14.58 50 mg tab Pack of 90

Acarbose £25.29 100 mg tab Pack of 90

Alogliptin 12.5mg / Metformin 1g tablets (Vipdomet 12.5/1000mg tablets) £26.60 12.5 mg/ 1000 mg Pack of 56

Canagliflozin (Invokana) £39.20 100 mg tab Pack of 30

Canagliflozin (Invokana) £39.20 300 mg tab Pack of 30

Canagliflozin / Metformin (Vokanamet) £39.20 50 mg / 1000mg tab Pack of 60

Canagliflozin / Metformin (Vokanamet) £39.20 50 mg / 850mg tab Pack of 60

Dapagliflozin (Forxiga) £36.59 5 mg tab Pack of 28

22 January 2020 212/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Dapagliflozin (Forxiga) £36.59 10 mg tab Pack of 28

Dapagliflozin / Metformin (Xigduo) £36.59 5 mg Dapagliflozin/1000mg Metformin tablets Pack of 56

Dapagliflozin / Metformin (Xigduo) £36.59 5 mg Dapagliflozin/850mg Metformin tablets Pack of 56

Empagliflozin (Jardiance) £36.59 10 mg tab Pack of 28 On formulary for treatment of type 2 diabetes mellitus in line with local recommendations that are available http://www.canterburycoastalccg.nhs.uk/about- us/prescribing-advice/?assetdet7576137=434004&categoryesctl10344807=9810.However NOT RECOMMENDED for the recent extension in product license for use in reducing the risk of death from cardiovascular disease in people with type 2 diabetes. NICE are currently appraising the clinical and cost effectiveness of empagliflozin within its new marketing authorisation. Prescribers are therefore recommended NOT to prescribe for this indication until the NICE review and position in local treatment pathway has been confirmed. Nice TA: https://www.nice.org.uk/guidance/ta336.NOTE: Do not initiate in patients with eGFR<60. If eGFR falls below 45 discontinue. BNF guidelines on full dosage information: https://www.medicinescomplete.com/mc/bnf/current/search.htm?q=empagliflozin

Empagliflozin (Jardiance) £36.59 25 mg tab Pack of 28 On formulary for treatment of type 2 diabetes mellitus in line with local recommendations that are available http://www.canterburycoastalccg.nhs.uk/about- us/prescribing-advice/?assetdet7576137=434004&categoryesctl10344807=9810.However NOT RECOMMENDED for the recent extension in product license for use in reducing the risk of death from cardiovascular disease in people with type 2 diabetes. NICE are currently appraising the clinical and cost effectiveness of empagliflozin within its new marketing authorisation. Prescribers are therefore recommended NOT to prescribe for this indication until the NICE review and position in local treatment pathway has been confirmed. Nice TA: https://www.nice.org.uk/guidance/ta336.NOTE: Do not initiate in patients with eGFR<60. If eGFR falls below 45 discontinue. BNF guidelines on full dosage information: https://www.medicinescomplete.com/mc/bnf/current/search.htm?q=empagliflozin

Empagliflozin / Metformin (Synjardy) £36.59 5 mg/850mg tab Pack of 56 On formulary for treatment of type 2 diabetes mellitus in line with local recommendations that are available http://www.canterburycoastalccg.nhs.uk/about- us/prescribing-advice/?assetdet7576137=434004&categoryesctl10344807=9810.However NOT RECOMMENDED for the recent extension in product license for use in reducing the risk of death from cardiovascular disease in people with type 2 diabetes. NICE are currently appraising the clinical and cost effectiveness of empagliflozin within its new marketing authorisation. Prescribers are therefore recommended NOT to prescribe for this indication until the NICE review and position in local treatment pathway has been confirmed. Nice TA: https://www.nice.org.uk/guidance/ta336.NOTE: Do not initiate in patients with eGFR<60. If eGFR falls below 45 discontinue. BNF guidelines on full dosage information: https://www.medicinescomplete.com/mc/bnf/current/search.htm?q=empagliflozin

Empagliflozin / Metformin (Synjardy) £36.59 5 mg/1000mg tab Pack of 56 On formulary for treatment of type 2 diabetes mellitus in line with local recommendations that are available http://www.canterburycoastalccg.nhs.uk/about- us/prescribing-advice/?assetdet7576137=434004&categoryesctl10344807=9810.However NOT RECOMMENDED for the recent extension in product license for use in reducing the risk of death from cardiovascular disease in people with type 2 diabetes. NICE are currently appraising the clinical and cost effectiveness of empagliflozin within its new marketing authorisation. Prescribers are therefore recommended NOT to prescribe for this indication until the NICE review and position in local treatment pathway has been confirmed. Nice TA: https://www.nice.org.uk/guidance/ta336.NOTE: Do not initiate in patients with eGFR<60. If eGFR falls below 45 discontinue. BNF guidelines on full dosage information: https://www.medicinescomplete.com/mc/bnf/current/search.htm?q=empagliflozin

Empagliflozin / Metformin (Synjardy) £36.59 12.5 mg/1000mg tab Pack of 56 On formulary for treatment of type 2 diabetes mellitus in line with local recommendations that are available http://www.canterburycoastalccg.nhs.uk/about- us/prescribing-advice/?assetdet7576137=434004&categoryesctl10344807=9810.However NOT RECOMMENDED for the recent extension in product license for use in reducing the risk of death from cardiovascular disease in people with type 2 diabetes. NICE are currently appraising the clinical and cost effectiveness of empagliflozin within its new marketing authorisation. Prescribers are therefore recommended NOT to prescribe for this indication until the NICE review and position in local treatment pathway has been confirmed. Nice TA: https://www.nice.org.uk/guidance/ta336.NOTE: Do not initiate in patients with eGFR<60. If eGFR falls below 45 discontinue. BNF guidelines on full dosage information: https://www.medicinescomplete.com/mc/bnf/current/search.htm?q=empagliflozin

22 January 2020 213/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Empagliflozin / Metformin (Synjardy) £36.59 12.5 mg/850mg tab Pack of 56 On formulary for treatment of type 2 diabetes mellitus in line with local recommendations that are available http://www.canterburycoastalccg.nhs.uk/about- us/prescribing-advice/?assetdet7576137=434004&categoryesctl10344807=9810.However NOT RECOMMENDED for the recent extension in product license for use in reducing the risk of death from cardiovascular disease in people with type 2 diabetes. NICE are currently appraising the clinical and cost effectiveness of empagliflozin within its new marketing authorisation. Prescribers are therefore recommended NOT to prescribe for this indication until the NICE review and position in local treatment pathway has been confirmed. Nice TA: https://www.nice.org.uk/guidance/ta336.NOTE: Do not initiate in patients with eGFR<60. If eGFR falls below 45 discontinue. BNF guidelines on full dosage information: https://www.medicinescomplete.com/mc/bnf/current/search.htm?q=empagliflozin

Ertugliflozin (Steglatro) £29.40 5 mg tablets Pack of 28 On formulary for East KentNOTE: Do not initiate in patients with eGFR<60. If eGFR falls below 45 discontinue Ertugliflozin. Follow link to: https://tinyurl.com/yxmx5sh9 to see the BNF guidelines on full dosage information.

Ertugliflozin (Steglatro) £29.40 15 mg tablets Pack of 28 On formulary for East KentNOTE: Do not initiate in patients with eGFR<60. If eGFR falls below 45 discontinue Ertugliflozin. Follow link to: https://tinyurl.com/yxmx5sh9 to see the BNF guidelines on full dosage information.

Exenatide (Bydureon) £73.36 2 mg powder and solvent for prolonged-release suspension for injection pre-filled pen Pack of 4

Exenatide Injection (Bydureon) £73.36 2 mg vial Pack of 4

Exenatide Injection (Byetta) £81.89 5 mcg/dose (250mcg/ml) (60 dose pfs) Pack of 1

Exenatide Injection (Byetta) £81.89 10 mcg/dose (250mcg/ml) (60 dose pfs) Pack of 1

Linagliptin (Trajenta) £33.26 5 mg tab Pack of 28 Alogliptin is the preferred DPP4i in East Kent. http://bit.ly/Categ6 (Updated: December 14)

Linagliptin / Metformin (Jentadueto) £33.26 2.5 mg / 1000mg tab Pack of 56

Linagliptin / Metformin (Jentadueto) £33.26 2.5 mg / 850mg tab Pack of 56

Liraglutide Injection (Victoza) £78.48 6 mg/ml 3ml prefilled pen Pack of 2

Lixisenatide (Lyxumia) £31.67 10 mcg / 0.2ml (3ml pre-filled pen) Pack of 1

Lixisenatide (Lyxumia) £57.93 10 mcg / 0.2ml (PF Pen) 20 mcg / 0.2ml (PF Pen) Pack of 2

Lixisenatide (Lyxumia) £57.93 20 mcg / 0.2ml (3ml pre-filled pen) Pack of 2

Pioglitazone £1.49 15 mg tab Pack of 28

Pioglitazone £1.63 30 mg tab Pack of 28

22 January 2020 214/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pioglitazone £1.81 45 mg tab Pack of 28

Repaglinide £2.66 0.5 mg tab Pack of 30

Repaglinide £9.35 1 mg tab Pack of 90

Repaglinide £5.41 2 mg tab Pack of 90

Saxagliptin (Onglyza) £31.60 2.5 mg tab Pack of 28 Alogliptin is the preferred DPP4i in East Kent. http://bit.ly/Categ6 (Updated: December 14)

Saxagliptin (Onglyza) £31.60 5 mg tab Pack of 28 Alogliptin is the preferred DPP4i in East Kent. http://bit.ly/Categ6 (Updated: December 14)

Saxagliptin / Metformin (Komboglyze) £31.60 2.5 mg / 850mg tab Pack of 56

Saxagliptin / Metformin (Komboglyze) £31.60 2.5 mg / 1000mg tab Pack of 56

Semaglutide (Ozempic) £73.25 0.25 mg /0.19ml solution for injection 1.5ml pre-filled disposable device Pack of 1

Semaglutide (Ozempic) £73.25 0.5 mg /0.37ml solution for injection 1.5ml pre-filled disposable device Pack of 1

Semaglutide (Ozempic) £73.25 1 mg /0.74ml solution for injection 3ml pre-filled disposable device Pack of 1

Sitagliptin (Januvia) £33.26 25 mg tab Pack of 28

Sitagliptin (Januvia) £33.26 50 mg tab Pack of 28 Alogliptin is the preferred DPP4i in East Kent. http://bit.ly/Categ6 (Updated: December 14)

Sitagliptin (Januvia) £33.26 100 mg tab Pack of 28 Alogliptin is the preferred DPP4i in East Kent. http://bit.ly/Categ6 (Updated: December 14)

Sitagliptin / Metformin (Janumet) £33.26 50 mg / 1000mg tab Pack of 56

Vildagliptin (Galvus) £33.35 50 mg tab Pack of 56 Alogliptin is the preferred DPP4i in East Kent. http://bit.ly/Categ6 (Updated: December 14)

Vildagliptin / Metformin (Eucreas) £35.68 50 mg / 850mg tab Pack of 60

22 January 2020 215/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Vildagliptin / Metformin (Eucreas) £35.68 50 mg / 1000mg tab Pack of 60

Acarbose (Glucobay) £7.35 50 mg tab Pack of 90 Prescribe generically

Acarbose (Glucobay) £15.00 100 mg tab Pack of 100 Prescribe generically

Liraglutide injection (Saxenda ) £196.20 6 mg/ml solution for injection 3ml pre-filled pen Pack of 5 Obesity - Liraglutide (Saxenda) is not routinely funded for weight management on the local NHS. Please click here for more information: https://www.canterburycoastalccg.nhs.uk/_resources/assets/attachment/full/0/459648.pdfUpdated August 2019

Nateglinide Tablet (Starlix) £26.12 60 mg tab Pack of 84

Nateglinide Tablet (Starlix) £29.76 120 mg tab Pack of 84

Nateglinide Tablet (Starlix) £29.76 180 mg tab Pack of 84

Pioglitazone (Actos) £25.83 15 mg tab Pack of 28

Pioglitazone (Actos) £35.89 30 mg tab Pack of 28

Pioglitazone (Actos) £39.55 45 mg tab Pack of 28

Pioglitazone / Metformin (Competact) £35.89 15 mg / 850mg tab Pack of 56

Repaglinide (Prandin (formerly Novonorm)) £3.92 0.5 mg tab Pack of 30

Repaglinide (Prandin (formerly Novonorm)) £11.76 1 mg tab Pack of 90

Repaglinide (Prandin (formerly Novonorm)) £11.76 2 mg tab Pack of 90

Rosiglitazone (Avandia) £20.00 4 mg tab Pack of 28

Rosiglitazone (Avandia) £30.00 8 mg tab Pack of 28 6.1.4 - Endocrine system | Drugs Used In Diabetes | Treatment Of Hypoglycaemia

Current Status Drug Tariff

22 January 2020 216/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Diazoxide Tablet (Eudemine) £46.45 50 mg tab Pack of 100

Glucagon Injection (Glucagen Hypokit) £11.52 1 mg vial with prefilled syringe Pack of 1

Glucose Gel (Glucogel) £7.16 40 % gel (25g triple pack) Pack of 75

Glucose Gel (Glucogel) £6.84 40 % gel (80g pack) Pack of 80 6.1.5 - Endocrine system | Drugs Used In Diabetes | Treatment of diabetic nephropathy and neuropathy

Current Status Drug Tariff

Midodrine (Bramox) £55.05 2.5 mg tablets Pack of 100

Midodrine (Bramox) £75.05 5 mg tablets Pack of 100 6.1.6 - Endocrine system | Drugs Used In Diabetes | Screening and Monitoring Agents

Current Status Drug Tariff

Glucose interstitial detection sensor (Freestyle Libre Sensor) £35.00 1 sensor kit Pack of 1 Freestyle libre has been approved for initiation by the EKHFT diabetes teams for patients with Type 1 diabetes who meet specified criteria – see FreeStyle Libre and Flash Glucose Monitoring System Monitoring Policy and flowchart, Apr 2019 https://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?assetdetcd02eb11-e357-4e69-8792-6f0209cbfc22=475904&categoryesctlcd02eb11-e357-4e69-8792-6f0209cbfc22=18802 The acute consultant will • confirm in writing under which criteria the patient is eligible for supply, • provide a copy of the Patient/carer – prescriber agreement• arrange for the patient to attend training • confirm they will review in 6 months.

Blood glucose biosensor testing strips (Palmdoc Testing Strips) £5.90 50 Blood glucose biosensor testing strips Pack of 50

Blood Glucose Biosensor Testing Strips (GlucoRX Nexus) £8.95 50 test strips Pack of 50

Blood Glucose Biosensor Testing Strips (GlucoRX Q) £5.45 50 Testing strips Pack of 50

Blood Glucose colorimetric cassette (Accu-Chek Mobile) £9.99 50 device Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood glucose test strips (GlucoMen areo Sensor) £9.95 50 strips Pack of 50 (Updated: Jan 2015)

Blood Ketones Testing Strips (GlucoMen areo Ketone Sensor) £9.95 10 Testing Strips Pack of 10

Blood Ketones Testing Strips (GlucoRX HCT Ketones) £9.95 10 test strip Pack of 10

22 January 2020 217/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ketostix £3.06 50 strip Pack of 50

Urine Glucose Test Strips (Clinistix) £3.25 1 pack (50 strips) Pack of 50

Urine Glucose Test Strips (Diabur-Test 5000) £2.69 1 pack (50 strips) Pack of 50

Urine Glucose Test Strips (Diastix) £2.89 1 pack (50 strips) Pack of 50

Urine Glucose Test Strips (Medi-Test Glucose) £2.33 1 pack (50 strips) Pack of 50

Urine Protein Test Strips (Albustix) £4.10 50 strips Pack of 50

Urine Protein Test Strips (Medi-Test Protein 2) £3.27 50 strips Pack of 50

Blood Glucose test Strips (Clever Chek) £16.30 50 test strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose test Strips (Cozylab S7) £9.85 50 test strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucode Test Strips (Contour Next) £15.16 50 test strips Pack of 50 The preferred blood glucose meter for type 2 diabetics in East Kent is Glucomen Areo. GlucoRx nexus and Omnitest 3 meters are formulary alternatives. Please consider switching to a formulary alternative. (Updated: Jan 2015)

Blood glucose biosensor test strips (Mendor Discreet) £14.75 50 test strips Pack of 50

Blood glucose test strips (Contour TS) £9.50 50 test strips Pack of 50 The preferred blood glucose meter for type 2 diabetics in East Kent is Glucomen Areo. GlucoRx nexus and Omnitest 3 meters are formulary alternatives. Please consider switching to a formulary alternative. (Updated: Jan 2015)

Blood glucose test strips (Glucoflex-R) £6.75 50 test strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood glucose test strips (GlucoZen.auto ) £7.64 50 test strips Pack of 50

Blood glucose test strips (GluNEO ) £9.89 50 test strips Pack of 50

Blood glucose test strips (One Touch Select Plus) £9.99 50 test strips Pack of 50

22 January 2020 218/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Blood glucose test strips (Vivachek Ino) £8.99 50 test strips Pack of 50

Blood Glucose Test Strips (Accu-Chek Active) £10.03 50 Test Strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (Accu-Chek Advantage Plus ) £16.02 50 Test Strips Pack of 50 The preferred blood glucose meter for type 2 diabetics in East Kent is Glucomen Areo. GlucoRx nexus and Omnitest 3 meters are formulary alternatives. Please consider switching to a formulary alternative. (Updated: Jan 2015)

Blood Glucose Test Strips (Ascensia Autodisc) £14.62 50 Glucose Test Strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (betachek Visual) £6.80 50 test strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (BGStar) £14.73 50 Test strips Pack of 50 The preferred blood glucose meter for type 2 diabetics in East Kent is Glucomen Areo. GlucoRx nexus and Omnitest 3 meters are formulary alternatives. Please consider switching to a formulary alternative. (Updated: Jan 2015)

Blood Glucose Test Strips (Breeze 2) £15.00 50 test strips (5 x 10 disc pack) Pack of 50 The preferred blood glucose meter for type 2 diabetics in East Kent is Glucomen Areo. GlucoRx nexus and Omnitest 3 meters are formulary alternatives. Please consider switching to a formulary alternative. (Updated: Jan 2015)

Blood Glucose Test Strips (CareSens N) £12.75 50 test strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (Contour (formerly Ascensia Microfill)) £9.95 50 test strips Pack of 50 The preferred blood glucose meter for type 2 diabetics in East Kent is Glucomen Areo. GlucoRx nexus and Omnitest 3 meters are formulary alternatives. Please consider switching to a formulary alternative. (Updated: Jan 2015)

Blood Glucose Test Strips (Element) £9.89 50 test strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (Freestyle) £16.23 50 Test Strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (Freestyle Lite) £16.23 50 Test Strips Pack of 50 The preferred blood glucose meter for type 2 diabetics in East Kent is Glucomen Areo. GlucoRx nexus and Omnitest 3 meters are formulary alternatives. Please consider switching to a formulary alternative. (Updated: Jan 2015)

22 January 2020 219/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Blood Glucose Test Strips (Freestyle Optium) £16.12 50 Test Strips Pack of 50 The preferred blood glucose meter for type 2 diabetics in East Kent is Glucomen Areo. GlucoRx nexus and Omnitest 3 meters are formulary alternatives. Please consider switching to a formulary alternative. (Updated: Jan 2015)

Blood Glucose Test Strips (Glucolab) £9.89 50 Test strips Pack of 50 The preferred blood glucose meter for type 2 diabetics in East Kent is Glucomen Areo. GlucoRx nexus and Omnitest 3 meters are formulary alternatives. Please consider switching to a formulary alternative. (Updated: Jan 2015)

Blood Glucose Test Strips (Glucomen GM) £9.95 50 test strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (Glucomen LX) £15.76 50 strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (Glucomen Sensor Tests) £14.83 50 strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (Glucomen Visio Sensor) £15.50 50 strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (iCare Advanced) £9.70 50 Test strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (Microdot+) £9.49 50 Test Strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (Mylife Pura) £9.50 50 test strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (Omnitest 3) £9.89 50 test strips Pack of 50 (Updated: Jan 2015)

Blood Glucose Test Strips (One Touch) £14.59 50 test strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (One Touch ultra) £9.99 50 test strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

22 January 2020 220/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Blood Glucose Test Strips (One Touch Verio) £15.12 50 test strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (One Touch Vita) £15.07 50 test strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (Prestige Smart System) £13.96 50 strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (Sensocard) £16.30 50 strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (SuperCheck 2) £8.49 50 Test Strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (Trueresult) £14.99 50 Test Strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (Truetrack Smart System) £14.99 50 test strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (TRUEyou) £9.92 50 Test strips Pack of 50

Blood Glucose Test Strips (Wavesense Jazz) £8.74 50 Test Strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (Wavesense Jazz) £8.74 50 duo test strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Blood Glucose Test Strips (Omnitest 5) £9.89 50 test strips Pack of 50

BM-Accutest Test Strips £15.64 1.1 -33.3 mmol/l range Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

22 January 2020 221/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

BM-Test 1-44 Test Strips £15.33 1 -44 mmol/l range Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Compact Test Strips (Accu-chek Compact ) £16.65 51 test strips Pack of 51 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Diabetes test strips (Freestyle Optium Beta Ketone) £21.71 10 test strips Pack of 10 The preferred blood glucose meter for type 2 diabetics in East Kent is Glucomen Areo. GlucoRx nexus and Omnitest 3 meters are formulary alternatives. Please consider switching to a formulary alternative. (Updated: Jan 2015)

Glucose Test Strips (Accu-Chek Aviva) £16.21 50 Test Strips Pack of 50 The preferred blood glucose meter for type 2 diabetics in East Kent is Glucomen Areo. GlucoRx nexus and Omnitest 3 meters are formulary alternatives. Please consider switching to a formulary alternative. (Updated: Jan 2015)

Glucose Test Strips (Microdot) £12.96 50 Test Strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Glucotide Test Strips £14.84 0.6 -33.3 mmol/l range Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Hypodermic insulin needles (Insupen) £12.69 4 mm/33gauge Pack of 100 Glucoject needles are the most cost effective insulin pen needles in East Kent.

Hypoguard Supreme Test Strips £13.64 50 test strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Ketone Test Sensors (Glucomen LX Plus) £21.06 10 Sensors Pack of 10

Lancets (Microdot Lite) £10.75 1.8 mm/28gauge Pack of 200

Lancets (Microdot Professional) £10.75 2.2 mm/23gauge Pack of 200

Lancets (Microdot SuperLite) £10.75 1.8 mm/30gauge Pack of 200

Lancets (Microdot Universal) £10.75 1.8 mm/26gauge Pack of 200

Medisense G2 Test Strips £14.94 50 strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

22 January 2020 222/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Medisense Optium Plus Test Strips £16.12 50 strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Medisense Soft-sense Test Strips £15.05 50 strips Pack of 50 For type 1 diabetics an appropriate meter should be selected in partnership with DSN. All type 2s should have a gluco Rx nexus unless there is an over riding clinical reason . In this case an alternative should be selected in conjunction with a DSN

Urine ketones (Mission Ketone) £2.50 1 K Mission Ketone testing strips Pack of 50 6.2.1 - Endocrine system | Thyroid And Antithyroid Drugs | Thyroid Hormones

Current Status Drug Tariff

Levothyroxine (Thyroxine) £1.59 25 mcg tab Pack of 28

Levothyroxine (Thyroxine) £1.19 50 mcg tab Pack of 28

Levothyroxine (Thyroxine) £1.18 100 mcg tab Pack of 28

Levothyroxine Oral Solution £89.02 25 mcg / 5ml SF Pack of 100 Levothyroxine solution is a high cost preparation and should be reserved ONLY for paediatric use if crushing tablets is inappropriate. Levothyroxine tablets may be crushed and dispersed in water for administration via enteral tubes or for patients with swallowing difficulties (Reference: NEWT guidelines accessed July 2016).

Levothyroxine Oral Solution £89.03 50 mcg / 5ml SF Pack of 100 Levothyroxine solution is a high cost preparation and should be reserved ONLY for paediatric use if crushing tablets is inappropriate. Levothyroxine tablets may be crushed and dispersed in water for administration via enteral tubes or for patients with swallowing difficulties (Reference: NEWT guidelines accessed July 2016).

Levothyroxine Oral Solution £164.99 100 mcg / 5ml SF Pack of 100 Levothyroxine solution is a high cost preparation and should be reserved ONLY for paediatric use if crushing tablets is inappropriate. Levothyroxine tablets may be crushed and dispersed in water for administration via enteral tubes or for patients with swallowing difficulties (Reference: NEWT guidelines accessed July 2016).

Levothyroxine (Thyroxine) (Eltroxin) £2.54 25 mcg tab Pack of 28 prescribe generically

Levothyroxine (Thyroxine) (Eltroxin) £1.77 50 mcg tab Pack of 28 prescribe generically

Levothyroxine (Thyroxine) (Eltroxin) £1.78 100 mcg tab Pack of 28 prescribe generically

22 January 2020 223/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Liothyronine Sodium £165.18 20 mcg tab Pack of 28 6.2.2 - Endocrine system | Thyroid And Antithyroid Drugs | Antithyroid Drugs

Current Status Drug Tariff

Propylthiouracil £10.70 50 mg tab Pack of 56

Carbimazole (Neo-Mercazole) £6.18 5 mg tab Pack of 100 Discontinued product

Carbimazole (Neo-Mercazole) £22.94 20 mg tab Pack of 100 Discontinued product

6.3.1 - Endocrine system | Corticosteroids (Endocrine) | Replacement Therapy

Current Status Drug Tariff

Fludrocortisone Acetate (Florinef) £5.05 0.1 mg tab Pack of 100 6.3.2 - Endocrine system | Corticosteroids (Endocrine) | Use of Corticosteroids

Current Status Drug Tariff

Prednisolone Tablet £2.41 5 mg tab Pack of 28

Betamethasone Tab (Betnelan) £4.39 500 mcg Tab Pack of 100

Cortisone Tablets £10.16 25 mg tab Pack of 56

Methylprednisolone (Medrone) £3.88 2 mg tab Pack of 30

Methylprednisolone (Medrone) £6.19 4 mg tab Pack of 30

Methylprednisolone (Medrone) £17.17 16 mg tab Pack of 30

Methylprednisolone (Medrone) £48.32 100 mg tab Pack of 20

methylprednisolone sodium succinate (Solu-medrone) £17.30 1 g / 16ml vial Pack of 1

methylprednisolone sodium succinate (Solu-medrone) £1.58 40 mg / ml vial Pack of 1

22 January 2020 224/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

methylprednisolone sodium succinate (Solu-medrone) £9.60 500 mg / 8ml vial Pack of 1

Dexamethasone £8.79 500 mcg tabs Pack of 28

Dexamethasone Injection £5.00 4 mg / ml amp Pack of 5

Dexamethasone Injection £9.90 8 mg / 2ml amp Pack of 5

Dexamethasone Oral Solution (Dexsol) £42.30 2 mg / 5ml SF Solution Pack of 150

Hydrocortisone Injection (Efcortesol) £1.08 100 mg (1ml vial) Pack of 1

Hydrocortisone Tablet (Hydrocortone (Discontinued)) £0.70 10 mg tab Pack of 30

Hydrocortisone Tablet (Hydrocortone (Discontinued)) £100.03 20 mg tab Pack of 30

Hydrocortisone Tablets £9.08 10 mg tab Pack of 30

Hydrocortisone Tablets £9.72 20 mg tab Pack of 30

Prednisolone E/C Tablet £1.16 2.5 mg E/C tab Pack of 28

Prednisolone E/C Tablet £1.64 5 mg E/C tab Pack of 28

Prednisolone Tablet £0.88 1 mg tab Pack of 28

Hydrocortisone Sodium Succinate (Solu-Cortef) £1.16 100 mg vial with diluent Pack of 1

Betamethasone Tab (Betnesol) £51.11 500 mcg soluble tab Pack of 100 Use betnelan instead of betnesol

Deflazacort (Calcort) £15.82 6 mg Tab Pack of 60

Hydrocortisone MR (Plenadren) £242.50 5 mg MR Tab Pack of 50

Hydrocortisone MR (Plenadren) £400.00 20 mg MR Tab Pack of 50

22 January 2020 225/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Prednisolone Soluble £15.47 5 mg SOLUBLE Pack of 30 Please prescribe as plain prednisolone as these dissolve and are more cost effective. Depending on the age of the child or adult, the following options are available for administration:•Dissolve the tablet(s) in a small amount of water or squash.•Crush the tablet(s) and mix with a small amount of soft food, such as yoghurt or jam.•If able to swallow tablets, swallow whole with a drink. For children prednisolone dompe oral solution 1 mg per ml is recommended.

Prednisolone Tablet £78.06 25 mg tab Pack of 56

Prednisolone Tablet (Deltacortril) £2.02 2.5 mg E/C tab Pack of 100 prescribe generically

Prednisolone Tablet (Deltacortril) £2.20 5 mg E/C tab Pack of 100 prescribe generically

Prednisone MR Tablets (Lodotra) £26.70 1 mg MR Tab Pack of 30

Prednisone MR Tablets (Lodotra) £26.70 2 mg MR Tab Pack of 30

Prednisone MR Tablets (Lodotra) £26.70 5 mg MR Tab Pack of 30

Triamcinolone (Kenalog) £1.88 40 mg / 1ml pre-filled syringe Pack of 1

Triamcinolone (Kenalog) £7.45 40 mg / 1ml vial Pack of 5

Triamcinolone (Kenalog) £3.27 80 mg / 2ml pre-filled syringe Pack of 1 6.4.1.1 - Endocrine system | Sex Hormones | Oestrogens And Hrt

Current Status Drug Tariff

Conjugated Oestrogens Tablets (Premarin) £4.02 0.625 mg tab Pack of 84

Conjugated Oestrogens Tablets (Premarin) £3.58 1.25 mg tab Pack of 84

Estradiol / Norethisterone (Elleste-Duet) £17.02 1 mg / 1mg Tab Pack of 84

Estradiol / Norethisterone (Elleste-Duet) £17.02 2 mg / 1mg Tab Pack of 84

Estradiol Tablet (Elleste-Solo) £5.06 1 mg tab Pack of 84

Estradiol Tablet (Elleste-Solo) £5.06 2 mg tab Pack of 84

22 January 2020 226/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Estradiol/ Norethisterone (Kliofem) £11.43 2 mg/ 1mg tab Pack of 84 equivalent to elleste duet conti

Estradiol/ Norethisterone (Kliovance) £13.20 1 mg / 0.5mg tab Pack of 84

Ethinylestradiol Tablets £200.00 1 mg Tab Pack of 28

Ethinylestradiol Tablets £200.00 10 mcg Tab Pack of 21

Ethinylestradiol Tablets £200.00 50 mcg Tab Pack of 21

Estradiol Gel (Oestrogel) £4.80 0.06 % Gel (64-dose pump pack; 80g) Pack of 1

Estradiol Patch (Evorel) £3.42 25 mcg/24hrs Pack of 8

Estradiol Patch (Evorel) £3.88 50 mcg/24hrs Pack of 8

Estradiol Patch (Evorel) £4.12 75 mcg/24hrs Pack of 8

Estradiol Patch (Evorel) £4.28 100 mcg/24hrs Pack of 8

Estradiol Tablet (Zumenon) £6.89 1 mg tab Pack of 84

Estradiol Tablet (Zumenon) £6.89 2 mg tab Pack of 84

Estradiol valerate / Levonorgestrel (Cyclo-Progynova) £3.11 1 mg/ 250 mcg Pack of 21

Estradiol valerate / Levonorgestrel (Cyclo-Progynova) £3.11 2 mg/ 500 mcg Pack of 21

Femoston (Oestradiol/ Dydrogesterone) £16.16 1 mg / 10mg tab Pack of 84 for progestogenic side effects

Femoston (Oestradiol/ Dydrogesterone) £16.16 2 mg / 10mg tab Pack of 84 for progestogenic side effects

Femoston (Oestradiol/ Dydrogesterone) £22.44 2 mg / 20mg tab Pack of 84

22 January 2020 227/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Femoston - Conti (Oestradiol / Dydrogesterone) £24.43 1 mg / 5mg tab Pack of 84 for progestogenic side effects

Femseven Conti (Oestradiol / Levonorgestrel) £15.48 50 mcg & 7mcg / 24hrs Pack of 4 for those who suffer progesterone side effects with preferred prepns.

Medroxyprogesterone / Estradiol valerate (Indivina) £6.86 1 mg / 5mg tab Pack of 28

Medroxyprogesterone / Estradiol valerate (Indivina) £7.16 1 mg /2.5 mg tab Pack of 28

Medroxyprogesterone / Estradiol valerate (Indivina) £20.58 2 mg / 5mg tab Pack of 84

Oestradiol / Norethisterone (Evorel Sequi) £11.09 50 & 170mcg / 24hrs (twice weekly) Pack of 8

Oestradiol Valerate/ Medroxyprogesterone (Tridestra) £20.49 1 pack (contains 91 tabs) Pack of 91 only for women in whom a longer bleed interval is useful

Oestradiol/ Norethisterone Patch (Evorel Conti) £13.00 50 mcg & 170mcg / 24hrs Pack of 8

Tibolone (Livial) £10.36 2.5 mg tab Pack of 28 Restricted to patienst who suffer loss of libido with preferred choices or for use in patients on GhRH treatment

Estradiol Patch (Estradot) £5.99 25 mcg/24hrs pack of 8 Pack of 8 for patients who need a smaller patch

Estradiol Patch (Estradot) £6.02 50 mcg/24hrs pack of 8 Pack of 8 for patients who need a smaller patch

Estradiol Patch (Estradot) £7.00 75 mcg/24hrs pack of 8 Pack of 8 for patients who need a smaller patch

Raloxifene (Evista) £17.06 60 mg tab Pack of 28 Use in line with NICE TA 161 only

Conjugated Oestrogens/ Medroxyprogesterone (Premique) £6.52 0.3 /1.5mg tab (Low Dose) Pack of 84

Conjugated Oestrogens/ Medroxyprogesterone (Premique) £10.61 0.625 /5mg tab Pack of 84

22 January 2020 228/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Conjugated Oestrogens/ Medroxyprogesterone (Premique Cycle) £8.05 0.625 /10mg tab Pack of 84

Conjugated Oestrogens/Norgestrel (Prempak - C) £6.25 0.625 mg tab Pack of 120

Conjugated Oestrogens/Norgestrel (Prempak - C) £5.18 1.25 mg tab Pack of 84

Conjugated Oestrogens/Norgestrel (Prempak - C) £7.40 1.25 mg tab Pack of 120

Estradiol / Norethisterone (Elleste-Duet Conti) £17.02 2 mg / 1mg Tab continuous Pack of 84

Estradiol Tablet (Climaval) £3.53 1 mg tab Pack of 28 Climaval has been discontinued by the manufacturer and will no longer be available. Elleste Solo should be prescribed instead as it is an equivalent product consisting of identical ingredients. It should be taken in exactly the same way as Climaval. (Updated: 18/07/16).

Estradiol Tablet (Climaval) £3.53 2 mg tab Pack of 28 Climaval has been discontinued by the manufacturer and will no longer be available. Elleste Solo should be prescribed instead as it is an equivalent product consisting of identical ingredients. It should be taken in exactly the same way as Climaval. (Updated: 18/07/16).

Estradiol valerate / Norethisterone (Climagest) £6.61 1 mg / 1mg Tab Pack of 28 Climagest has been discontinued by the manufacturer and will no longer be available, Elleste Duet should be prescribed as it is an equivalent product consisting of identical ingredients. It should be taken in exactly the same way as Climagest. (Updated: 18/07/16).

Estradiol valerate / Norethisterone (Climagest) £6.61 2 mg / 1mg Tab Pack of 28 Climagest has been discontinued by the manufacturer and will no longer be available, Elleste Duet should be prescribed as it is an equivalent product consisting of identical ingredients. It should be taken in exactly the same way as Climagest. (Updated: 18/07/16). 6.4.1.2 - Endocrine system | Sex Hormones | Progestogens

Current Status Drug Tariff

Dydrogesterone (Duphaston) £4.04 10 mg tab Pack of 60

Dydrogesterone (Duphaston HRT) £2.83 10 mg tab (day14-28) Pack of 42

Medroxyprogesterone acetate (Provera) £1.84 2.5 mg tab Pack of 30

Medroxyprogesterone acetate (Provera) £12.32 5 mg tab Pack of 100

Medroxyprogesterone acetate (Provera) £24.73 10 mg tab Pack of 100

Norethisterone £2.75 5 mg tab Pack of 30

Norethisterone (Micronor HRT) £3.49 1 mg tab Pack of 36

22 January 2020 229/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Norethisterone (Primolut-N) £2.26 5 mg tab Pack of 30

Norethisterone (Utovlan) £1.40 5 mg tab Pack of 30

Progesterone (Cyclogest) £8.95 200 mg pessary / suppository Pack of 15

Progesterone (Cyclogest) £12.96 400 mg pessary / suppository Pack of 15

Progesterone (Utrogestan) £5.13 100 mg caps Pack of 30

Progesterone (Utrogestan) £5.13 200 mg caps Pack of 15

Ulipristal Acetate (Esmya) £114.13 5 mg tab Pack of 28 Do not initiate new treatment courses of Esmya, including in women who have completed one or more treatment courses previously. Please see CAS alert for Ulipristal acetate.https://tinyurl.com/y923yxk8

Progesterone (Lubion) £56.00 25 mg/1.119ml solution for injection vials Pack of 7 Do not prescribe. This product has not been through the approval process for use in East Kent. Please refer all requests back to requesting clincian to provide.

Progesterone (Utrogestan) £21.00 200 mg vaginal caps with applicator Pack of 21 Not assessed and not recommended.

6.4.2 - Endocrine system | Sex Hormones | Male Sex Hormones And Antagonists

Current Status Drug Tariff

Mesterolone (Proviron) £4.19 25 mg Tab Pack of 30

Testosterone (Testosterone, Organon) £9.99 100 mg implant Pack of 1

Testosterone (Testosterone, Organon) £15.17 200 mg implant Pack of 1

Testosterone Gel (Testim) £32.00 50 mg/5g unit (30 units) Pack of 30

Testosterone Gel (Testogel) £31.11 50 mg/5g unit (30 sachets) Pack of 30

Testosterone Injection (Nebido Injection) £80.00 1 g / 4ml vial Pack of 1

Testosterone Injection (Sustanon 100) £6.51 1 ml Amp Pack of 6

22 January 2020 230/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Testosterone Injection (Sustanon 250) £2.45 250 mg / 1ml Amp Pack of 1

Testosterone Patch (Andropatch) £46.25 2.5 mg / 24hrs Pack of 60

Testosterone Patch (Andropatch) £46.25 5 mg / 24hrs Pack of 30

Testosterone Tablet (Striant SR) £28.00 30 mg tab (buccal tab) Pack of 60

Testosterone undecanoate (Restandol) £8.30 40 mg cap Pack of 28

Cyproterone Acetate (Androcur / Cyprostat) £29.25 50 mg tab Pack of 56

Dutasteride (Avodart) £14.60 0.5 mg cap Pack of 30

Finasteride £1.86 5 mg tab Pack of 28

Finasteride Tablet (Proscar) £13.94 5 mg tab Pack of 28

Testosterone Patch (Intrinsa) £395.00 300 mcg / 24hrs Pack of 8 6.5.1 - Endocrine system | Hypothalamic&Pituitary Hormones&Antioest | Hypothalamic&Ant Pituit Hormone&Antioest

Current Status Drug Tariff

Clomifene (Clomiphene) £10.15 50 mg tab Pack of 30

Clomifene (Clomiphene) (Clomid) £10.15 50 mg Tab Pack of 30

Somatropin (Genotropin) £24.35 0.2 mg miniquick Pack of 7

Somatropin (Genotropin) £48.68 0.4 mg miniquick Pack of 7

Somatropin (Genotropin) £73.03 0.6 mg miniquick Pack of 7

Somatropin (Genotropin) £121.71 1 mg miniquick Pack of 7

Somatropin (Genotropin) £146.06 1.2 mg miniquick Pack of 7

Somatropin (Genotropin) £92.15 5.3 mg refill cart Pack of 1

22 January 2020 231/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Somatropin (Genotropin) £208.65 12 mg refill cart Pack of 1

Somatropin (Humatrope) £108.00 6 mg cart Pack of 1

Somatropin (Humatrope) £216.00 12 mg cart Pack of 1

Somatropin (Humatrope) £432.00 24 mg cart Pack of 1

Somatropin (Saizen) £29.28 1.33 mg (4 i.u.) Pack of 1

Somatropin (Saizen) £183.00 8 mg (24 i.u.) ("click.easy") Pack of 1

Somatropin (epr) (Norditropin Simple Xx) £106.35 5 mg/15units/cartridge (1.5ml) Pack of 1

Somatropin (epr) (Norditropin Simple Xx) £212.70 10 mg/30units/cartridge (1.5ml) Pack of 1

Somatropin (epr) (Norditropin Simple Xx) £319.05 15 mg/45units/cartridge (1.5ml) Pack of 1

Somatropin (rbe) solution for injection (Omnitrope SurePal) £368.74 5 mg/1.5ml solution Pack of 5

Somatropin (rbe) solution for injection (Omnitrope SurePal) £737.49 10 mg/1.5ml solution Pack of 5

Somatropin Injection (Omnitrope) £368.74 3.3 mg/ml cartridge Pack of 5

Somatropin Injection (Omnitrope) £737.49 6.7 mg/ml injection Pack of 5

Somatropin Injection (Zomacton) £170.70 10 mg (30 unit) vial with dilutent Pack of 1

Sumatropin Injection (Nutropin AQ) £203.00 5 mg / ml 2ml Vial Pack of 1

Follitropin alfa Injection (Gonal-F) £25.22 75 units (powdered vial) Pack of 1

Follitropin alfa Injection (Gonal-F) £94.00 300 units (in 0.5ml pre-filled pen) Pack of 1

Follitropin alfa Injection (Gonal-F) £141.00 450 units (in 0.75ml pre-filled pen) Pack of 1

Follitropin beta (Puregon) £18.03 50 i.u. vial Pack of 1

Follitropin beta (Puregon) £50.62 150 i.u.vial Pack of 1

22 January 2020 232/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Follitropin beta (Puregon) £97.41 300 i.u. cartridge Pack of 1

Menotrophin (Menopur) £168.30 75 unit powder and solvent for solution for injection vials Pack of 10

Menotrophin (Menopur) £327.60 150 unit powder and solvent for solution for injection vials Pack of 10

Menotrophin (Menopur) £131.04 600 unit powder and solvent for solution for injection vials Pack of 1

Menotrophin (Menopur) £262.08 1200 unit powder and solvent for solution for injection vials Pack of 1

Tetracosactide Injection (Synacthen) £190.00 0.25 mg amp Pack of 5

Tetracosactide Injection (Synacthen) £41.83 1 mg / 1ml Amp Depot Pack of 10

Pegvisomant Injection (Somavert) £1500.00 10 mg vial Pack of 30

Pegvisomant Injection (Somavert) £2250.00 15 mg vial Pack of 30

Pegvisomant Injection (Somavert) £3000.00 20 mg vial Pack of 30 6.5.2 - Endocrine system | Hypothalamic&Pituitary Hormones&Antioest | Posterior Pituitary Hormones&Antagonists

Current Status Drug Tariff

Desmopressin Acetate (DDAVP) £1.10 4 mcg / ml (1ml injection) Pack of 1

Desmopressin Acetate (DDAVP) £9.72 100 mcg / ml intranasal solution 2.5ml unit Pack of 1

Desmopressin Acetate (DDAVP) £44.12 100 mcg tab Pack of 90

Desmopressin Acetate (DDAVP) £88.23 200 mcg tab Pack of 90

Desmopressin Acetate (Desmomelt) £30.34 120 mcg tab Pack of 30

Desmopressin Acetate (Desmomelt) £60.68 240 mcg tab Pack of 30

Desmopressin Acetate (Desmotabs) £29.43 200 mcg tab Pack of 30

Desmopressin tablet £63.09 100 mcg tab Pack of 90

22 January 2020 233/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Desmopressin tablet £17.75 200 mcg tab Pack of 30

Desmopressin Nasal Spray (Desmospray) £25.02 10 mcg / spray (60 sprays / 6ml pack) Pack of 1

Tolvaptan (Samsca) £746.80 15 mg tab Pack of 10

Tolvaptan (Samsca) £746.80 30 mg tab Pack of 10

Desmopressin (Octim) £192.20 15 mcg / ml (1ml injection) Pack of 10

Desmopressin (Octim) £576.60 150 mcg / ml nasal spray Pack of 2

Desmopressin Nasal Spray £18.75 10 mcg / spray (60 sprays / 6ml pack) Pack of 1

Desmopressin Nasal Spray (Nocutil) £19.69 10 mcg / spray (50 sprays / 5ml unit) Pack of 1

Desmopressin Tablet (DDAVP Melt) £101.07 120 mcg tab (sublingual) Pack of 100 prescribe generically

Desmopressin (Noqdirna) £15.16 50 microgram oral lyophilisates Pack of 30 Currently under review. Do not prescribe in primary care.

6.6.1 - Endocrine system | Drugs Affecting Bone Metabolism | Calcitonin and Parathyroid Hormone

Current Status Drug Tariff

Calcitonin Injection (Miacalcic) £17.10 50 units/amp (1ml amp) Pack of 5

Calcitonin Injection (Miacalcic) £34.21 100 units/amp (1ml amp) Pack of 5

Calcitonin Injection (Miacalcic) £24.60 400 units/amp (2ml mdv) Pack of 1

Calcitonin Nasal Spray (Miacalcic) £16.79 200 units/spray (2ml unit = 14 sprays) Pack of 1

Teriparatide Injection (Forsteo) £271.88 250 mcg/ml (3ml prefilled pen) Pack of 1 Hospital only – not to be prescribed in primary care. Refer back to specialist.

6.6.2 - Endocrine system | Drugs Affecting Bone Metabolism | Biphosphonates and Other Drugs

Current Status Drug Tariff

22 January 2020 234/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Alendronic Acid / Alendronate £0.93 70 mg tab Pack of 4

Disodium Etidronate (Didronel) £19.48 200 mg tab Pack of 60 Pagets

Ibandronic acid (Bondronat) £183.69 50 mg tab Pack of 28

Ibandronic Acid £71.54 50 mg tab Pack of 28

Risedronate £155.28 30 mg tab Pack of 28 Pagets disease

Sodium clodronate (Loron) £114.44 520 mg Tab Pack of 60

Sodium Clodronate (Bonefos) £146.43 800 mg tab Pack of 60

Alendronic Acid / Alendronate £2.63 10 mg tab Pack of 28

Risedronate £18.88 5 mg tab Pack of 28

Risedronate £11.34 35 mg tab (Once Weekly) Pack of 4

Denosumab (Prolia) £183.00 60 mg / 1ml prefilled syringe Pack of 1 Shared care under development

Alendronic acid (Binosto) £22.80 70 mg effervescent tablets Pack of 4 Restricted to patients with swallowing difficulties who are unable to swallow any tablets at all. Note that each effervescent tablet needs to be dissolved in at least 120ml water and the dose followed by at least 30ml plain water.

Ibandronic acid (Bonviva) £18.40 150 mg tab Pack of 1 Please prescribe as Ibandronic Acid 150mg as this is more cost effective

Ibandronic Acid £8.95 150 mg tab Pack of 1

Strontium Ranelate (Protelos) £27.08 2 g / sachet Pack of 28 In light of the MHRA recommendation, regarding concerns around cardiovascular safety beyond the already recognised risk of venous thromboembolism, the Kent and Medway osteoporosis group have issued the following guidance For patients under osteoporosis specialists at present, and due to be seen within the next 3 months, stop treatment if there is concern and alternatives can be considered at the next visit. For others, consider using a bisphosphonate. If this is not possible then refer to your appropriate osteoporosis specialist for advice. It may be possible to advise by letter but it is recognised some will need to be seen in clinic. Ref:- MHRA Alert . Drug Safety Update April 2013 vol 6, issue 9:S1

22 January 2020 235/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Denosumab (XGEVA) £309.86 70 mg/mL 1.7mL Vial Pack of 1

Disodium Pamidronate injection (Aredia) £170.45 90 mg vial Pack of 1

Zoledronic Acid Infusion (Zometa) £195.00 4 mg / 5ml vial Pack of 1

Alendronic Acid / Alendronate £25.43 5 mg tab Pack of 28

Alendronic Acid / Alendronate (Fosamax Once Weekly) £22.80 70 mg tab Pack of 4

Alendronic acid / Colecalciferol (Fosavance) £22.80 70 mg / 70mcg tab Pack of 4

Alendronic Acid/Alendronate (Fosamax) £23.12 10 mg tab Pack of 28

Disodium Etidronate £33.04 200 mg tab Pack of 60

Disodium Etidronate (Didronel PMO) £19.89 400 mg tab (14) calcium(76) Pack of 90

Risedronate (Actonel) £17.99 5 mg tab Pack of 28

Risedronate (Actonel) £143.95 30 mg tab Pack of 28

Risedronate / Calcium Carbonate / Vit D (Actonel Combi) £19.12 35 mg / 1000mg / 880iu tablets / granules Pack of 4 Prescribe generic risedronate with calceos tablets

Risedronate Once Weekly (Actonel Once Weekly) £19.12 35 mg tab Pack of 4 6.7.1 - Endocrine system | Other Endocrine Drugs | Bromocriptine & Other Dopaminergic Drugs

Current Status Drug Tariff

Bromocriptine (Parlodel) £9.90 1 mg tab Pack of 100

Bromocriptine (Parlodel) £5.78 2.5 mg tab Pack of 30

Bromocriptine (Parlodel) £37.57 5 mg capsule Pack of 100

Bromocriptine (Parlodel) £69.50 10 mg capsule Pack of 100

Cabergoline (Dostinex) £30.04 0.5 mg Pack of 8

22 January 2020 236/403 Formulary Book [6: Endocrine system] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Bromocriptine £74.99 2.5 mg tab Pack of 30 prescribe by brand

6.7.2 - Endocrine system | Other Endocrine Drugs | Drugs affecting Gonadotrophins

Current Status Drug Tariff

Danazol £10.08 100 mg cap Pack of 28

Danazol £36.31 200 mg cap Pack of 56

Danazol (Danol) £16.38 100 mg cap Pack of 60

Danazol (Danol) £32.43 200 mg cap Pack of 60

Buserelin Injection (Suprecur) £13.02 1 mg / ml (5.5ml Vial) Pack of 1

Cetrorelix Injection (Cetrotide) £27.13 0.25 mg vial Pack of 1

Nafarelin Nasal Spray (Synarel) £30.41 200 mcg / spray (30 dose unit) Pack of 30

Nafarelin Nasal Spray (Synarel) £52.43 200 mcg / spray (60 dose unit) Pack of 60 6.7.3 - Endocrine system | Other Endocrine Drugs | Metyrapone And Trilostane

Current Status Drug Tariff

Metyrapone capsules (METOPIRONE) £363.66 250 mg cap Pack of 100 7.1.1 - Obstetrics, gynaecology, & urinary-tract disorders | Drugs Used In Obstetrics | Prostaglandins And Oxytocics

Current Status Drug Tariff

Carbetocin £1.00 1 Injection 100micrograms in 1ml Pack of 1

Carboprost (Hemabate) £1.00 250 micrograms per mL, 1mL amp Pack of 1

Dinoprostone £1.00 1 Pessary (Propess (r)) 10mg/24hr Pack of 1

Dinoprostone £1.00 1 Extra-amniotic solution 5mg in 0.5ml Pack of 1

Ergometrine / Oxytocin (Syntometrine) £7.87 500 micrograms/1ml solution for injection ampoules Pack of 5

22 January 2020 237/403 Formulary Book [7: Obstetrics, gynaecology, & urinary-tract NHS Canterbury And Coastal disorders] CCG Current Status Drug Tariff

Oxtocinon Injection (Syntocinon) £4.01 5 units / ml ampoule Pack of 5

Oxytocin £1.00 1 5 units in 1ml 10 units in 1ml Pack of 1

Mifepristone (Mifegyne) £1.00 250 micrograms per mL - 1mL amp Pack of 1 7.1.2 - Obstetrics, gynaecology, & urinary-tract disorders | Drugs Used In Obstetrics | Mifepristone

Current Status Drug Tariff

Mifepristone (Mifegyne) £1.00 200 mg tablets Pack of 3 7.1.3 - Obstetrics, gynaecology, & urinary-tract disorders | Drugs Used In Obstetrics | Myometrial relaxants

Current Status Drug Tariff

Atosiban (Tractocile) £1.00 7.5 mg/mL 0.9mL Vial Pack of 1 7.2.1 - Obstetrics, gynaecology, & urinary-tract disorders | Treatment Of Vaginal & Vulval Conditions | Preparations For Vaginal Atrophy

Current Status Drug Tariff

Estriol (Gynest) £4.67 0.01 % Cream with Applicator Pack of 80

Estriol (Ortho-Gynest) £4.73 500 mcg Pessary Pack of 15

Estriol Cream (Ovestin) £4.45 0.1 % intravaginal cream Pack of 15

Conjugated Oestrogens Cream (Premarin) £2.19 625 mcg / g (42.5g Unit & Applicator) Pack of 42

Estradiol Vaginal Tablets (Vagifem) £16.72 10 mcg disposable applicator Pack of 24

Estradiol Vaginal Tablets (Vagifem) £10.56 25 mcg disposable applicator Pack of 15

Estradiol Vaginal Ring (Estring) £31.42 2 mg Ring (7.5mcg / 24hrs) (insert 3 monthly) Pack of 1 7.2.2 - Obstetrics, gynaecology, & urinary-tract disorders | Treatment Of Vaginal & Vulval Conditions | Vaginal and Vulval Infections

Current Status Drug Tariff

Clotrimazole Vaginal ( ) £5.54 500 mg Pessary Pack of 1

Clotrimazole Vaginal (Canesten) £6.23 10 % Vaginal Cream with Applicator Single 5g Application Pack of 1

22 January 2020 238/403 Formulary Book [7: Obstetrics, gynaecology, & urinary-tract NHS Canterbury And Coastal disorders] CCG Current Status Drug Tariff

Clotrimazole Vaginal (Canesten) £3.85 100 mg Pessary with Applicator Pack of 6

Clotrimazole Vaginal (Canesten) £3.41 200 mg Pessary with Applicator Pack of 3

Clotrimazole Vaginal (Canesten) £5.73 500 mg with Cream (COMBI) Pack of 1

Clotrimazole Vaginal (Canesten) £2.00 500 mg Pessary with Applicator Pack of 1

Fluconazole 150mg capsules and Clotrimazole 2% (Canesten Oral & Cream Duo ) £8.26 150 mg/2% cap & cream Pack of 1

Metronidazole Vaginal Gel (Zidoval) £4.31 0.75 % Gel (40g with 5 applicators) Pack of 40

Miconazole (Gyno-Daktarin) £2.94 1.2 g ovule Pack of 1

Miconazole (Gyno-Daktarin) £4.05 2 % / 100mg combipack Pack of 14

Miconazole (Gyno-Daktarin) £4.33 2 % cream Pack of 78

Miconazole (Gyno-Daktarin) £3.00 100 mg pessaries Pack of 14 7.3.1 - Obstetrics, gynaecology, & urinary-tract disorders | Contraceptives | Combined Hormonal Contraceptives

Current Status Drug Tariff

Ethinylestradiol / Desogestrel (Gedarel) £5.08 20 mcg / 150mcg tab Pack of 63 equivalent to mercilon

Ethinylestradiol / Desogestrel (Gedarel) £4.19 30 mcg / 150mcg tab Pack of 63 equivalent to marvelon

Ethinylestradiol / Gestodene (Millinette) £5.41 20 mcg / 75mcg tab Pack of 63 equivalent to femodette

Ethinylestradiol / Gestodene (Millinette) £4.12 30 mcg / 75mcg tab Pack of 63 equivalent to femodene

Ethinylestradiol / Levonorgestrel (Rigevidon) £1.89 30 mcg / 150mcg tab Pack of 63 equivalent to microgynon and ovranette

22 January 2020 239/403 Formulary Book [7: Obstetrics, gynaecology, & urinary-tract NHS Canterbury And Coastal disorders] CCG Current Status Drug Tariff

Ethinylestradiol / Levonorgestrel (Triregol) £2.43 63 tab triphasic pack Pack of 63 equivalent to logynon

Ethinylestradiol / Desogestrel (Mercilon) £8.44 20 mcg / 150mcg tab Pack of 63

Ethinylestradiol / Gestodene (Femodette) £8.85 20 mcg / 75mcg tab Pack of 63

Ethinylestradiol / Gestodene (Katya 30/75) £5.03 30 mcg / 75mcg tab Pack of 63 equivalent to minulet

Ethinylestradiol / Gestodene (Minulet) £6.36 30 mcg / 75mcg tab Pack of 63

Ethinylestradiol / Gestodene (Sunya 20/75) £6.62 20 mcg / 75mcg tab Pack of 63 equivalent to femodette

Ethinylestradiol / Gestodene (Tri-minulet) £8.87 3 x 21 tablet Pack of 63

Ethinylestradiol / Levonorgestrel (Levest) £1.80 30 mcg / 150mcg tab Pack of 63

Ethinylestradiol / Levonorgestrel (Logynon) £3.82 63 tab triphasic pack Pack of 63

Ethinylestradiol / Levonorgestrel (Logynon ED) £4.00 84 tab triphasic pack Pack of 84

Ethinylestradiol / Levonorgestrel (Microgynon ED) £2.99 30 mcg / 150mcg tab Pack of 84

Ethinylestradiol / Levonorgestrel (Microgynon-30) £0.94 30 mcg / 150mcg tab Pack of 21

Ethinylestradiol / Levonorgestrel (Microgynon-30) £2.82 30 mcg / 150mcg tab Pack of 63

Ethinylestradiol / Levonorgestrel (Ovranette) £2.20 30 mcg / 150mcg tab Pack of 63

Ethinylestradiol / Levonorgestrel (Trinordiol) £4.04 63 tab triphasic pack Pack of 63

Ethinylestradiol / Norethisterone (BiNovum) £2.49 35 mcg / 0.5 or 1mg Pack of 63

Ethinylestradiol / Norethisterone (Brevinor) £1.99 35 mcg / 500mcg tab Pack of 63

Ethinylestradiol / Norethisterone (Loestrin 20) £2.70 20 mcg / 1mg Pack of 63

22 January 2020 240/403 Formulary Book [7: Obstetrics, gynaecology, & urinary-tract NHS Canterbury And Coastal disorders] CCG Current Status Drug Tariff

Ethinylestradiol / Norethisterone (Loestrin 30) £3.90 30 mcg / 1.5mg Pack of 63

Ethinylestradiol / Norethisterone (Norimin) £2.28 35 mcg/1mg tab Pack of 63

Ethinylestradiol / Norethisterone (Ovysmen) £1.89 35 mcg / 500mcg Pack of 63

Ethinylestradiol / Norethisterone (Synphase) £1.20 35 mcg / 0.5 or 1mg tab Pack of 21

Ethinylestradiol/Norgestimate (Cilique) £4.65 35 mcg / 250mcg Pack of 63

Eugynon £2.48 30 mcg / 250mcg tab Pack of 63

Gestodene / Ethinylestradiol (Femodene) £6.73 75 / 30 mcg Tab Pack of 63

Gestodene / Ethinylestradiol (Femodene ED) £7.10 75 / 30 mcg Tabs Pack of 84

Marvelon £7.10 30 mcg / 150 mcg tab Pack of 63

Mestranol / Norethisterone (Norinyl-1) £2.19 50 mcg / 1mg Tab Pack of 63

Trinovum £3.46 63 tab pack Pack of 63

Ethinylestradiol / Norelgestromin Patch (Evra Patch) £19.51 33.9 mcg/24 hours/ Norelgestromin 203mcg/24hours transdermal patches Pack of 9 restricted to women at substantial risk of poor compliance with oral COCs

Estradiol / Dienogest (Qlaira) £25.18 3 mg / 2mg tab Pack of 84

Estradiol 1.5mg / Nomegestrol 2.5mg tablets 84 tablet (Zoely) £19.80 2.5 tablets Pack of 84

Ethinylestradiol / Drospirenone Tablet (Yasmin) £14.70 30 mcg / 3mg Pack of 63

Ethinylestradiol / Gestodene (Triadene) £10.40 30 .40.30/50.70.100mcg tab Pack of 63 significantly more expensive than other triphasic preps(TriRegol,Logynon)

Ethinylestradiol/Norgestimate (Cilest) £7.16 35 mcg / 250mcg Pack of 63

Ethinylestradiol/Norgestimate (Cilest) £14.32 35 mcg / 250mcg Pack of 126 7.3.2.1 - Obstetrics, gynaecology, & urinary-tract disorders | Contraceptives | Oral Progestogen-only Contraceptives

22 January 2020 241/403 Formulary Book [7: Obstetrics, gynaecology, & urinary-tract NHS Canterbury And Coastal disorders] CCG Current Status Drug Tariff

Desogestrel (Cerelle) £3.50 75 mcg film-coated tab Pack of 84

Desogestrel (Nacrez) £3.50 75 mcg tab Pack of 84

Etynodiol diacetate Tab (Femulen) £3.31 500 mcg tab Pack of 84

Levonorgestrel (Norgeston) £0.92 30 mcg tab Pack of 35

Norethisterone (Micronor) £1.80 350 mcg Tab Pack of 84

Norethisterone (Noriday) £2.10 350 mcg Tab Pack of 84

Desogestrel £2.97 75 mcg tab Pack of 84 Prescribe as cerelle

Desogestrel (Aizea) £5.21 75 mcg FC tab Pack of 84

Desogestrel (Cerazette) £9.55 75 mcg tab Pack of 84

Desogestrel (Desorex) £2.99 75 mcg tab Pack of 84 7.3.2.2 - Obstetrics, gynaecology, & urinary-tract disorders | Contraceptives | Parenteral Progestogen-only Contracep

Current Status Drug Tariff

Etonogestrel Implant (Implanon) £79.46 68 mg / flexible rod Pack of 1 Where patients are attending KCHFT contraceptive clinic for supply of this item, the clinic will provide within tariff and the practice should NOT prescribe.

Etonorgestrel Rod (Nexplanon) £83.43 68 mg rod Pack of 1 Where patients are attending KCHFT contraceptive clinic for supply of this item, the clinic will provide within tariff and the practice should NOT prescribe.

Medroxyprogesterone (Depo-provera) £6.01 150 mg/1ml vial Pack of 1

Medroxyprogesterone (Depo-provera) £6.01 150 mg/1ml prefilled syringe Pack of 1

Medroxyprogesterone (Sayana Press) £6.90 104 mg/0.65 ml suspension Pack of 1

Norethisterone Oenanthate Injection (Noristerat) £4.05 200 mg Injection (1ml amp) Pack of 1 7.3.2.3 - Obstetrics, gynaecology, & urinary-tract disorders | Contraceptives | IUD Progestogen-only Device

22 January 2020 242/403 Formulary Book [7: Obstetrics, gynaecology, & urinary-tract NHS Canterbury And Coastal disorders] CCG Current Status Drug Tariff

Levonorgestrel IUD (Mirena Coil) £88.00 52 mg IUS (20mcg / 24hrs) Pack of 1

Ethinylestradiol / Etonogestrel IUD (NuvaRing) £29.70 15 mcg / 120mcg / 24 hours Pack of 3 7.3.4 - Obstetrics, gynaecology, & urinary-tract disorders | Contraceptives | Contraceptive Devices

Current Status Drug Tariff

IUCD (Nova T 380) £15.20 1 unit Pack of 1 7.3.5 - Obstetrics, gynaecology, & urinary-tract disorders | Contraceptives | Emergency contraception

Current Status Drug Tariff

Levonorgestrel (Upostelle) £3.75 1500 microgram tablets Pack of 1

Levonorgestrel (Levonelle) £5.20 1500 mcg tab Pack of 1

Ulipristal Acetate (EllaOne) £14.05 30 mg tab Pack of 1 EllaOne should be used for emergency contraception only. Do not confuse with Esmya (ulipristal 5mg) which is for treatment of uterine fibroids.

Levonorgestrel (Levonelle) £5.11 750 mcg tab Pack of 2

Levonorgestrel (Levonelle) £13.83 1500 mcg tab One-step Pack of 1 Prescribe generically. This is the retail pack and is significantly more expensive than the generic

7.4.1 - Obstetrics, gynaecology, & urinary-tract disorders | Drugs For Genito-Urinary Disorders | Drugs For Urinary Retention

Current Status Drug Tariff

Tamsulosin £3.87 400 mcg MR cap Pack of 30

Tamsulosin (Diffundox XL) £9.55 400 mcg MR cap Pack of 30

Tamsulosin (Pinexel) £2.50 400 mcg MR cap Pack of 30

Tamsulosin (Tabphyn MR) £4.39 400 mcg MR cap Pack of 30

Alfuzosin £1.67 2.5 mg tab Pack of 60

Alfuzosin (Xatral) £12.51 10 mg XL tab Pack of 30

22 January 2020 243/403 Formulary Book [7: Obstetrics, gynaecology, & urinary-tract NHS Canterbury And Coastal disorders] CCG Current Status Drug Tariff

Alfuzosin (Unspecified) £12.51 10 mg XL tabs Pack of 30

Solifenacin / Tamsulosin comb (Vesomni ) £27.62 6 mg/ 0.4mg tablets Pack of 30

Tamsulosin £10.47 400 mcg XL tab Pack of 30

Tamsulosin (Contiflo XL) £7.44 400 mcg MR cap Pack of 30

Tamsulosin (Galebon) £3.78 400 mcg MR cap Pack of 30

Alfuzosin (Xatral) £20.37 2.5 mg tab Pack of 60

Dapoxetine (Priligy) £19.12 60 mg tab Pack of 3

Distigmine Tablet (Ubretid) £41.22 5 mg tab Pack of 30

Indoramin (Doralese) £11.44 20 mg tab Pack of 60

Tamsulosin (Cositam XL) £8.89 400 mcg MR tab Pack of 30

Tamsulosin (Flomax Relief MR) £10.55 400 mcg MR cap Pack of 28

Tamsulosin (Flomaxtra XL) £10.47 400 mcg MR tab Pack of 30

Dutasteride / Tamsulosin Capsules (Combodart) £19.80 0.5 / 400 mcg cap Pack of 30 7.4.2 - Obstetrics, gynaecology, & urinary-tract disorders | Drugs For Genito-Urinary Disorders | Drugs/Urin'y Frequ'cy Enuresis & Incont

Current Status Drug Tariff

Propiverine (Detrunorm XL) £24.45 30 mg MR Caps Pack of 28

Tolterodine £1.68 1 mg tab Pack of 56

Tolterodine £1.68 2 mg tab Pack of 56

Tolterodine (Neditol XL) £11.60 2 mg MR caps Pack of 28 Change to Neditol

22 January 2020 244/403 Formulary Book [7: Obstetrics, gynaecology, & urinary-tract NHS Canterbury And Coastal disorders] CCG Current Status Drug Tariff

Tolterodine (Neditol XL) £12.89 4 mg MR caps Pack of 28 Change to Neditol

Trospium (Regurin XL) £23.05 60 mg tab Pack of 28

Fesoterodine Fumarate (Toviaz) £25.78 4 mg MR tab Pack of 28

Fesoterodine Fumarate (Toviaz) £25.78 8 mg MR tab Pack of 28

Oxybutynin £1.98 2.5 mg tab Pack of 56

Oxybutynin £17.55 3 mg tab Pack of 56

Oxybutynin £2.47 5 mg tab Pack of 56

Solifenacin (Vesicare) £27.62 5 mg tab Pack of 30 Recommended for 3rd line use in OAB.Refer to the Canterbury and Coastal CCG website for the guidelines on the pharmacological management of Overactive Bladder here: http://tinyurl.com/qx5oj52.

Solifenacin (Vesicare) £35.91 10 mg tab Pack of 30 Recommended for 3rd line use in OAB.Refer to the Canterbury and Coastal CCG website for the guidelines on the pharmacological management of Overactive Bladder here: http://tinyurl.com/qx5oj52.

Tolterodine £25.78 4 mg XL cap Pack of 28

Darifenacin Tablet (Emselex) £25.48 7.5 mg tab Pack of 28

Darifenacin Tablet (Emselex) £25.48 15 mg tab Pack of 28

mirabegron (Betmiga) £29.00 25 mg Pack of 30

mirabegron (Betmiga) £29.00 50 mg Pack of 30 For fourth line use in patients whom antimuscarinic drugs are contraindicated, clinically ineffective or have unacceptable side effects. Refer to the Canterbury and Coastal CCG website for guidelines for the pharmacological management of Overactive Bladder. http://www.canterburycoastalccg.nhs.uk/about-us/prescribing-advice/?categoryesctl7576148=9822

Oxybutynin (Kentera) £27.20 3.9 mg / 24hr patch Pack of 8

Propiverine (Detrunorm) £12.22 15 mg tab Pack of 28

Propiverine (Detrunorm) £18.00 15 mg tab Pack of 56

22 January 2020 245/403 Formulary Book [7: Obstetrics, gynaecology, & urinary-tract NHS Canterbury And Coastal disorders] CCG Current Status Drug Tariff

Trospium (Flotros) £18.20 20 mg tab Pack of 60

Trospium (Regurin) £26.00 20 mg tab Pack of 60

Flavoxate Tablet (Urispas) £11.67 200 mg tab Pack of 90 Not recommended for use

Oxybutynin (Cystrin) £9.15 3 mg tab Pack of 56

Oxybutynin (Cystrin) £21.99 5 mg tab Pack of 84

Oxybutynin (Ditropan) £1.60 2.5 mg Tab Pack of 84

Oxybutynin (Ditropan) £6.88 2.5 mg / 5ml Elixir Pack of 150

Oxybutynin (Ditropan) £2.90 5 mg Tab Pack of 84

Oxybutynin SR (Lyrinel XL) £13.77 5 mg SR tab Pack of 30

Oxybutynin SR (Lyrinel XL) £27.54 10 mg SR tab Pack of 30

Tolterodine (Detrusitol) £29.03 1 mg tab Pack of 56

Tolterodine (Detrusitol) £30.56 2 mg tab Pack of 56

Tolterodine (Detrusitol) £25.78 4 mg XL Cap Pack of 28 7.4.3 - Obstetrics, gynaecology, & urinary-tract disorders | Drugs For Genito-Urinary Disorders | Drugs Used In Urological Pain

Current Status Drug Tariff

Potassium Citrate / Citric Acid (Effercitrate ) £3.98 12 effervescent tab Pack of 12

Potassium Citrate Granules (Cystopurin) £3.72 3 g (pack of 6) Cranberry Pack of 6

Potassium Citrate Mixture £1.38 200 ml Pack of 200 7.4.5 - Obstetrics, gynaecology, & urinary-tract disorders | Drugs For Genito-Urinary Disorders | Drugs For Erectile Dysfunction

Current Status Drug Tariff

22 January 2020 246/403 Formulary Book [7: Obstetrics, gynaecology, & urinary-tract NHS Canterbury And Coastal disorders] CCG Current Status Drug Tariff

Sildenafil £0.87 25 mg tab Pack of 4

Sildenafil £0.97 50 mg tab Pack of 4

Sildenafil £1.05 100 mg tab Pack of 4

Alprostadil (Caverject) £21.58 40 mcg vial (refrigerated line) Pack of 1

Alprostadil Cream (Vitaros) £40.00 3 mg/g applicator Pack of 4 Primary care prescribing has been approved by EKPG. This should be under SLS criteria and only if PDE5 inhibitors are contraindicated, ineffective or not tolerated.

Alprostadil Injection (Caverject Dual Chamber) £14.70 10 mcg pack (powder and solvent) Pack of 2

Alprostadil Injection (Caverject Dual Chamber) £19.00 20 mcg pack (powder and solvent) Pack of 2

Alprostadil Injection (Viridal Duo) £16.55 10 mcg Continuation Pack Pack of 2

Alprostadil Injection (Viridal Duo) £21.39 20 mcg Continuation Pack Pack of 2

Alprostadil Injection (Viridal Duo) £27.22 40 mcg Continuation Pack Pack of 2

Alprostadil Transurethral System (MUSE) £10.38 125 mcg Unit Pack of 1

Alprostadil Transurethral System (MUSE) £11.30 250 mcg Unit Pack of 1

Alprostadil Transurethral System (MUSE) £11.30 500 mcg Unit Pack of 1

Alprostadil Transurethral System (MUSE) £11.56 1000 mcg Unit Pack of 1

Tadalafil £1.30 10 mg tablets Pack of 4

Tadalafil £1.97 20 mg tablets Pack of 4

Apomorphine (Uprima (discontinued)) £7.47 2 mg S/L tab Pack of 2 Discontinued

Apomorphine (Uprima (discontinued)) £7.47 3 mg S/L tab Pack of 2 Discontinued

22 January 2020 247/403 Formulary Book [7: Obstetrics, gynaecology, & urinary-tract NHS Canterbury And Coastal disorders] CCG Current Status Drug Tariff

Avanafil (Spedra) £10.94 50 mg tablets Pack of 4

Avanafil (Spedra) £19.70 50 mg tablets Pack of 8

Avanafil (Spedra) £14.08 100 mg tablets Pack of 4

Avanafil (Spedra) £26.26 100 mg tablets Pack of 8

Avanafil (Spedra) £21.90 200 mg tablets Pack of 4

Avanafil (Spedra) £39.40 200 mg tablets Pack of 8

Dapoxetine (Priligy) £14.71 30 mg tab Pack of 3 Dapoxetine is not routinely funded on the local NHS for the treatment of premature ejaculation. Practices are asked NOT to prescribe Dapoxetine for this indication.

Sildenafil (Viagra) £16.59 25 mg tab Pack of 4 Prescribe generically

Sildenafil (Viagra) £21.27 50 mg tab Pack of 4 Prescribe generically

Sildenafil (Viagra) £23.50 100 mg tab Pack of 4 Prescribe generically

Tadalafil £45.59 2.5 mg tablets Pack of 28

Tadalafil £7.55 5 mg tablets Pack of 28

Tadalafil (Adcirca) £491.22 20 mg tab Pack of 56

Tadalafil (Cialis) £54.99 2.5 mg tab Pack of 28

Tadalafil (Cialis) £54.99 5 mg tab Pack of 28 Not recommended for use in East Kent for the treatment of Benign prostatic hyperplasia

Tadalafil (Cialis) £28.88 10 mg tab Pack of 4

22 January 2020 248/403 Formulary Book [7: Obstetrics, gynaecology, & urinary-tract NHS Canterbury And Coastal disorders] CCG Current Status Drug Tariff

Tadalafil (Cialis) £28.88 20 mg tab Pack of 4

Vardenafil (Levitra) £8.32 5 mg tab Pack of 4

Vardenafil (Levitra) £14.78 10 mg tab Pack of 4

Vardenafil (Levitra) £19.67 10 mg orodisperible tab Pack of 4

Vardenafil (Levitra) £24.30 20 mg tab Pack of 4

Sildenafil Chewable (Nipatra) £1.05 25 mg chewable tab Pack of 4

Sildenafil Chewable (Nipatra) £1.03 50 mg chewable tab Pack of 4

Sildenafil Chewable (Nipatra) £1.11 100 mg chewable tab Pack of 4 8.1 - Malignant desease & immunosuppression | Cytotoxic Drugs | Drugs for Cytotoxic-Induced side-effects

Current Status Drug Tariff

Amifostine (Ethyol) £540.00 375 mg powder Pack of 375

Amifostine (Ethyol) £432.00 500 mg powder Pack of 500

Calcium Folinate £43.44 15 mg tab Pack of 10

Calcium Folinate Injection (Refolinon Injection) £23.12 30 mg / 10ml Pack of 5

Calcium Folinate Tablets (Refolinon Tablets) £85.74 15 mg tab Pack of 30 8.1.1 - Malignant desease & immunosuppression | Cytotoxic Drugs | Alkylating Drugs

Current Status Drug Tariff

Bendamustine (Levact) £1379.04 25 mg powder Pack of 20

Bendamustine (Levact) £1379.04 100 mg powder Pack of 5

Busulfan (Myleran) £65.22 2 mg tab Pack of 25

Chlorambucil (Leukeran) £40.51 2 mg tab Pack of 25

22 January 2020 249/403 Formulary Book [8: Malignant desease & immunosuppression] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Cyclophosphamide £17.91 1 g Vial powder for reconstitution Pack of 1

Cyclophosphamide £9.66 500 mg Vial powder for reconstitution Pack of 1

Cyclophosphamide Injection £28.78 500 mg / injection Pack of 10

Estramustine (Estracyt) £171.28 140 mg Cap Pack of 100 8.1.2 - Malignant desease & immunosuppression | Cytotoxic Drugs | Anthracyclines & Cytotoxic Antibiotics

Current Status Drug Tariff

Bleomycin £190.60 15000 unit powder Pack of 10

Doxorubicin Injection £93.60 50 mg Rapid Dissolution / vial Pack of 1 8.1.3 - Malignant desease & immunosuppression | Cytotoxic Drugs | Antimetabolites

Current Status Drug Tariff

Fluorouracil Cream (Efudix) £16.00 5 % cream (20g tube) Pack of 20

Mercaptopurine £49.15 50 mg tab Pack of 25 Shared care in place but ONLY for use in Inflammatory Bowel Disease. https://tinyurl.com/y9z7jpru

Methotrexate £1.00 10 mg / 5 ml mixture Pack of 1

Methotrexate Injection £8.42 5 mg / 2ml vial Pack of 5

Methotrexate Injection £44.57 1000 mg / 40ml vial Pack of 1

Methotrexate Injection £78.00 1000 mg / 10ml vial Pack of 1

Methotrexate Injection £200.57 5000 mg / 200ml vial Pack of 1

Methotrexate Injection £380.00 5000 mg / 50ml vial Pack of 1

Azacitidine (Vidaza) £321.00 100 mg powder Pack of 1

Capecitabine (Xeloda) £40.02 150 mg tab Pack of 60

22 January 2020 250/403 Formulary Book [8: Malignant desease & immunosuppression] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Capecitabine (Xeloda) £265.55 500 mg tab Pack of 120

Mercaptopurine (Puri-nethol) £54.27 50 mg tab Pack of 25 Shared care if for treatment of Inflammatory Bowel Disease. Prescribe after Secondary Care Initiation under shared care agreement. Shared care agreement available to view viahttp://bit.ly/Categ1

Mercaptopurine Solution £1.00 100 mg / 5 mL Suspension (Special) Pack of 1 Shared care if for treatment of Inflammatory Bowel Disease. Prescribe after Secondary Care Initiation under shared care agreement. Shared care agreement available to view via http://bit.ly/Categ1 8.1.5 - Malignant desease & immunosuppression | Cytotoxic Drugs | Other Antineoplastic Drugs

Current Status Drug Tariff

Aflibercept (Zaltrap) £295.65 100 mg/4ml solution for infusion vials Pack of 1

Aflibercept (Zaltrap) £591.30 200 mg/8ml solution for infusion vials Pack of 1

Amsacrine (Amsidine) £324.50 75 mg 1.5ml solution Pack of 75

Arsenic trioxide (Trisenox) £2920.00 10 mg ml solution Pack of 10

Axitinib (Inlyta) £703.40 1 mg tab Pack of 56

Axitinib (Inlyta) £3517.00 5 mg tab Pack of 56

Bevacizumab (Avastin) £242.66 100 mg/4ml Pack of 1

Bevacizumab (Avastin) £924.40 400 mg/16ml Pack of 1

Bexarotene (Targretin) £937.50 75 mg caps Pack of 100

Bortezomib (Velcade) £762.38 3.5 mg powder for solution Pack of 1

Bosutinib (Bosulif) £859.17 100 mg tabs Pack of 28

Bosutinib (Bosulif) £3436.67 500 mg tabs Pack of 28

Hydroxycarbamide [Hydroxyurea] (Hydrea) £10.47 500 mg cap Pack of 100 Shared care under development for use in sickle-cell disease

22 January 2020 251/403 Formulary Book [8: Malignant desease & immunosuppression] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Sunitinib Malate (Sutent) £784.70 12.5 mg cap Pack of 28

Sunitinib Malate (Sutent) £1569.40 25 mg cap Pack of 28

Sunitinib Malate (Sutent) £3138.80 50 mg cap Pack of 28 8.2.1 - Malignant desease & immunosuppression | Drugs Affecting The Immune Response | Antiproliferative Immunosuppressants

Current Status Drug Tariff

Azathioprine £1.85 25 mg tab Pack of 28

Azathioprine £2.59 50 mg tab Pack of 56

Azathioprine (Immunoprin) £32.24 50 mg tab Pack of 56

Azathioprine (Imuran) £10.99 25 mg tab Pack of 100

Azathioprine (Imuran) £7.99 50 mg tab Pack of 100

Mycophenolate £40.72 250 mg cap Pack of 100 Use post-transplant- BNF specifies not to change formulation of immunosuppressant’s except on the advice of a transplant specialistRenal patients under the care of EKHUFT- the renal unit will supply all medication required for immunosuppressant therapy Renal patient under centres other than EKHUFT and liver, heart, lung transplants – shared care agreement to be supplied by the centre

Mycophenolate £6.17 500 mg tab Pack of 50 Use post-transplant- BNF specifies not to change formulation of immunosuppressant’s except on the advice of a transplant specialistRenal patients under the care of EKHUFT- the renal unit will supply all medication required for immunosuppressant therapy Renal patient under centres other than EKHUFT and liver, heart, lung transplants – shared care agreement to be supplied by the centre

Mycophenolate (Cellcept) £82.26 250 mg cap Pack of 100 Use post-transplant- BNF specifies not to change formulation of immunosuppressant’s except on the advice of a transplant specialistRenal patients under the care of EKHUFT- the renal unit will supply all medication required for immunosuppressant therapy Renal patient under centres other than EKHUFT and liver, heart, lung transplants – shared care agreement to be supplied by the centre

Mycophenolate (Cellcept) £82.26 500 mg tab Pack of 50 Use post-transplant- BNF specifies not to change formulation of immunosuppressant’s except on the advice of a transplant specialistRenal patients under the care of EKHUFT- the renal unit will supply all medication required for immunosuppressant therapy Renal patient under centres other than EKHUFT and liver, heart, lung transplants – shared care agreement to be supplied by the centre

Mycophenolate (Myfenax) £78.15 250 mg tab Pack of 100 Use post-transplant- BNF specifies not to change formulation of immunosuppressant’s except on the advice of a transplant specialistRenal patients under the care of EKHUFT- the renal unit will supply all medication required for immunosuppressant therapy Renal patient under centres other than EKHUFT and liver, heart, lung transplants – shared care agreement to be supplied by the centre

22 January 2020 252/403 Formulary Book [8: Malignant desease & immunosuppression] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Mycophenolate (Myfenax) £78.15 500 mg tab Pack of 50 Use post-transplant- BNF specifies not to change formulation of immunosuppressant’s except on the advice of a transplant specialistRenal patients under the care of EKHUFT- the renal unit will supply all medication required for immunosuppressant therapy Renal patient under centres other than EKHUFT and liver, heart, lung transplants – shared care agreement to be supplied by the centre

Mycophenolic Acid Tablet (Myfortic) £96.72 180 mg tab (film coated) Pack of 120 Use post-transplant- BNF specifies not to change formulation of immunosuppressant’s except on the advice of a transplant specialistRenal patients under the care of EKHUFT- the renal unit will supply all medication required for immunosuppressant therapy Renal patient under centres other than EKHUFT and liver, heart, lung transplants – shared care agreement to be supplied by the centre

Mycophenolic Acid Tablet (Myfortic) £193.43 360 mg tab (film coated) Pack of 120 Use post-transplant- BNF specifies not to change formulation of immunosuppressant’s except on the advice of a transplant specialistRenal patients under the care of EKHUFT- the renal unit will supply all medication required for immunosuppressant therapy Renal patient under centres other than EKHUFT and liver, heart, lung transplants – shared care agreement to be supplied by the centre

Azathioprine (Imuran) £15.38 50 mg vial for injection Pack of 1

Mycophenolate (Cellcept) £115.16 1 g / 5ml Suspension Pack Size = 110g Pack of 110

Mycophenolate (Cellcept) £36.49 500 mg vial Pack of 4 8.2.2 - Malignant desease & immunosuppression | Drugs Affecting The Immune Response | Cortico'oids & Other Immunosuppressants

Current Status Drug Tariff

Cyclosporin Solution (Neoral Solution) £102.30 100 mg/ml Pack of 50 Precribe by brandHospital only for renal patients

Sirolimus (Rapamune) £86.49 1 mg Tab Pack of 30 Hospital only for renal patients

Sirolimus (Rapamune) £172.98 2 mg Tab Pack of 30 Hospital only for renal patients

Tacrolimus £61.88 0.5 mg cap Pack of 50 Precribe by brandHospital only for renal patients

Tacrolimus £80.28 1 mg cap Pack of 50 Precribe by brandHospital only for renal patients

Tacrolimus £296.58 5 mg cap Pack of 50 Precribe by brandHospital only for renal patients

22 January 2020 253/403 Formulary Book [8: Malignant desease & immunosuppression] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Tacrolimus (Adoport) £42.92 0.5 mgcaps Pack of 50 Precribe by brandHospital only for renal patients

Tacrolimus (Adoport) £55.69 1 mg caps Pack of 50 Precribe by brandHospital only for renal patients

Tacrolimus (Adoport) £205.74 5 mg caps Pack of 50 Precribe by brandHospital only for renal patients

Tacrolimus (Prograf) £37.13 0.5 mg cap Pack of 30 Precribe by brandHospital only for renal patients

Tacrolimus (Prograf) £80.28 1 mg cap Pack of 50 Precribe by brandHospital only for renal patients

Tacrolimus (Prograf) £177.95 5 mg cap Pack of 30 Precribe by brandHospital only for renal patients

Tacrolimus Granules (Modigraf) £71.30 0.2 mg sachet Pack of 50 Prescribe by brand only

Tacrolimus prolonged release (Advagraf) £35.79 0.5 mg caps Pack of 50 Prescribe by brand . Hospital only for renal patients

Tacrolimus prolonged release (Advagraf) £71.59 1 mg caps Pack of 50 Precribe by brandHospital only for renal patients

Tacrolimus prolonged release (Advagraf) £214.76 3 mg caps Pack of 50 Precribe by brandHospital only for renal patients

Tacrolimus prolonged release (Advagraf) £266.92 5 mg caps Pack of 50 Precribe by brandHospital only for renal patients

Basiliximab £1.00 10 mg vial - injection, powder for reconstitution Pack of 1

Basiliximab £1.00 20 mg vial - injection, powder for reconstitution Pack of 1

22 January 2020 254/403 Formulary Book [8: Malignant desease & immunosuppression] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Basiliximab (Simulect) £758.69 10 mg powder and solvent Pack of 1

Basiliximab (Simulect) £842.38 20 mg powder and solvent Pack of 1

Belatacept (Nulojix) £354.52 250 mg powder Pack of 1

Belatacept (Nulojix) £709.04 250 mg powder Pack of 2

Ciclosporin (Capimune) £13.05 25 mg caps Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribing.Please discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.If prescribing is required in primary care please prescribe by brand -local acute trust (EKHUFT) uses both Deximune and Neoral. Please check with patient/pharmacy which brand previously supplied.

Ciclosporin (Capimune) £25.50 50 mg caps Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribing.Please discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.If prescribing is required in primary care please prescribe by brand -local acute trust (EKHUFT) uses both Deximune and Neoral. Please check with patient/pharmacy which brand previously supplied.

Ciclosporin (Capimune) £48.50 100 mg caps Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribing.Please discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.If prescribing is required in primary care please prescribe by brand -local acute trust (EKHUFT) uses both Deximune and Neoral. Please check with patient/pharmacy which brand previously supplied.

Ciclosporin (Capsorin) £11.14 25 mg caps Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribing.Please discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.If prescribing is required in primary care please prescribe by brand -local acute trust (EKHUFT) uses both Deximune and Neoral. Please check with patient/pharmacy which brand previously supplied.

Ciclosporin (Capsorin) £25.65 50 mg caps Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribing.Please discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.If prescribing is required in primary care please prescribe by brand -local acute trust (EKHUFT) uses both Deximune and Neoral. Please check with patient/pharmacy which brand previously supplied.

22 January 2020 255/403 Formulary Book [8: Malignant desease & immunosuppression] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ciclosporin (Capsorin) £41.59 100 mg caps Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribing.Please discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.If prescribing is required in primary care please prescribe by brand -local acute trust (EKHUFT) uses both Deximune and Neoral. Please check with patient/pharmacy which brand previously supplied.

Ciclosporin (Deximune) £13.06 25 mg cap Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribingPlease discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.

Ciclosporin (Deximune) £25.60 50 mg cap Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribingPlease discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.

Ciclosporin (Deximune) £48.90 100 mg cap Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribingPlease discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.

Ciclosporin (Neoral) £18.25 10 mg cap Pack of 60 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribingPlease discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.

Ciclosporin (Neoral) £18.37 25 mg cap Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribingPlease discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.

Ciclosporin (Neoral) £35.97 50 mg cap Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribingPlease discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.

Ciclosporin (Neoral) £68.28 100 mg cap Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribingPlease discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.

22 January 2020 256/403 Formulary Book [8: Malignant desease & immunosuppression] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ciclosporin (Sandimmun) £29.58 25 mg cap Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribing.Please discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.If prescribing is required in primary care please prescribe by brand -local acute trust (EKHUFT) uses both Deximune and Neoral. Please check with patient/pharmacy which brand previously supplied.

Ciclosporin (Sandimmun) £23.23 50 mg / ml (1ml amp) Pack of 10

Ciclosporin (Sandimmun) £57.92 50 mg cap Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribing.Please discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.If prescribing is required in primary care please prescribe by brand -local acute trust (EKHUFT) uses both Deximune and Neoral. Please check with patient/pharmacy which brand previously supplied.

Ciclosporin (Sandimmun) £109.93 100 mg cap Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribing.Please discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.If prescribing is required in primary care please prescribe by brand -local acute trust (EKHUFT) uses both Deximune and Neoral. Please check with patient/pharmacy which brand previously supplied.

Ciclosporin (Sandimmun) £164.72 100 mg / ml oral solution Pack of 50

Ciclosporin (Unspecified) £9.24 10 mg cap Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribing.Please discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.If prescribing is required in primary care please prescribe by brand -local acute trust (EKHUFT) uses both Deximune and Neoral. Please check with patient/pharmacy which brand previously supplied.

Ciclosporin (Unspecified) £18.59 25 mg cap Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribing.Please discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.If prescribing is required in primary care please prescribe by brand -local acute trust (EKHUFT) uses both Deximune and Neoral. Please check with patient/pharmacy which brand previously supplied.

Ciclosporin (Unspecified) £36.41 50 mg cap Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribing.Please discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.If prescribing is required in primary care please prescribe by brand -local acute trust (EKHUFT) uses both Deximune and Neoral. Please check with patient/pharmacy which brand previously supplied.

22 January 2020 257/403 Formulary Book [8: Malignant desease & immunosuppression] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ciclosporin (Unspecified) £69.11 100 mg cap Pack of 30 This is rarely prescribed in primary care.Please check information from any acute as this may be notifying practices that the acute trust is providing and not requesting the practice to consider prescribing.Please discuss with your prescribing support technician to see if these patients can be repatriated to tertiary centres. Rheumatology and dermatology patients from East Kent services. Once Tier 2 services are in place, prescribing of ciclosporin will be taken back by Tier 2 providers.In the interim, check arrangements for shared care are clearly documented and monitoring requirements have been completed.If prescribing is required in primary care please prescribe by brand -local acute trust (EKHUFT) uses both Deximune and Neoral. Please check with patient/pharmacy which brand previously supplied.

Lenalidomide £1.00 5 mg capsules Pack of 1

Lenalidomide £1.00 10 mg capsules Pack of 1

Lenalidomide £1.00 15 mg capsules Pack of 1

Lenalidomide £1.00 25 mg capsules Pack of 1

Sirolimus solution (Rapamune) £162.41 1 mg / 1ml Pack of 60

Tacrolimus £1.00 5 mg / 1 mL Concentrate for i/v infusion Pack of 1

Tacrolimus (Prograf) £584.51 5 mg / ml amp Pack of 10

Thalidomide £1.00 50 mg capsules Pack of 1 8.2.3 - Malignant desease & immunosuppression | Drugs Affecting The Immune Response | Anti-lymphocyte monoclonal antibodies

Current Status Drug Tariff

Tacrolimus Granules (Modigraf) £356.65 1 mg sachet Pack of 50 Prescribe by brand only

8.2.4 - Malignant desease & immunosuppression | Drugs Affecting The Immune Response | Other Immunomodulating Drugs

Current Status Drug Tariff

Aldesleukin (Proleukin) £112.00 18 million unit injection vial Pack of 18000000

Alemtuzumab £1.00 30 mg / 1 mL concentrate for i/v infusion Pack of 1

Bacillus calmette-guerin (OncoTICE) £71.61 12.5 mg powder Pack of 1

Bacillus Calmette-Guérin (ImmuCyst®) £118.73 81 mg vial Bladder Instillation Pack of 1

22 January 2020 258/403 Formulary Book [8: Malignant desease & immunosuppression] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Canakinumab (Ilaris) £9927.80 150 mg powder Pack of 1

DIMETHYL FUMARATE (Tecfidera) £343.00 120 mg Capsules Pack of 14 Tecfidera is reimbursed separately from NHS England tariff (PbR excluded. It should be supplied by the acute trust and is NOT suitable for primary care prescribing. Refer back to specialist for supply.

DIMETHYL FUMARATE (Tecfidera) £1373.00 240 mg capsules Pack of 56 Tecfidera is reimbursed separately from NHS England tariff (PbR excluded. It should be supplied by the acute trust and is NOT suitable for primary care prescribing. Refer back to specialist for supply.

Fingolimod (Gilenya) £367.50 500 microgram capsules Pack of 7

Fingolimod (Gilenya) £1470.00 500 microgram capsules Pack of 28

Glatiramer acetate £1.00 20 mg / 1 mL injection Pack of 1

Glatiramer Acetate Injection (Copaxone Injection) £513.95 20 mg / 1ml prefilled syringe Pack of 28

Interferon alfa-2a (Roferon-A) £14.20 3 million unit prefilled syringe Pack of 1

Interferon alfa-2a (Roferon-A) £85.15 18 million unit Cartridge Pack of 1

Interferon alfa-2a (Roferon-A) £1.00 6 million unit prefilled syringe Pack of 1

Interferon alfa-2a (Roferon-A) £1.00 9 million unit prefilled syringe Pack of 1

Interferon alfa-2a (Roferon-A) £1.00 18 million unit prefilled syringe Pack of 1

Interferon alfa-2b (Intron-A) £41.55 10 million units vial powder for reconstitution Pack of 1

Interferon alfa-2b (Intron-A) £1.00 15 million units / mL, 1.5 mL cartridge Pack of 1

Interferon alfa-2b (Intron-A) £1.00 25 million units / mL, 1.5 mL cartridge Pack of 1

Interferon alfa-2b (Intron-A) £1.00 50 million units / mL, 1.5 mL cartridge Pack of 1

Interferon beta - 1a (Avonex®) £1.00 30 micrograms prefilled syringe (6million units) Pack of 1

Interferon beta - 1a (Rebif®) £1.00 22 micrograms prefilled syringe (6 million units) Pack of 1

22 January 2020 259/403 Formulary Book [8: Malignant desease & immunosuppression] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Interferon beta - 1a (Rebif®) £1.00 44 micrograms prefilled syringe (12 million units) Pack of 1

Interferon beta - 1b (Betaferon®) £1.00 300 micrograms vial injection (9.6 million units) Pack of 1

Natilizumab £1.00 20 mg / 1 mL concentrate for i/v infusion Pack of 1

Peginterferon alfa - 2a (Pegasys®) £107.76 135 microgram prefilled syringe Pack of 1

Peginterferon alfa - 2a (Pegasys®) £1.00 180 microgram prefilled syringe Pack of 1

Teriflunomide (Aubagio) £1037.84 14 mg Tablet Pack of 28 Do not prescribe. Supply of Teriflunomide is the responsibility of NHS England and acute trusts should organise supply (usually through a homecare company).

Pomalidomide (Imnovid) £8884.00 1 mg capsules Pack of 21 Pomalidomide is expected to be teratogenic if taken during pregnancy. It is contraindicated for use in pregnancy and in women of childbearing potential unless all conditions of the Pomalidomide pregnancy prevention programme are met. Guidance here: https://www.gov.uk/drug-safety-update/oral-retinoids -pregnancy-prevention-reminder-of-measures-to-minimise-teratogenic-risk

Pomalidomide (Imnovid) £8884.00 2 mg capsules Pack of 21 Pomalidomide is expected to be teratogenic if taken during pregnancy. It is contraindicated for use in pregnancy and in women of childbearing potential unless all conditions of the Pomalidomide pregnancy prevention programme are met. Guidance here: https://www.gov.uk/drug-safety-update/oral-retinoids -pregnancy-prevention-reminder-of-measures-to-minimise-teratogenic-risk

Pomalidomide (Imnovid) £8884.00 3 mg capsules Pack of 21 Palidomide is expected to be teratogenic if taken during pregnancy. It is contraindicated for use in pregnancy and in women of childbearing potential unless all conditions of the Pomalidomide pregnancy prevention programme are met. Guidance: https://www.gov.uk/drug-safety-update/oral-retinoids-pregnancy- prevention-reminder-of-measures-to-minimise-teratogenic-risk

Pomalidomide (Imnovid) £8884.00 4 mg capsules Pack of 21 Palidomide is expected to be teratogenic if taken during pregnancy. It is contraindicated for use in pregnancy and in women of childbearing potential unless all conditions of the Pomalidomide pregnancy prevention programme are met. Guidance: https://www.gov.uk/drug-safety-update/oral-retinoids-pregnancy- prevention-reminder-of-measures-to-minimise-teratogenic-risk 8.3.4.1 - Malignant desease & immunosuppression | Sex Hormones & Antag In Malig Disease | Breast Cancer

Current Status Drug Tariff

Anastrozole £1.78 1 mg tab Pack of 28

Exemestane £7.10 25 mg tab Pack of 30

Exemestane (Aromasin) £88.80 25 mg tab Pack of 30

Letrozole £1.16 2.5 mg tab Pack of 14

22 January 2020 260/403 Formulary Book [8: Malignant desease & immunosuppression] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Tamoxifen £38.17 10 mg tab Pack of 30

Tamoxifen £31.50 10 mg / 5ml (150ml Unit) Pack of 150

Tamoxifen £4.49 20 mg tab Pack of 30

Tamoxifen £63.94 40 mg tab Pack of 30

Toremifene (Fareston) £29.08 60 mg tab Pack of 30

Fulvestrant Injection (Faslodex) £348.27 250 mg / 5ml injection Pack of 1

Anastrozole (Arimidex) £68.56 1 mg Tab Pack of 28 prescribe generically

Anastrozole (Nastrosa) £1.76 1 mg tab Pack of 28 prescribe by brand

Letrozole (Femara) £84.86 2.5 mg tab Pack of 28 prescribe generically

Tamoxifen (Nolvadex-D) £1.90 20 mg tab Pack of 30 prescribe by brand

8.3.4.2 - Malignant desease & immunosuppression | Sex Hormones & Antag In Malig Disease | Prostate Cancer & Gonadorelin Analogues

Current Status Drug Tariff

Degarelix (Firmagon) £129.37 80 mg powder and solvent for solution for injection vials Pack of 1 Specialist initiation only. Maintenance prescribing may be continued in primary care following initiation and administration of the starting dose in secondary care.

Goserelin Implant (Zoladex Safe System) £70.00 3.6 mg depot injection Pack of 1

Goserelin Implant (Zoladex Safe System) £235.00 10.8 mg depot injection Pack of 1

Leuprorelin Injection (Prostap 3) £225.72 11.25 mg dual chamber syringe (DCS) Pack of 1

Leuprorelin Injection (Prostap SR) £75.24 3.75 mg dual chamber syringe (DCS) Pack of 1

22 January 2020 261/403 Formulary Book [8: Malignant desease & immunosuppression] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Triptorelin (Decapeptyl) £69.00 3 mg SR vial Pack of 1

Triptorelin (Decapeptyl) £207.00 11.25 mg SR vial Pack of 1

Triptorelin (Decapeptyl) £414.00 22.5 mg SR vial Pack of 1

Triptorelin Injection (Gonapeptyl Depot) £81.69 3.75 mg unit (pre-filled syringe) Pack of 1

Bicalutamide £4.42 50 mg tab Pack of 28

Bicalutamide £5.93 150 mg tab Pack of 28

Cyproterone Acetate £30.27 50 mg tab Pack of 56

Cyproterone Acetate £57.64 100 mg tab Pack of 84

Flutamide £106.23 250 mg tab Pack of 84

Abiraterone (Zytiga) £2930.00 250 mg tab Pack of 120

Buserelin Nasal Spray (Suprecur) £87.63 150 mcg / spray (100 dose unit) Pack of 2

Buserelin Nasal Spray (Suprefact) £101.87 100 mcg / spray (100 dose unit) Pack of 4

Degarelix (Firmagon) £260.00 120 mg powder and solvent for solution for injection vials Pack of 1 Degarelix for the treatment of advanced hormone-dependent prostate cancer should be initiated by a specialist who will prescribe the initial supply. The first dose of 240mg will be administered in Secondary care. Subsequent monthly SC injections of 80mg will be arranged by the GP and given in primary care. The responsibility for stopping treatment due to lack of effect or side effects remains with the specialist

Enzalutamide (Xtandi) £2734.67 40 mg capsules Pack of 112

Bicalutamide (Casodex) £119.79 50 mg tab Pack of 28

Bicalutamide (Casodex) £240.00 150 mg tab Pack of 28

Cyproterone Acetate (Androcur / Cyprostat) £73.23 100 mg tab Pack of 84 8.3.4.3 - Malignant desease & immunosuppression | Sex Hormones & Antag In Malig Disease | Somatostatin Analogues

Current Status Drug Tariff

22 January 2020 262/403 Formulary Book [8: Malignant desease & immunosuppression] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Lanreotide Injection (Somatuline Autogel) £551.00 60 mg prefilled syringe Pack of 1 Hospital usage only.

Lanreotide Injection (Somatuline Autogel) £736.00 90 mg prefilled syringe Pack of 1 Hospital usage only.

Lanreotide Injection (Somatuline Autogel) £937.00 120 mg prefilled syringe Pack of 1 Hospital usage only.

Lanreotide Injection (Somatuline LA) £323.00 30 mg vial Pack of 1 Hospital usage only.

Octreotide Injection (Sandostatin) £55.73 1 mg / 5ml Injection Pack of 1 Hospital usage only.

Octreotide Injection (Sandostatin) £14.87 50 mcg / 1ml Injection Pack of 5 Hospital usage only.

Octreotide Injection (Sandostatin) £27.97 100 mcg / 1ml Injection Pack of 5 Hospital usage only.

Octreotide Injection (Sandostatin) £135.47 500 mcg / 1ml Injection Pack of 5 Hospital usage only.

Octreotide Injection (Sandostatin LAR) £549.71 10 mg Vial Pack of 1 Hospital usage only.

Octreotide Injection (Sandostatin LAR) £799.33 20 mg Vial Pack of 1 Hospital usage only.

Octreotide Injection (Sandostatin LAR) £998.41 30 mg Vial Pack of 1 Hospital usage only.

9.1.1.1 - Nutrition & blood | Anaemias + Other Blood Disorders | Oral Iron

Current Status Drug Tariff

Ferrous Fumarate £3.50 210 mg tab Pack of 84

22 January 2020 263/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ferrous Fumarate (Fersamal) £1.44 210 mg tab Pack of 100

Ferric maltol (iron 30mg) (Feraccru) £47.60 30 mg capsules Pack of 56 Recommended for use in east Kent for Iron Deficiency Anaemia (IDA) in adults with Inflammatory Bowel Disease (IBD)Where indicated EKHUFT will arrange for initial 3 month supply. Further supplies can be made from primary care. See attached guidance here https://tinyurl.com/y2efayjkUpdated September 2018.

Ferrous Fumarate (Fersaday) £0.95 322 mg tab Pack of 28

Ferrous Fumarate (Fersamal) £3.73 140 mg / 5ml syrup Pack of 200

Ferrous Fumarate (Galfer) £5.33 140 mg / 5ml syrup Pack of 300

Ferrous Fumarate (Galfer) £2.33 305 mg cap Pack of 100

Ferrous Fumarate / Folic Acid (Pregaday) £1.25 322 mg (100mg iron) / 350mcg tab Pack of 28

Ferrous Gluconate £1.01 300 mg tab Pack of 28

Ferrous Glycine Sulphate Syrup (Plesmet) £0.59 141 mg (25 mg iron) / 5ml (100ml Unit) Pack of 100

Ferrous Sulphate £1.26 200 mg tab Pack of 28

Ferrous Sulphate (Ferrograd) £2.58 325 mg MR tab (filmtabs) Pack of 30

Sodium Feredetate Elixir (Sytron) £14.95 19.5 mg / 5ml (500ml unit) Pack of 500

Spatone Iron-Plus £4.61 20 ml sachet Pack of 14 Do not prescribe not assessed, not recommended

9.1.1.2 - Nutrition & blood | Anaemias + Other Blood Disorders | Parenteral Iron

Current Status Drug Tariff

Iron dextran (CosmoFer®) £7.97 100 mg in 2mL Pack of 1 9.1.2 - Nutrition & blood | Anaemias + Other Blood Disorders | Drugs used in Megaloblastic Anaemias

Current Status Drug Tariff

Folic acid £0.96 5 mg tab Pack of 28

22 January 2020 264/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Cyanocobalamin (Cytacon) £8.99 50 mcg tab Pack of 50

Folic acid £9.16 2.5 mg/5ml SF suspension Pack of 150

Folic acid £3.52 400 mcg tab Pack of 90

Folic Acid Solution (Lexpec) £9.16 2.5 mg/5ml SF Pack of 150

Hydroxocobalamin Injection £8.70 1 mg / 1ml amp Pack of 5

Cyanocobalamin (HealthAid) £7.81 1000 mcgm Vitamin B12 M/R tablets Pack of 100 Do not prescribe - this is a health food supplement, not a licensed medicine and high cost specials may be supplied. Available to purchase OTC.

9.1.3 - Nutrition & blood | Anaemias + Other Blood Disorders | Hypoplastic/Haemolytic & Renal Anaemias

Current Status Drug Tariff

Darbepoetin alfa (Aranesp) £58.72 10 mcg / 0.4ml Pack of 4

Darbepoetin alfa (Aranesp) £88.09 15 mcg / 0.375ml Pack of 4

Darbepoetin alfa (Aranesp) £117.45 20 mcg / 0.5ml Pack of 4

Darbepoetin alfa (Aranesp) £176.17 30 mcg / 0.3ml Pack of 4

Darbepoetin alfa (Aranesp) £234.90 40 mcg / 0.4ml Pack of 4

Darbepoetin alfa (Aranesp) £293.62 50 mcg / 0.5ml Pack of 4

Darbepoetin alfa (Aranesp) £352.35 60 mcg / 0.3ml Pack of 4

Darbepoetin alfa (Aranesp) £469.79 80 mcg / 0.4ml Pack of 4

Darbepoetin alfa (Aranesp) £587.24 100 mcg / 0.5ml Pack of 4

Darbepoetin alfa (Aranesp) £880.86 150 mcg / 0.3ml Pack of 4

Darbepoetin alfa (Aranesp) £440.43 300 mcg / 0.6ml Pack of 1

22 January 2020 265/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Deferasirox (Exjade) £117.60 125 mg dispersible tablets Pack of 28 Exjade is reimbursed separately from NHS England tariff (PbR excluded. It should be supplied by the acute trust and is NOT suitable for primary care prescribing. Refer back to specialist for supply

Deferasirox (Exjade) £235.20 250 mg dispersible tablets Pack of 28 Exjade is reimbursed separately from NHS England tariff (PbR excluded. It should be supplied by the acute trust and is NOT suitable for primary care prescribing. Refer back to specialist for supply

Deferasirox (Exjade) £470.40 500 mg dispersible tablets Pack of 28 Exjade is reimbursed separately from NHS England tariff (PbR excluded. It should be supplied by the acute trust and is NOT suitable for primary care prescribing. Refer back to specialist for supply

Deferiprone (Ferriprox) £152.39 500 mg tablets Pack of 100 DO NOT PRESCRIBE-SPC notes: Therapy should be initiated and maintained by a physician experienced in the treatment of patients with Thalassaemia so practices should not be prescribing. EMC guide: http://tinyurl.com/hrmxyf9

Epoetin alfa (Eprex) £33.18 1000 i.u. syringe Pack of 6

Epoetin alfa (Eprex) £66.37 2000 i.u. syringe Pack of 6

Epoetin alfa (Eprex) £99.55 3000 i.u. syringe Pack of 6

Epoetin alfa (Eprex) £132.74 4000 i.u. syringe Pack of 6

Epoetin alfa (Eprex) £165.92 5000 i.u. syringe Pack of 6

Epoetin alfa (Eprex) £199.11 6000 i.u. syringe Pack of 6

Epoetin alfa (Eprex) £265.48 8000 i.u. syringe Pack of 6

Epoetin alfa (Eprex) £331.85 10000 i.u. syringe Pack of 6

Epoetin Beta (NeoRecormon) £42.08 1000 units/prefilled syringe (deleted 8/11) Pack of 6

Epoetin Beta (NeoRecormon) £84.17 2000 units/prefilled syringe Pack of 6

Epoetin Beta (NeoRecormon) £126.25 3000 units/prefilled syringe Pack of 6

Epoetin Beta (NeoRecormon) £168.34 4000 units/prefilled syringe Pack of 6

Epoetin Beta (NeoRecormon) £210.42 5000 units/prefilled syringe Pack of 6

22 January 2020 266/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Epoetin Beta (NeoRecormon) £252.50 6000 units/prefilled syringe Pack of 6

Epoetin Beta (NeoRecormon) £420.85 10000 units/prefilled syringe Pack of 6

Epoetin Beta (NeoRecormon) £841.71 20000 units/prefilled syringe Pack of 6

Epoetin Beta (NeoRecormon) £841.71 30000 units/prefilled syringe Pack of 4

Hydroxycarbamide (Siklos) £500.00 1000 mg tab Pack of 30 Shared care under development for use in sickle-cell disease

Mircera (Methoxy) £44.05 30 micrograms/0.3 ml solution for PFS Pack of 1 SPECIALIST DRUG. NOT suitable for primary care prescribing. Refer back to specialist for supply

Mircera (Methoxy) £73.41 50 micrograms/0.3 ml solution for PFS Pack of 1 SPECIALIST DRUG. NOT suitable for primary care prescribing. Refer back to specialist for supply

Mircera (Methoxy) £110.11 75 micrograms/0.3 ml solution for PFS Pack of 1 SPECIALIST DRUG. NOT suitable for primary care prescribing. Refer back to specialist for supply.

Mircera (Methoxy) £146.81 100 micrograms/0.3 ml solution fro PFS Pack of 1 SPECIALIST DRUG. NOT suitable for primary care prescribing. Refer back to specialist for supply.

Mircera (Methoxy) £176.18 120 micrograms/0.3 ml solution for PFS Pack of 1 SPECIALIST DRUG. NOT suitable for primary care prescribing. Refer back to specialist for supply.

Mircera (Methoxy) £220.22 150 micrograms/0.3 ml solution for PFS Pack of 1 SPECIALIST DRUG. NOT suitable for primary care prescribing. Refer back to specialist for supply.

Mircera (Methoxy) £293.62 200 micrograms/0.3 ml solution for PFS Pack of 1 SPECIALIST DRUG. NOT suitable for primary care prescribing. Refer back to specialist for supply.

Mircera (Methoxy) £367.03 250 micrograms/0.3 ml solution for PFS Pack of 1 SPECIALIST DRUG. NOT suitable for primary care prescribing. Refer back to specialist for supply.

22 January 2020 267/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Mircera (Methoxy) £528.56 360 micrograms/0.6 ml solution for PFS Pack of 1 SPECIALIST DRUG. NOT suitable for primary care prescribing. Refer back to specialist for supply.

9.1.4 - Nutrition & blood | Anaemias + Other Blood Disorders | Drugs used in Platelet Disorders

Current Status Drug Tariff

Anagrelide Capsule (Xagrid) £404.57 0.5 mg cap Pack of 100

Eltrombopag (Revolade) £770.00 25 mg tablets Pack of 28 Specialist prescribing only. Not suitable for prescribing in primary care. Supply is 'Payment by Result' (PbR) excluded

Eltrombopag (Revolade) £1540.00 50 mg tablets Pack of 28 Specialist prescribing only. Not suitable for prescribing in primary care. Supply is 'Payment by Result' (PbR) excluded

9.1.6 - Nutrition & blood | Anaemias + Other Blood Disorders | Drugs used in Neutropenia

Current Status Drug Tariff

Filgrastim (Neupogen) £263.52 300 mcg/1ml solution for injection vials Pack of 5

Filgrastim (Neupogen Singleject) £263.52 300 mcg/0.5ml solution for injection pre-filled syringes Pack of 5

Filgrastim (Neupogen Singleject) £420.29 480 mcg/0.5ml solution for injection pre-filled syringes Pack of 5

Filgrastim (Nivestim) £180.00 120 mcg/0.2ml solution for injection pre-filled syringes Pack of 5

Filgrastim (Nivestim) £290.00 300 mcg/0.5ml solution for injection pre-filled syringes Pack of 5

Filgrastim (Nivestim) £465.00 480 mcg/0.5ml solution for injection pre-filled syringes Pack of 5

Filgrastim (Zarzio) £250.75 300 mcg/0.5ml solution for injection pre-filled syringes Pack of 5

Filgrastim (Zarzio) £399.50 480 mcg/0.5ml solution for injection pre-filled syringes Pack of 5

Filigrastim (Zarzio) £250.75 30 million unit/0.5 ml Pack of 5

Lenograstim (Granocyte) £40.11 13.4 million unit Pack of 1

Lenograstim (Granocyte) £200.55 13.4 million unit Pack of 5

22 January 2020 268/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pegfilgrastim (Neulasta) £714.24 6 mg sure click pre-filled pen Pack of 1

Pegfilgrastim (Neulasta) £686.38 6 mg / 0.6ml syringe Pack of 1

Pegfilgrastim (Neulasta) £686.38 6 mg/0.6ml solution for injection pre-filled syringes Pack of 1 9.2.1.2 - Nutrition & blood | Fluids And Electrolytes | Oral Sodium And Water

Current Status Drug Tariff

Rehydration Salt Sachet (Rapolyte) £4.28 4 g sachet (blackcurrant) Pack of 20

Rehydration Salt Sachet (Rapolyte) £4.28 4 g sachet (unspecified) Pack of 20

Rehydration Salt Sachet (Rapolyte) £4.28 4 g sachet (raspberry) Pack of 20

Rehydration Salt Sachet (Dioralyte) £6.72 4 g sachet (blackcurrant) 20 units Pack of 20 rapolyte and electrolade are more cost effective options

Rehydration Salt Sachet (Dioralyte) £6.72 4 g sachet (natural) 20 units Pack of 20 rapolyte and electrolade are more cost effective options

Rehydration Salt Sachet (Dioralyte Relief) £2.50 6 g sachet (unspecified) 6 units Pack of 6

Rehydration Salt Sachet (Dioralyte Relief) £2.50 6 g sachet (raspberry) 6 units Pack of 6

Rehydration Salt Sachet (Dioralyte Relief) £2.50 6 g sachet (blackcurrant) 6 units Pack of 6

Rehydration Salt Sachet (Electrolade) £4.99 4 g sachet unspecified Pack of 20 9.2.2.1 - Nutrition & blood | Fluids And Electrolytes | Electrolytes and Water

Current Status Drug Tariff

Urine Ketones Testing Strips (GlucoRx KetoRx) £2.25 1 Sticks 2GK testing strips Pack of 50 9.4.1 - Nutrition & blood | Oral Nutrition | Foods For Special Diets

Current Status Drug Tariff

Fortijuce (Bottle) £1.85 200 ml Bottle unspecified Pack of 1 Following dietetic recommendation or in line with MUST

22 January 2020 269/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Hypoallergenic Formula (Nutramigen Lipil 1) £10.99 400 g unit Pack of 400 First line and preferred Extensively Hydrolysed Formula [EHF] for Cow's milk protein allergy [CMPA] and lactose free. However, see below before initiating. (1) Suitable from birth to 6 months. (2) Prescribe only 1-2 tins until compliance/tolerance is established. (3) Review when (i) prescribed for more than 1 year AND where greater than expected amounts of formula are being prescribed (ii) where child is over 6 months old. Please see MAP guidelines for further information http://cowsmilkallergyguidelines.co.uk/the-map-guideline/ (4) Guide to quantities of formula (all ages) to prescribe (but may vary see web link). (i) 6 to 12 months: between 7 and 13 x 400g tins or between 3 and 6 x 900g tins. (ii) Over 12 months 7 x 400g tins or 3 x 900g tins

Speciality Infant Formula (Nutramigen Lipil 2) £10.99 400 g unit Pack of 400 First line and preferred Extensively Hydrolysed Formula [EHF] for Cow's milk protein allergy [CMPA] and lactose free. However, see below before initiating. (1) Suitable from 6 months to two years. (2) Prescribe only 1-2 tins until compliance/tolerance is established. (3) Review when(i) prescribed for more than 1 year AND where greater than expected amounts of formula are being prescribed (ii) where child is over 2 years old Please see MAP guidelines for further information http://cowsmilkallergyguidelines.co.uk/the-map-guideline/.(4) Guide to quantities of formula (all ages) to prescribe (but may vary see web link). (i) 6 to 12 months: between 7 and 13 x 400g tins or between 3 and 6 x 900g tins. (ii) Over 12 months 7 x 400g tins or 3 x 900g tins

Calogen (Calogen Extra) £4.98 200 ml unit unspecified Pack of 1 Specialist initiation.Do not initiate or continue unless on the specific instruction of a dietitian through an NHS service.Double cream is an equivalent substitute and can be provided as part of a Food First approach. 30ml double cream three times a day is equivalent to 30ml Calogen three times a day, both providing an equivalent of 405 kcals.Further information is available here http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?assetdet7576137=464140&categoryesctl10344807=13470

Calogen (Calogen Extra Shots) £5.75 40 ml pot x 6 Unspecified Pack of 240 Specialist initiation.Do not initiate or continue unless on the specific instruction of a dietitian through an NHS service.Double cream is an equivalent substitute and can be provided as part of a Food First approach.30ml double cream three times a day is equivalent to 30ml Calogen three times a day, both providing an equivalent of 405 kcals.Further information is available here http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?assetdet7576137=464140&categoryesctl10344807=13470

Duocal MCT (Duocal) £20.47 400 g Dietary Supplement Pack of 1

Duocal MCT (Duocal) £19.60 400 g Super Soluble Pack of 1

Food Supplement (Aminogran) £39.78 500 g unit Pack of 500

Infant High Energy Milk (SMA) £2.46 250 ml unit (250ml ready to feed) Pack of 1 "Specialised formula for faltering growth. Birth up to 18 months or 8kg. The team to whom the infant is referred should indicate who is responsible for review and discontinuation. If the team hand responsibility back to the GP this should be with an indication of the point when discontinuation can occur. All infants on high energy formula will need growth (weight and height/length) monitored to ensure catch up growth occurs.Once this is achieved the formula should be discontinued to minimise excessive weight gain.

Liquid Duocal £3.70 250 ml Pack of 250

Locasol £22.92 400 gm powder Pack of 1

Low Protein Drink (Sno-Pro) £1.35 1 unit (200ml unit) Pack of 200

Maxijul LE Powder (Maxijul) £27.47 2 kg LEPowder Pack of 1

Maxijul Super Soluble (Maxijul) £6.16 528 132g unit x 4 packs Pack of 1

22 January 2020 270/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Mix (Gluten Free Low Protein) (Juvela) £6.17 500 g Mix Pack of 500

Neocate Active £4.44 63 g unit unspecified Pack of 63 Amino Acid Formulae [AAF] for Cow's milk protein allergy [CMPA].Expected to be used in less than 10% of cases of CMPA. Initiation in secondary care ONLY or if prescriber has expertise in infant nutrition. Nutramigen Lipil products (1&2) are more cost effective and preferred products for CMPA when initiated in primary care and should therefore be trialled for 2-6 weeks if no request for an alternative from specialists. However if this formula has been prescribed previously and condition is stable, continue until no longer required. (1) Neocate Active is a high calorie formula and will not be required automatically by all infants over 1 year. It is not suitable as a sole source of nutrition (2) Suitable from 1 year until able to tolerate OTC products(3) Prescribe only 1-2 tins to check compliance/tolerance (4) Review when (i) prescribed for more than 12 months AND where greater than expected amounts of formula are being prescribed (ii) where child is over 2 years old

Neocate Advance £46.35 750 gm powder banana & vanilla Pack of 15

Neocate Special Diet Food (LCP) £29.56 1 unit LCP (400g powder) Pack of 1 Second line specialist formula for cow's milk protein intolerance Amino Acid Formula (AAF)

Neocate Special Diet Food (Spoon) £39.30 1 unit Spoon (37g x 15 powder) Pack of 15 THIS PRODUCT IS RARELY REQUESTED. Please check the correct product has been selected on the clinical system. This preparation is an Amino Acid weaning food for Cow's milk protein allergy [CMPA] following initiation in secondary care ONLY.If currently prescribed, please check this is the intended product with initiating paediatric dietitian. The product is on formulary if requested by a specialist (1) Suitable from 6 months until able to tolerate over the counter products. NB Dietitians may occasionally request for infants under 6 months2) Prescribe only 1-2 tins until compliance/tolerance is established. (3) Review when (i) prescribed for more than 12 months AND where greater than expected amounts of formula are being prescribed (ii) where child is over 2 years old. (4 Dietitian will advise on quantities

Nutriprem 2 Liquid £1.74 200 ml unit Pack of 1 Specialist formula for pre-term infants. Specialist initiation only and likely only to be requested for PEG feeding. These products should be discontinued by 6 months corrected age. Not all babies need these formulae for the full 26 weeks from expected date of delivery (EDD). If there is excessive weight gain at any stage up to 6 months corrected age, stop the formula. In addition liquid forms should only be considered if there is a clinical need such as immunocompromised and would usually be provided through a PEG tube .

Nutriprem 2 Powder £11.67 900 g baby milk Pack of 900 Specialist formula for pre-term infants. Specialist initiation only. These products should be discontinued by 6 months corrected age. Not all babies need these formulae for the full 26 weeks from expected date of delivery (EDD). If there is excessive weight gain at any stage up to 6 months corrected age, stop the formula.

Nutrition Sachet (TYR Gel) £158.92 20 g sachets Pack of 30

Nutritional Supplement (Vitasavoury) £30.75 33 g cup Unspecified Pack of 792

Phlexy-10 Tablet (Phlexy-10) £30.24 1.43 g / tab (75 tab pack) Pack of 75

PKU Express 15 ( ) £203.80 25 g sachet (lemon) Pack of 30

PKU Express 15 ( ) £203.80 25 g sachet (orange) Pack of 30

PKU Express 15 ( ) £203.80 25 g sachet (unflavoured) Pack of 30

22 January 2020 271/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Polycal Powder £4.70 400 g Powder Pack of 400

Pregestimil Lipil £12.43 400 g Powder (S/O) Pack of 1 This preparation is an Extensively Hydrolysed Formula [EHF] for Cow's milk protein allergy [CMPA] following initiation in secondary care ONLY where CMPA is accompanied by malabsorption, typically following gut or liver surgery. However if this formula has been prescribed previously without a specialist recommendation and condition is stable, continue until no longer required. (1) Suitable from 6 months to 2 years. (2) Prescribe only 1-2 tins until compliance/tolerance is established. (3) Review when (i) prescribed for more than 12 months AND where greater than expected amounts of formula are being prescribed (ii) where child is over 2 years old

Special Diet Food (Minaphlex) £3.06 29 g unit (unflavoured) Pack of 29

Special Diet Food (Neocate Advance) £5.86 1 unit (100g powder) Pack of 100 Amino Acid Formulae [AAF] for Cow's milk protein allergy [CMPA].Expected to be used in less than 10% of cases of CMPA. Initiation in secondary care ONLY or if prescriber has expertise in infant nutrition. Nutramigen Lipil products (1&2) are more cost effective and preferred products for CMPA when initiated in primary care and should be trialled for 2-6 weeks if no request from specialists. However if this formula has been prescribed previously and condition is stable, continue until no longer required (1) Neocate Advance is a sole source of nutrition for patients with CMPA aged 1-10 years. It is a high calorie product and will not be required automatically by all patients over 1 year(2) Suitable from 1 year until able to tolerate over the counter products (3) Prescribe only 1-2 tins until compliance/tolerance is established (4) Review (i)when prescribed for more than 12 months AND where > than expected amounts of formula are being prescribed (ii) where child is over two years

Fibre Loaf (Gluten Free) (Juvela) £3.54 400 g Fibre Loaf Sliced Pack of 400

Fresh Loaf Sliced (Gluten Free) (Juvela) £3.69 400 g white Pack of 400

gluten-free bread (Glutafin Select) £3.04 400 g fibre loaf whole Pack of 400

gluten-free bread (Glutafin Select) £3.43 400 g fresh white loaf sliced Pack of 400

gluten-free bread (Glutafin Select) £3.72 400 g seeded loaf sliced Pack of 400

gluten-free bread (Glutafin Select) £3.43 400 g white loaf sliced Pack of 400

gluten-free bread (Glutafin Select) £3.04 400 g white loaf whole Pack of 400

Gluten-free bread (Glutafin) £3.43 400 g fibre loaf sliced Pack of 400

Gluten-free bread (Glutafin) £3.04 400 g fibre loaf whole Pack of 400

Loaf White (Gluten Free) (Juvela) £3.54 400 g Loaf Sliced Pack of 400

22 January 2020 272/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Hypoallergenic Formula (Nutramigen AA) £23.00 400 g unit Pack of 400 This preparation is an Amino Acid Formulae [AAF] for Cow's milk protein allergy [CMPA] and would be expected to be prescribed in only around 10% of cases of CMPA. Initiation in secondary care ONLY or if prescriber has expertise in infant nutrition. Nutramigen Lipil 1 (birth to 6 months) or Nutramigen Lipil 2 (6months to 2 years) are more cost effective and are the first line preferred products for CMPA when initiated in primary care. One of these products should therefore be trialled for 2 to 6 weeks unless a request for this from specialists. However if this formula has been prescribed previously and condition is stable, continue until no longer required. (1) Suitable from 6 months until able to tolerate over the counter products. (2) Prescribe only 1-2 tins until compliance/tolerance is established (3) Review when(i)prescribed for more than 12 months AND where greater than expected amounts of formula are being prescribed (ii)where child is over 2 years old

Soya Protein Baby Powder (Wysoy) £5.32 430 g unit Pack of 1 (Do NOT prescribe soya formula (Infasoy®, SMA Wysoy®) for those with CMPA or secondary lactose intolerance. It should not be prescribed at all in those under 6 months due to high phyto-oestrogen content. Parents should be advised to purchase soya formula as it is a similar cost to cow’s milk formula and readily available. From 2 years supermarket calcium enriched soya or oat milk may be suitable as an alternative. Alpro® Junior 1+ soya milk may be suitable from 1 year but should be purchased and NOT prescribed as it is not an ACBS recommended product . The paediatric dietitian will advise on suitable over-the counter products for appropriate ages. On formulary for galactosaemia ONLY where due to higher calcium content, Wysoy is the preferred preparation .

Comfort First £11.22 900 gm powder Pack of 1

Cookies (Gluten Free Low Protein) (Juvela) £7.62 110 g Chocolate Chip Cookies Pack of 110

Cookies (Gluten Free Low Protein) (Juvela) £6.03 125 g Cinnamon Cookies Pack of 125

Crisp Bread (Gluten Free) (Juvela) £4.64 200 g Crispbread Pack of 200

Digestive Biscuit (Gluten Free) (Juvela) £3.05 150 g Digestive Biscuit Pack of 150

Fibre Bread Rolls (Gluten Free) (Juvela) £4.77 85 g Fibre Bread Rolls Pack of 5

Fibre Mix (Gluten Free) (Juvela) £7.35 500 g Fibre Mix Pack of 1

Fibre Part Bake Loaf (Gluten Free) (Juvela) £3.80 400 g Part Bake Loaf Pack of 400

Fortijuce Starter Pack (Fortijuce) £8.08 200 ml bottle Pack of 4 Starter packs can be ordered at no charge. See ONS policy for details

Fusilli (Gluten Free) (Juvela) £7.21 500 g Fusilli Pack of 500

Gluten-free biscuits (Glutafin) £1.73 100 g shortbread Pack of 100

Gluten-free biscuits (Glutafin) £2.73 150 g savoury shorts Pack of 150

Gluten-free biscuits (Glutafin) £2.13 150 g sweet Pack of 150

22 January 2020 273/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Gluten-free biscuits (Glutafin) £2.09 150 g tea Pack of 150

gluten-free bread (Glutafin Select) £3.15 2 long rolls fibre part baked Pack of 2

gluten-free bread (Glutafin Select) £3.15 2 long rolls white part baked Pack of 2

gluten-free bread (Glutafin Select) £3.15 4 fibre rolls part baked Pack of 4

gluten-free bread (Glutafin Select) £2.93 4 rolls fibre Pack of 4

gluten-free bread (Glutafin Select) £2.93 4 rolls white Pack of 4

gluten-free bread (Glutafin Select) £3.41 400 g fibre loaf part baked Pack of 400

Gluten-free bread (Glutafin) £3.15 4 fibre rolls Pack of 4

Gluten-free mixes (Glutafin) £6.66 500 g bread mix Pack of 500

Gluten-free mixes (Glutafin) £6.40 500 g cake mix Pack of 500

Gluten-free mixes (Glutafin) £6.66 500 g fibre bread mix Pack of 500

Gluten-free mixes (Glutafin) £6.40 500 g pastry mix Pack of 500

Gluten-free mixes (Glutafin Select) £6.66 500 g fibre bread mix Pack of 500

Gluten-free mixes (Glutafin Select) £6.66 500 g fibre mix Pack of 500

Gluten-free pasta (Glutafin) £3.53 250 g lasagne Pack of 250

Gluten-free pasta (Glutafin) £3.53 250 g tagliatelle nests Pack of 250

Gluten-free pasta (Glutafin) £6.73 500 g macaroni penne Pack of 500

Gluten-free pasta (Glutafin) £6.73 500 g shells Pack of 500

Harvest Mix (Gluten Free) (Juvela) £7.35 500 g Harvest Mix Pack of 500

22 January 2020 274/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Infasoy (Nutricia) £5.13 900 g powder Pack of 900 Do NOT prescribe soya formula (Infasoy®, SMA Wysoy®) for those with CMPA or secondary lactose intolerance. It should not be prescribed at all in those under 6 months due to high phyto-oestrogen content. Parents should be advised to purchase soya formula as it is a similar cost to cow’s milk formula and readily available. From 2 years supermarket calcium enriched soya or oat milk may be suitable as an alternative. Alpro® Junior 1+ soya milk may be suitable from 1 year but should be purchased and NOT prescribed as it is not an ACBS recommended product. The paediatric dietitian will advise on suitable over-the counter products for appropriate ages. On formulary for galactosaemia ONLY where due to higher calcium content, Wysoy is the preferred preparation.

Mix (Gluten Free) (Juvela) £7.35 500 g Mix Pack of 500

Part Baked Loaf (Gluten Free) (Juvela) £3.95 400 g Part Baked Loaf Pack of 400

Part Baked Rolls (Gluten Free) (Juvela) £4.94 75 g Part Baked Rolls Pack of 5

Part Baked Rolls Fibre (Gluten Free) (Juvela) £4.94 75 g Part Baked Fibre Rolls Pack of 5

Pizza Bases (Gluten Free) (Juvela) £8.78 180 g Pizza Bases Pack of 2

Rolls (Gluten Free Low Protein) (Juvela) £4.52 70 g Rolls Pack of 5

Similac Alimentum powder £9.10 400 gram Pack of 1 Nutramigen Lipil 1 (birth to 6 months) and Nutramigen Lipil 2 (6 months to 2 years) are preferred products depending on age if an Extensively Hydrolysed Formula [EHF] for Cow's milk protein allergy [CMPA] is required

Tea Biscuit (Gluten Free) (Juvela) £3.05 150 g Tea Biscuits Pack of 150

Fortimel Regular (Fortimel) £1.57 200 ml bottle unspecified Pack of 200 Not first line. Dietitian may request due to unusual dietetic circumstances and will provide rationale

Maxisorb Desert £4.00 30 g chocolate Pack of 5

Maxisorb Desert £4.16 30 g strawberry Pack of 5

Maxisorb Desert £4.16 30 g vanilla Pack of 5 9.4.2 - Nutrition & blood | Oral Nutrition | Enteral Nutrition

Current Status Drug Tariff

Altraplen Compact £1.00 125 ml liquid Flavour Not Specified Pack of 1 Should only be considered if unable to manage volume of Aymes CompleteOrder samples via website http://nualtra.co.uk/nutriplen-sample-pack/ (Altrapen is new name for Nutriplen)

22 January 2020 275/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Altraplen Compact £1.45 125 ml liquid Strawberry Pack of 1 Should only be considered if unable to manage volume of Aymes CompleteOrder samples via website http://nualtra.co.uk/nutriplen-sample-pack/ (Altrapen is new name for Nutriplen)

Altraplen Compact £1.45 125 ml liquid Vanilla Pack of 1 Should only be considered if unable to manage volume of Aymes CompleteOrder samples via website http://nualtra.co.uk/nutriplen-sample-pack/ (Altrapen is new name for Nutriplen)

Aymes Complete £4.48 800 ml bottles 4 x 200ml Banana Pack of 800 Should only be considered if unable to use Aymes Shake shaker.Sample packs available at no charge to check acceptabilty. http://aymes.com/pages/direct- to-patient-sample-service

Aymes Complete £4.48 800 ml bottles 4 x 200ml Chocolate Pack of 800 Should only be considered if unable to use Aymes Shake shaker.Sample packs available at no charge to check acceptabilty. http://aymes.com/pages/direct- to-patient-sample-service

Aymes Complete £4.48 800 ml bottles 4 x 200ml Strawberry Pack of 800 Should only be considered if unable to use Aymes Shake shaker.Sample packs available at no charge to check acceptabilty. http://aymes.com/pages/direct- to-patient-sample-service

Aymes Complete £4.48 800 ml bottles 4 x 200ml Vanilla Pack of 800 Should only be considered if unable to use Aymes Shake shaker.Sample packs available at no charge to check acceptabilty. http://aymes.com/pages/direct- to-patient-sample-service

Fortisip (Fortisip Compact Fibre) £8.36 125 ml bottle unspecified Pack of 4 Following dietetic recommendation or in line with MUST.

Fortisip Yoghurt (Fortisip) £2.22 200 ml unspecified Pack of 200 Following dietetic recommendation or in line with MUST.

Fresubin jucy £7.52 800 ml bottles 4 x 200ml Apple Pack of 4 Should only be considered if milkshake style not tolerated by patientOrder samples via form provided in appendix 2

Fresubin jucy £7.52 800 ml bottles 4 x 200ml Blackcurrant Pack of 4 Should only be considered if milkshake style not tolerated by patientOrder samples via form provided in appendix 2

Fresubin jucy £7.52 800 ml bottles 4 x 200ml Cherry Pack of 4 Should only be considered if milkshake style not tolerated by patientOrder samples via form provided in appendix 2

Fresubin jucy £7.52 800 ml bottles 4 x 200ml Orange Pack of 4 Should only be considered if milkshake style not tolerated by patientOrder samples via form provided in appendix 2

22 January 2020 276/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fresubin jucy £7.52 800 ml bottles 4 x 200ml Pineapple Pack of 4 Should only be considered if milkshake style not tolerated by patientOrder samples via form provided in appendix 2

Nutritional Milkshake Sachet (Aymes Shake) £4.20 57 g sachet banana Pack of 7 Provide an initial supply through the sample service to check acceptability. http://aymes.com/pages/direct-to-patient-sample-service

Nutritional Milkshake Sachet (Aymes Shake) £4.20 57 g sachet chocolate Pack of 7 Provide an initial supply through the sample service to check acceptability. http://aymes.com/pages/direct-to-patient-sample-service

Nutritional Milkshake Sachet (Aymes Shake) £4.20 57 g sachet neutral Pack of 7 Provide an initial supply through the sample service to check acceptability. http://aymes.com/pages/direct-to-patient-sample-service

Nutritional Milkshake Sachet (Aymes Shake) £4.20 57 g sachet strawberry Pack of 7 Provide an initial supply through the sample service to check acceptability. http://aymes.com/pages/direct-to-patient-sample-service

Nutritional Milkshake Sachet (Aymes Shake) £4.20 57 g sachet vanilla Pack of 7 Provide an initial supply through the sample service to check acceptability. http://aymes.com/pages/direct-to-patient-sample-service

Nutritional Milkshake Sachet (Aymes Shake) £4.20 57 g sachet unspecified Pack of 7 First Line. ONS policy currently under review. Due for release Aug 2013

Benefiber (Resource) £6.07 8 g unit Pack of 16

Calogen (Calogen) £4.78 200 ml unit Strawberry Pack of 1 Specialist initiation.Do not initiate or continue unless on the specific instruction of a dietitian through an NHS service.Double cream is an equivalent substitute and can be provided as part of a Food First approach. 30ml double cream three times a day is equivalent to 30ml Calogen three times a day, both providing an equivalent of 405 kcals.Further information is available here http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?assetdet7576137=464140&categoryesctl10344807=13470

Calogen (Calogen) £4.78 200 ml unit Neutral Pack of 1 Specialist initiation.Do not initiate or continue unless on the specific instruction of a dietitian through an NHS service.Double cream is an equivalent substitute and can be provided as part of a Food First approach. 30ml double cream three times a day is equivalent to 30ml Calogen three times a day, both providing an equivalent of 405 kcals.Further information is available here http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?assetdet7576137=464140&categoryesctl10344807=13470

Calogen (Calogen) £4.20 200 ml unit Banana Pack of 1 Specialist initiation.Do not initiate or continue unless on the specific instruction of a dietitian through an NHS service.Double cream is an equivalent substitute and can be provided as part of a Food First approach. 30ml double cream three times a day is equivalent to 30ml Calogen three times a day, both providing an equivalent of 405 kcals.Further information is available here http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?assetdet7576137=464140&categoryesctl10344807=13470

22 January 2020 277/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Calshake (Calshake) £17.01 87 g unit unspecified Pack of 7 Only prescribe following dietetic recommendation.

Clinutren 1.5kcal/ml (Clinutren 1.5) £6.59 200 ml unit Apricot Pack of 4

Clinutren 1.5kcal/ml (Clinutren 1.5) £6.79 200 ml unit Banana Pack of 4

Clinutren 1.5kcal/ml (Clinutren 1.5) £6.79 200 ml unit Chocolate Pack of 4

Clinutren 1.5kcal/ml (Clinutren 1.5) £6.79 200 ml unit Coffee Pack of 4

Clinutren 1.5kcal/ml (Clinutren 1.5) £6.79 200 ml unit Unspecified Pack of 4

Clinutren Desert (Clinutren) £5.88 125 mg unit (Caramel) Pack of 4

Clinutren Desert (Clinutren) £5.88 125 mg unit (Chocolate) Pack of 4

Clinutren Desert (Clinutren) £5.88 125 mg unit (peach) Pack of 4

Clinutren Desert (Clinutren) £5.88 125 mg unit (vanilla) Pack of 4

Clinutren Fibre 1.5 (Clinutren) £6.79 200 ml unit Plum Pack of 4

Clinutren Fibre 1.5 (Clinutren) £6.79 200 ml unit Vanilla Pack of 4

Clinutren Fruit £6.83 200 ml unit Apple Pack of 4

Clinutren Junior £11.06 400 g powder vanilla Pack of 400

Complete Nutrition Liquid (Nepro) £2.98 200 ml tetrapak unspecified Pack of 200

Complete Nutritional Support (Kindergen PROD) £31.50 400 g tub Pack of 400

Dietary Powder (Quickcal) £13.79 13 g unit Pack of 25

Elemental Special Diet Liquid (Elemental 028 Extra) £3.99 250 ml unit (unspecified) Pack of 1

Elemental Special Diet Powder (Elemental 028 Extra) £7.75 100 g unit Orange Pack of 1

22 January 2020 278/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Elemental Special Diet Powder (Elemental 028 Extra) £7.75 100 g unit Unflavoured Pack of 1

Elemental Special Diet Powder (Elemental 028 Extra) £7.01 100 g unit Unspecified Pack of 100

Emsogen (Emsogen) £61.81 100 g unit Orange Flavoured Pack of 10

Emsogen (Emsogen) £7.97 100 g unit Unspecified Pack of 100

Enlive Plus (Enlive) £1.69 220 ml unspecified Pack of 1

Enshake (sachet) (Enshake) £15.22 96.5 g unit unspecified Pack of 6

Ensure Plus (Ensure) £1.12 220 ml unit (unspecifed flavour) Pack of 220

Ensure Plus Commence (Ensure) £11.20 220 ml unit bottle Pack of 10

Ensure Plus Creme (Ensure) £8.00 125 g pot unspecified Pack of 4

Ensure Plus Fibre (Bottle) (Ensure) £2.14 200 ml bottle unspecified Pack of 200

Ensure Plus Juce (Ensure) £1.97 220 ml bottle unspecified Pack of 220

Ensure Plus Ready to Hang (Ensure) £4.15 500 ml bottle Pack of 1

Ensure Plus Savory (Bottle) (Ensure Plus) £2.02 220 ml bottle unspecified Pack of 220

Ensure Plus Tube Feed (Ensure Plus) £2.35 250 ml can (unspecified) Pack of 250

Enteral Nutrition (Jevity) £5.83 1 unit 500ml (ready to hang) Pack of 500

Enteral Nutrition (Jevity 1.5kcal) £6.98 1 unit 500ml (ready to hang) Pack of 500

Enteral Nutrition (Jevity Plus) £6.99 1 unit (500ml ready to hang) Pack of 500

Enteral Nutrition (Jevity Plus HP) £6.85 500 ml ready to hang Pack of 500

Enteral Nutrition (Novasource GI Control) £5.43 500 ml unit (flexible pouch) Pack of 1

Enteral Nutrition (Novasource GI Control) £5.26 500 ml unit (bottle) Pack of 1

22 January 2020 279/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Enteral Nutrition (Novasource GI Forte) £5.39 500 ml unit (flexible pouch) Pack of 500

Enteral Nutrition (Renilon 7.5) £12.36 125 ml x 6 Unspecified Pack of 750

Feeding Supplement (Enrich Plus) £1.74 200 ml unit unspecified Pack of 200

Food Supplement (Reconvan) £7.16 500 ml easybag Pack of 500

Food Thickener (Nutilis Powder) £5.88 9 g sachet Pack of 20 Only prescribe following recommendation from the Speech and Language team

Food Thickener (Nutilis Powder) £6.40 12 g sachet Pack of 20 Only prescribe following recommendation from the Speech and Language team

Foodlink (Foodlink) £3.25 450 g unit Vanilla and Fibre Pack of 1

Foodlink (complete food drink) (Foodlink) £3.25 450 g unit Vanilla and Fibre Pack of 1

Foodlink (complete food drink) (Foodlink) £3.25 450 g unit unspecified Pack of 450

Forticare Shake (Forticare) £13.26 125 ml unit unspecified Pack of 6

Forticreme Complete (Forticreme) £7.84 125 g unit unspecified Pack of 4

Fortifresh £1.74 200 ml unit (unspecified) Pack of 200

Fortini Multifibre (Fortini Multifibre) £3.76 200 ml unspecified Pack of 200

Fortisip (Fortisip Compact) £7.40 125 ml unit starter pack Pack of 4 Prescribe this product following dietetic recommendation only-Aymes Shake is first line. Aymes compact is the preferred preparation if reduced volume is required

Fortisip (Fortisip Compact) £5.32 125 ml unit unspecified Pack of 4 Prescribe this product following dietetic recommendation only-Aymes Shake is first line. Aymes compact is the preferred preparation if reduced volume is required

Fortisip (Fortisip Compact Fibre) £8.36 125 ml bottle vanilla Pack of 4 Prescribe this product following dietetic recommendation only-Aymes Shake is first line. Aymes compact is the preferred preparation if reduced volume is required

22 January 2020 280/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fortisip (Fortisip Compact Protein) £8.00 125 ml unit unspecified Pack of 4

Fortisip Bottle (Fortisip) £1.12 200 ml unspecified flavour Pack of 200 Prescribe this product following dietetic recommendation only-Aymes Shake is first line. Aymes compact is the preferred preparation if reduced volume is required

Fortisip Extra (Fortisip) £2.08 200 ml unspecified flavour Pack of 200

Fortisip Fruit Desert (Fortisip Fruit) £6.81 150 g unit (strawberry) Pack of 3

Fortisip Fruit Desert (Fortisip Fruit) £6.81 150 g unit (unspecified) Pack of 3

Fortisip Multifibre (Fortisip) £2.15 200 ml unspecified Pack of 200

Fortisip Multifibre Savoury (Fortisip) £2.15 200 ml unit unspecified Pack of 200

Frebini Energy £3.20 200 ml bottle unspecified flavour Pack of 200

Frebini Energy £8.48 500 ml easybag unflavoured Pack of 500

Frebini Energy Fibre £3.27 200 ml bottle flavour unspecified Pack of 200

Frebini Energy Fibre £9.08 500 ml Easybag unflavoured Pack of 500

Frebini Original £1.89 200 ml bottle Pack of 200

Frebini Original Fibre £7.52 500 ml Easybag Pack of 500

Fresubin (Fresubin Powder Extra) £4.90 62 g sachet (unspecified flavour) Pack of 7

Fresubin (Fresubin Yocreme) £7.36 125 g unit unspecified Pack of 4

Fresubin 1000 (Fresubin) £11.73 1000 ml easybag Pack of 1

Fresubin 1200 Complete (Fresubin) £14.93 1000 ml easybag Pack of 1

Fresubin 1500 (Fresubin) £14.58 1500 ml easybag Pack of 1

Fresubin 1800 Complete (Fresubin) £14.93 1500 ml easybag Pack of 1

22 January 2020 281/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fresubin 2250 Complete £16.28 1.5 litre Easybag Pack of 1

Fresubin 2kcal (Fresubin) £2.17 200 ml unit unspecified Pack of 1

Fresubin 2kcal Fibre (Fresubin) £2.17 200 ml unit unspecified Pack of 1

Fresubin 5kcal Shot (Fresubin) £11.96 120 ml unit (x4 unspecified) Pack of 4

Fresubin Creme - Dessert Style (Fresubin) £7.92 125 g unit vanilla Pack of 4

Fresubin Creme - Dessert Style (Fresubin) £7.92 125 g unit unspecified Pack of 4

Fresubin Energy (Fresubin) £1.40 200 ml neutral Pack of 1

Fresubin Energy (Fresubin) £1.40 200 ml unspecified Pack of 1

Fresubin Energy Fibre (Fresubin) £2.20 200 ml unspecified Pack of 1

Fresubin Energy Fibre (Fresubin) £6.14 500 ml easybag Pack of 1

Fresubin Energy Protein (Fresubin) £1.40 200 ml unit unspecified Pack of 1

Fresubin HP Energy (Fresubin) £3.67 500 ml bottle Pack of 1

Fresubin Original (Fresubin) £2.36 200 ml unit unspecified Pack of 1

Fresubin Original (Fresubin) £2.36 200 ml unspecified Pack of 1

Fresubin Soya Fibre (Fresubin) £5.35 500 ml easybag Pack of 1

Fresubin Thickened (Fresubin) £9.40 200 ml Level 3 Unspecified Pack of 4

Fresubin Thickened (Fresubin) £9.40 200 ml Level 2 Unspecified Pack of 4

Infant High Energy Milk (Infatrini) £1.12 1 unit (100ml ready to feed) Pack of 100 "Specialised formula for faltering growth. Birth up to 18 months or 8kg. The team to whom the infant is referred should indicate who is responsible for review and discontinuation. If the team hand responsibility back to the GP this should be with an indication of the point when discontinuation can occur. All infants on high energy formula will need growth (weight and height/length) monitored to ensure catch up growth occurs.Once this is achieved the formula should be discontinued to minimise excessive weight gain

22 January 2020 282/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Infatrini Peptisorb £3.47 200 ml liquid Pack of 200

Isosource Energy £3.77 500 ml flexible pouch Pack of 1

Isosource Energy Fibre £4.08 500 ml flexible pouch Pack of 1

Isosource Fibre £3.49 500 ml flexible pouch Pack of 1

Isosource Junior £4.99 500 ml flexible pouch Pack of 1

Isosource Standard £3.07 500 ml flexible pouch Pack of 1

Isotonic Complete Food (Osmolite) £5.40 1 unit (500ml ready to hang) Pack of 500

Isotonic Complete Food (Osmolite 1.5kcal) £6.28 1 unit (500ml ready to hang) Pack of 1

Isotonic Complete Food (Osmolite Plus) £5.87 1 unit (500ml ready to hang) Pack of 500

Jevity Promote £12.18 1000 ml unit Pack of 1000

Liquid Diet (Peptamen AF) £8.64 500 ml Pack of 500

Liquid Diet (Peptamen HN) £7.89 500 ml Pack of 500

Liquid Diet (Peptamen Junior Advance) £8.35 500 ml ready to hang Pack of 500

Liquid Diet (Survimed OPD) £15.28 1000 ml easybag Pack of 1000

Liquid Nutrition (Suplena) £2.85 237 ml can Pack of 237

Liquid Supplement (Provide Xtra) £1.82 200 ml unit unspecified Pack of 200

Modulen IBD £16.19 400 g unit (powder) Pack of 400

Nestle Nutrition Tub £7.17 60 g tub Unspecified Pack of 60

Nutilis Complete Stage 1 ( ) £8.84 125 ml unit strawberry Pack of 4 Only prescribe following recommendation from the Speech and Language team. 'Thicken Up Resource Clear' is First Line

22 January 2020 283/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Nutricrem (Nutricrem dessert) £1.40 125 gram dessert strawberry Pack of 1 Specialist Initiation.Can be prescribed following request from Speech and Language(SLT) or dietitian working for NHS services.Information on Patients requiring thickened fluids is available here: http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?assetdet7576137=464140&categoryesctl10344807=13470 First line for syrup thick consistency - Altraplen Compact 125mlFirst line for custard and pudding thick - Nutricrem 125g, Aymes Shake and Aymes Complete are suitable for patients requiring naturally thick fluids.It is recommended that advice if sought from SLT if there are any concerns regarding dysphagia.

Nutricrem (Nutricrem dessert) £1.40 125 gram dessert vanilla Pack of 1 Specialist Initiation.Can be prescribed following request from Speech and Language(SLT) or dietitian working for NHS services.Information on Patients requiring thickened fluids is available here: http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?assetdet7576137=464140&categoryesctl10344807=13470 First line for syrup thick consistency - Altraplen Compact 125mlFirst line for custard and pudding thick - Nutricrem 125g, Aymes Shake and Aymes Complete are suitable for patients requiring naturally thick fluids.It is recommended that advice if sought from SLT if there are any concerns regarding dysphagia.

Nutrini Glass (Nutrini) £3.02 200 ml unit Standard Pack of 1

Nutrini Glass (Nutrini) £3.34 200 ml unit Multi fibre Pack of 1

Nutrini Glass (Nutrini) £3.67 200 ml unit Energy Pack of 1

Nutrini Glass (Nutrini) £2.89 200 ml unit Low energy multi fibre Pack of 1

Nutrini Glass (Nutrini) £3.88 200 ml unit Energy multi fibre Pack of 1

Nutrini Glass (Nutrini) £11.70 500 ml unit Energy peptisorb Pack of 1

Nutrini Pack (Nutrini) £8.31 500 ml unit Multi fibre Pack of 1

Nutrison 1000 Complete Multifibre (Nutrison) £12.17 1000 ml unit Pack of 1

Nutrison 1200 Complete Multifibre (Nutrison) £10.45 1000 ml unit Pack of 1

Nutrison Concentrated (Nutrison) £7.82 500 ml unit (pack) Pack of 1

Nutrison Energy (Nutrison) £11.82 1000 ml unit (pack) Pack of 1

Nutrison Energy Multifibre (Nutrison) £13.12 1000 ml unit (pack) Pack of 1

Nutrison Low Sodium (Nutrison) £18.47 1000 ml unit (pack) Pack of 1

Nutrison MCT (Nutrison) £10.96 1000 ml unit (pack) Pack of 1

Nutrison Multifibre (Nutrison) £10.97 1000 ml unit (pack) Pack of 1

22 January 2020 284/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Nutrison Peptisorb ( ) £13.94 1 ltr pack Pack of 1 "Specialised formula for faltering growth. Birth up to 18 months or 8kg. The team to whom the infant is referred should indicate who is responsible for review and discontinuation. If the team hand responsibility back to the GP this should be with an indication of the point when discontinuation can occur. All infants on high energy formula will need growth (weight and height/length) monitored to ensure catch up growth occurs.Once this is achieved the formula should be discontinued to minimise excessive weight gain."

Nutrison Protein Plus (Nutrison) £11.25 1000 ml unit (pack) Pack of 1

Nutrison Protein Plus Multifibre (Nutrison) £12.54 1000 ml unit (pack) Pack of 1

Nutrison Soya (Nutrison) £11.66 1000 ml unit (pack) Pack of 1

Nutrison Soya Multifibre (Nutrison) £19.39 1500 ml unit (pack) Pack of 1

Nutrison Standard (Nutrison) £3.95 500 ml unit (glass) Pack of 1

Nutrison Standard (Nutrison) £7.69 1000 ml unit (pack) Pack of 1

Nutrition Milkshake Sachet (Scandishake Mix) £15.54 85 g sachets (banana) Pack of 6 Only prescribe following dietetic recommendation.

Nutrition Milkshake Sachet (Scandishake Mix) £15.54 85 g sachets (strawberry) Pack of 6 Only prescribe following dietetic recommendation.

Nutrition Milkshake Sachet (Scandishake Mix) £15.54 85 g sachets (caramel) Pack of 6 Only prescribe following dietetic recommendation.

Nutrition Milkshake Sachet (Scandishake Mix) £15.54 85 g sachets (vanilla) Pack of 6 Only prescribe following dietetic recommendation.

Nutrition Milkshake Sachet (Scandishake Mix) £15.54 85 g sachets unspecified Pack of 6 Only prescribe following dietetic recommendation.

Nutritional Liquid (Perative) £8.30 1 unit (500ml ready to hang) Pack of 500

Nutritional Supplement (Alicalm) £23.29 400 g powder Pack of 400

Nutritional Supplement (Fortini) £3.59 200 ml unit unspecified Pack of 200

22 January 2020 285/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Nutritional Supplement (Fortini Smoothie Multifibre) £3.76 200 ml unspecified Pack of 200

Optifibre ( ( Previously Resource )) £8.35 10 g sachet Pack of 16

Optifibre ( ( Previously Resource )) £10.28 250 g tin Pack of 250

Paediasure Plus (Paediasure Plus Fibre) £3.77 200 ml bottle (Unspecified) Pack of 200

Paediatric Fruit Juice (Paediasure Plus Juce) £3.48 200 ml (Unspecified) Pack of 200

Paediatric Liquid Feed (Paediasure) £2.71 200 ml bottle Vanilla Pack of 1

Paediatric Liquid Feed (Paediasure) £2.71 200 ml bottle Unspecified Pack of 200

Paediatric Liquid Feed (Paediasure Fibre) £2.86 1 unit (200ml unspecified) Pack of 200 Not first line. Dietitian may request due to unusual dietetic circumstances and will provide rationale

Paediatric Liquid Feed (Paediasure Plus) £3.50 200 ml bottle (Unspecified) Pack of 200

Paediatric Liquid Feed (Paediasure Plus Tetrapack) £3.50 200 ml tetrapak (200ml unspecified) Pack of 200

Paediatric Liquid Feed (Paediasure Peptide) £4.22 200 ml unit Pack of 1

Pepdite AA Module £39.82 100 gm powder Pack of 1

Peptamen (Peptamen) £2.68 200 ml unflavoured can Pack of 1

Peptamen (Peptamen) £13.04 200 ml vanilla (4 pack) Pack of 4

Peptamen (Peptamen) £19.21 400 g junior Pack of 400

Peptamen (Peptamen) £12.27 500 ml Junior ready to hang Pack of 500

Peptamen (Peptamen) £11.52 1000 ml dripac-flex Pack of 1000

22 January 2020 286/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pepti-Junior £13.67 450 g tub Pack of 450 This preparation is an Extensively Hydrolysed Formula [EHF] for Cow's milk protein allergy [CMPA] following initiation in secondary care ONLY where CMPA is accompanied by malabsorption, typically following gut or liver surgery. However if this formula has been prescribed previously without a specialist recommendation and condition is stable, continue until no longer required. (1) Suitable from birth to 2 years. (2) Prescribe only 1-2 tins until compliance/tolerance is established. (3) Review when (i) prescribed for more than 12 months AND where greater than expected amounts of formula are being prescribed (ii) where child is over 2 years old

Pro-Cal £14.33 15 g Sachet Pack of 25 Do not initiate or continue unless on the specific instruction of a dietitian through an NHS service.Double cream is an equivalent substitute and can be provided as part of a Food First approach. 30ml double cream three times a day is equivalent to 30ml Pro-Cal three times a day, both providing an equivalent of 405 kcalsFurther information is available here http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?assetdet7576137=464140&categoryesctl10344807=13470

Pro-Cal £15.53 510 g Powder Pack of 1 Do not initiate or continue unless on the specific instruction of a dietitian through an NHS service.Double cream is an equivalent substitute and can be provided as part of a Food First approach. 30ml double cream three times a day is equivalent to 30ml Pro-Cal three times a day, both providing an equivalent of 405 kcals.Further information is available here http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?assetdet7576137=464140&categoryesctl10344807=13470

Pro-Cal Shot £5.02 250 ml unit unspecified Pack of 1 Do not initiate or continue unless on the specific instruction of a dietitian through an NHS service.Double cream is an equivalent substitute and can be provided as part of a Food First approach. 30ml double cream three times a day is equivalent to 30ml Pro-Cal three times a day, both providing an equivalent of 405 kcals.Further information is available here http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?assetdet7576137=464140&categoryesctl10344807=13470

Pro-Cal Shot £4.64 250 ml unit banana Pack of 1 Do not initiate or continue unless on the specific instruction of a dietitian through an NHS service.Double cream is an equivalent substitute and can be provided as part of a Food First approach. 30ml double cream three times a day is equivalent to 30ml Pro-Cal three times a day, both providing an equivalent of 405 kcals.Further information is available here http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?assetdet7576137=464140&categoryesctl10344807=13470

Pro-Cal Shot £4.64 250 ml unit neutral Pack of 1 Do not initiate or continue unless on the specific instruction of a dietitian through an NHS service.Double cream is an equivalent substitute and can be provided as part of a Food First approach. 30ml double cream three times a day is equivalent to 30ml Pro-Cal three times a day, both providing an equivalent of 405 kcals.Further information is available here http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?assetdet7576137=464140&categoryesctl10344807=13470

Pro-Cal Shot £4.64 250 ml unit strawberry Pack of 1 Do not initiate or continue unless on the specific instruction of a dietitian through an NHS service.Double cream is an equivalent substitute and can be provided as part of a Food First approach. 30ml double cream three times a day is equivalent to 30ml Pro-Cal three times a day, both providing an equivalent of 405 kcals.Further information is available here http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?assetdet7576137=464140&categoryesctl10344807=13470

Protein Supplement (Generaid) £60.07 400 g unit Pack of 400

Protein Supplement (Generaid Plus) £21.49 400 g unit for children Pack of 400

Rapid Thickener (Thicken Aid) £22.40 9 g sachet Pack of 100 Not first line. Speech and language team may request due to unusual circumstances and will provide rationale

22 January 2020 287/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Rapid Thickener (Thicken Aid) £3.71 225 g tub Pack of 225 Not first line. Speech and language team may request due to unusual circumstances and will provide rationale

Resource 2.0 Fibre (Resource) £7.53 200 ml unit unspecified Pack of 4

Resource Dessert Energy (Resource) £1.63 125 g unit unspecified Pack of 125 Only prescribe following recommendation from the Speech and Language team

Resource Dessert Fruit (Resource) £4.77 125 g unit unspecified Pack of 3 Only prescribe following recommendation from the Speech and Language team

Resource Energy (Resource) £8.24 200 ml unit unspecified Pack of 4

Resource Fruit Drink (Resource) £7.35 200 ml unit unspecified Pack of 4

Resource Junior (Resource) £7.70 200 ml unit unspecified Pack of 4

Resource Protein (Resource) £6.37 200 ml unit unspecified Pack of 4

Resource Shake (Resource) £1.55 1 unit (unspecified) Pack of 175

Resource Thickened Drink (Resource) £0.78 114 ml unit unspecified Pack of 114 Only prescribe following recommendation from the Speech and Language team

Special Diet Food (Monogen) £22.01 400 g unit Pack of 400

Special Diet Food (Pepdite) £21.37 400 g Pepdite 1 plus Pack of 400

Special Diet Food (Pepdite) £20.36 400 g Pepdite Pack of 400

Special Diet Food (Pepdite) £22.14 400 g MCT Pepdite Pack of 400

Special Diet Food (Pepdite) £22.14 400 g MCT Pepdite 1 plus Pack of 400

Tentrini Energy Glass (Tentrini) £6.30 500 ml bottle Pack of 1

Tentrini Energy Multifibre Glass (Tentrini) £6.95 500 ml bottle Pack of 1

22 January 2020 288/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Tentrini Energy Multifibre Pack (Tentrini) £8.99 500 ml pack Pack of 1

Tentrini Energy Pack (Tentrini) £8.16 500 ml pack Pack of 1

Tentrini Multifibre Glass (Tentrini) £5.60 500 ml bottle Pack of 1

Tentrini Multifibre Pack (Tentrini) £6.11 500 ml pack Pack of 1

Tentrini Original Glass (Tentrini) £5.10 500 ml bottle Pack of 1

Tentrini Original Pack (Tentrini) £6.60 500 ml pack Pack of 1

Thick & Easy Original £5.41 225 g (powder) Pack of 1 Only prescribe following recommendation from Speech and Language team.

Thicken Up Clear (Resource) £8.46 125 g powder (127G ) Pack of 1 Only prescribe following recommendation from the Speech and Language team. First line product for use as a thickener

Trace Element & Vitamin Mix (Seravit) £7.96 100 g unit Pack of 100

Trace Element & Vitamin Mix (Seravit) £19.41 200 g unit Paediatric (unflavoured) Pack of 200

Trace Element & Vitamin Mix (Seravit) £16.03 200 g unit Paediatric (flavoured) Pack of 200

Trace Element & Vitamin Mix (Seravit) £19.41 200 g unit Renal Paediatric Pack of 200

Yoghurt Balanced Liquid Feed (Ensure Plus) £1.12 220 ml unit (unspecified) Pack of 220

Fresh Loaf Sliced (Gluten Free) (Juvela) £3.39 400 g fibre Pack of 400

Milupa Aptamil Pepti 1 £9.87 400 gm powder Pack of 400

Milupa Aptamil Pepti 1 £19.73 800 gm powder Pack of 800

Milupa Aptamil Pepti 1 £21.46 900 gm powder Pack of 900

Milupa Aptamil Pepti 2 £9.41 400 gm powder Pack of 400

22 January 2020 289/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Milupa Aptamil Pepti 2 £18.82 800 gm powder Pack of 800

Milupa Aptamil Pepti 2 £20.48 900 gm powder Pack of 900

Complan £2.80 57 g shake pdr sachet unspecified Pack of 4 Aymes Shake is now First Line. ONS policy currently under review. Due for release Aug 2013 Use following dietetic recommendation or in line with MUST.

Complan £4.39 57 g shake pdr sachet starter pack with shaker Pack of 5 Aymes Shake is now First Line. ONS policy currently under review. Due for release Aug 2013 Use this starter pack only for initial prescription following dietetic recommendation or in line with MUST.

Altraplen Compact £1.00 500 ml liquid 4 x 125ml Flavour Not Specified Pack of 4 Starer pack- avaiable at no cost to NHS from Order samples via website http://nualtra.co.uk/nutriplen-sample-pack/ Should only be considered if unable to manage volume of Aymes Complete (Altraplen is new name for Nutriplen)

Aymes Complete £5.60 800 ml bottles 4 x 200ml starter pack Pack of 800 Should only be considered if unable to use Aymes Shake shaker.Sample packs available at no charge to check acceptabilty. http://aymes.com/pages/direct- to-patient-sample-service

Ensure (Can Multipack) (Ensure) £2.01 250 ml unit (flavour unspecified) Pack of 250 Equivalent nutritional value to full cream milk

Ensure (Can Single) (Ensure) £2.39 250 ml can Chocolate Pack of 1 Equivalent nutritional value to full cream milk

Ensure (Can Single) (Ensure) £2.39 250 ml can Coffee Pack of 1 Equivalent nutritional value to full cream milk

Ensure (Can Single) (Ensure) £2.31 250 ml can (flavour unspecified) Pack of 1 Equivalent nutritional value to full cream milk

Enteral Nutrition (Supportan) £11.28 200 ml drink Unspecified Pack of 800 No evidence submitted to support use

Enteral Nutrition (Supportan) £6.24 500 ml tube feed Pack of 500 No evidence submitted to support use

Fortisip Range Starter Pack (Fortisip) £20.20 200 ml unit various Pack of 10 Starter packs can be ordered at no charge. See ONS policy for details

22 January 2020 290/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Nutricrem (Nutricrem dessert) £5.60 500 gram dessert strawberry 4 x125g Pack of 4 Only for patients needing thickened fluids. All patients needing ONS AND thickened fluids should be referred to dietetics and will remain on dietetic case load

Nutricrem (Nutricrem dessert) £5.60 500 gram dessert vanilla 4 x125g Pack of 4 Only for patients needing thickened fluids. All patients needing ONS AND thickened fluids should be referred to dietetics and will remain on dietetic case load

Prosure (Prosure) £3.34 240 ml Tetrapack Unspecified Pack of 240 Insufficient or no evidence provided to support use through the NHS

Vivomixx £5.52 1 capsules Pack of 10

Vivomixx £11.10 1 oral powder 4.4g sachet Pack of 10

Clinutren ISO 1kcal/ml (Clinutren) £6.40 200 ml unit Vanilla Pack of 4 Not first line. Dietitian may request due to unusual dietetic circumstances and will provide rationale

Clinutren ISO 1kcal/ml (Clinutren) £6.40 200 ml unit Chocolate Pack of 4 Not first line. Dietitian may request due to unusual dietetic circumstances and will provide rationale

Clinutren ISO 1kcal/ml (Clinutren) £6.40 200 ml unit (x4 unspecified) Pack of 800 Not first line. Dietitian may request due to unusual dietetic circumstances and will provide rationale

Ensure Twocal (Ensure) £2.22 200 ml unit unspecified Pack of 1 Not first line. Dietitian may request due to unusual dietetic circumstances and will provide rationale

Souvenaid £2.79 125 ml liquid Strawberry Pack of 1 Souvenaid should not be prescribed in primary care in East Kent as it has not been through the expected ACBS review process. Please see guideline http://tinyurl.com/zwf4w2g. Patients can be reassured that information from their GP is not required if they wish to purchase the product.

Souvenaid £2.79 125 ml liquid Vanilla Pack of 1 Souvenaid should not be prescribed in primary care in East Kent as it has not been through the expected ACBS review process. Please see guideline http://tinyurl.com/zwf4w2g. Patients can be reassured that information from their GP is not required if they wish to purchase the product. 9.5.1.1 - Nutrition & blood | Minerals | Calcium Supplements

Current Status Drug Tariff

Calcium Carbonate Tablet (Adcal) £8.70 1.5 g tab (Chewable) Pack of 100

22 January 2020 291/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Calcium Carbonate Tablet (Cacit) £3.11 1.25 g tab Effevescent (eqv 500mg Ca) Pack of 20

Calcium Carbonate Tablet (Calcichew) £9.33 1.25 g tab (eqv 500mg Ca) chewable Pack of 100

Calcium Gluconate £16.09 1 g tab Pack of 28

Calcium Lactate £4.57 300 mg tab Pack of 84

Calcium Syrup (Calcium-Sandoz) £3.39 300 ml / Syrup Pack of 300

Calcium Tablets (Sandocal 1000 ) £6.87 400 mg / effev. Tab Pack of 100

Calcium Tablets (Sandocal 1000 ) £12.82 1000 mg / effev. Tab Pack of 30 9.5.1.2 - Nutrition & blood | Minerals | Hypercalcaemia

Current Status Drug Tariff

Cinacalcet Tablet (Mimpara) £125.75 30 mg tab Pack of 28 Shared care under development for use in primary hyperparathyroidism when parathyroidectomy would be indicated on the basis of serum calcium levels but in whom parathyroidectomy is not clinically appropriate or is contraindicated.

Cinacalcet Tablet (Mimpara) £231.97 60 mg tab Pack of 28 Shared care under development for use in primary hyperparathyroidism when parathyroidectomy would be indicated on the basis of serum calcium levels but in whom parathyroidectomy is not clinically appropriate or is contraindicated.

Cinacalcet Tablet (Mimpara) £347.96 90 mg tab Pack of 28 Shared care under development for use in primary hyperparathyroidism when parathyroidectomy would be indicated on the basis of serum calcium levels but in whom parathyroidectomy is not clinically appropriate or is contraindicated. 9.5.1.3 - Nutrition & blood | Minerals | Magnesium

Current Status Drug Tariff

Magnesium aspartate (Magnaspartate) £7.95 10 mmol granules sachets Pack of 10 Please prescribe the ONLY LICENSED formulation of oral magnesium supplementation ‘Magnaspartate sachets’ as first line. Consider magnesium glycerophosphate 97.2mg chewable tablets instead where fluid load could be significant, e.g. renal or cardiac patients.

Magnesium aspartate (Magnaspartate) £8.95 243 mg (magnesium 10mmol) oral powder sachets Pack of 10 Please prescribe the ONLY LICENSED formulation of oral magnesium supplementation ‘Magnaspartate sachets’ as first line. Consider magnesium glycerophosphate 97.2mg chewable tablets instead where fluid load could be significant, e.g. renal or cardiac patients.

Magnesium Glycerophosphate (Magnaphate) £22.64 97.2 mg (4mmol) chewable tab Pack of 50 Please prescribe the ONLY LICENSED formulation of oral magnesium supplementation ‘Magnaspartate sachets’ as first line. Consider magnesium glycerophosphate 97.2mg chewable tablets instead where fluid load could be significant, e.g. renal or cardiac patients.

22 January 2020 292/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Neomag (Magnesium glycerophosphate) £22.77 97 mg (4mmol) chewable tablets Pack of 50 Please prescribe the ONLY LICENSED formulation of oral magnesium supplementation ‘Magnaspartate sachets’ as first line. Consider magnesium glycerophosphate 97.2mg chewable tablets instead where fluid load could be significant, e.g. renal or cardiac patients. 9.5.2.2 - Nutrition & blood | Minerals | Phosphate Binding Agents

Current Status Drug Tariff

Lanthanum £193.59 1 g chewable tablets sugar free Pack of 90 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation. (Updated: Sept 2015)

Lanthanum £193.59 1 g oral powder sachets Pack of 90 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation. (Updated: Sept 2015)

Lanthanum £124.06 500 mg chewable tablets S/F Pack of 90 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation. (Updated: Sept 2015)

Lanthanum £182.60 750 mg chewable tablets S/F Pack of 90 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation. (Updated: Sept 2015)

Lanthanum £182.60 750 oral powder sachets Pack of 90 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation. (Updated: Sept 2015)

Lanthanum (Fosrenol) £182.60 750 mg Powder (sachets) Pack of 90 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation. (Updated: Sept 15)

Lanthanum Tablet (Fosrenol) £124.06 500 mg tab Pack of 90 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation. (Updated: Sept 15)

Lanthanum Tablet (Fosrenol) £182.60 750 mg tab Pack of 90 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation. (Updated: Sept 15)

Lanthanum Tablet (Fosrenol) £193.59 1000 mg tab Pack of 90 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation. (Updated: Sept 15)

Sevelamer Carbonate £81.39 800 mg tab Pack of 180 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation. (Updated: Sept 2015)

22 January 2020 293/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Sevelamer carbonate (Renvela) £167.04 800 mg tab Pack of 180 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation. (Updated: Sept 15)

Sevelamer Hydrochloride (Renagel) £73.00 403 mg Cap Pack of 200 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation. (Updated: Sept 15)

Sevelamer Hydrochloride (Renagel) £167.04 800 mg Tab Pack of 180 SPECIALIST INITIATION ONLY. Prescribe after Secondary Care Initiation. (Updated: Sept 15)

Calcium Acetate (Phosex) £19.79 1 g tab Pack of 180

Sucroferric oxyhydroxide (Velphoro) £179.00 500 mg chewable tablets Pack of 90 Do NOT prescribe. Currently under consideration by EKHUFT but will remain hospital only for renal patients treated at EKHUFT. High cost drug reimbursed to acute trusts separately from NHS England tariff if prescribed by acute (PBR excluded) 9.5.5 - Nutrition & blood | Minerals | Selenium

Current Status Drug Tariff

Selenium (SelenoPrecise) £4.02 200 mcg tablets Pack of 60 Do not prescribe. Insufficient evidence to support supply on the NHS.

9.6.1.1 - Nutrition & blood | Vitamins | Vitamin A

Current Status Drug Tariff

Vitamins A and D £8.42 1 cap Pack of 84

Lenograstim (Granocyte) £62.54 33.6 million unit Pack of 1 9.6.2.4 - Nutrition & blood | Vitamins | Pyridoxine Hydrochloride (B6)

Current Status Drug Tariff

Pyridoxine £18.88 50 mg Tab Pack of 28 9.6.2.6 - Nutrition & blood | Vitamins | Thiamine Hydrochloride (B1)

Current Status Drug Tariff

Thiamine £4.17 50 mg tab Pack of 100

Thiamine £6.71 100 mg tab Pack of 100 9.6.2.7 - Nutrition & blood | Vitamins | Vitamin B Compound 22 January 2020 294/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal 9.6.2.7 - Nutrition & blood | Vitamins | Vitamin B Compound CCG

Current Status Drug Tariff

Vitamin B Co Tablets (Strong) £1.88 1 tab Pack of 28 9.6.3.1 - Nutrition & blood | Vitamins | Vitamin C (Ascorbic Acid)

Current Status Drug Tariff

Ascorbic Acid Tablets £15.08 50 mg tab Pack of 28

Ascorbic Acid Tablets £14.30 100 mg tab Pack of 28

Ascorbic Acid Tablets £19.88 200 mg tab Pack of 28 This product can be purchased relatively cheaply for under £1.00, at Tesco they are 80p for 30 tablets http://tinyurl.com/zq6ea9x, Lloyds pharmacy 69p http://tinyurl.com/zmjgrve and Morrison’s £1.00 http://tinyurl.com/hhfotzr (Updated: Aug 2016).

Ascorbic Acid Tablets £26.89 500 mg tab Pack of 28 This product can be purchased relatively cheaply, at Sainsbury's they are £2.00 for 30 tablets http://tinyurl.com/zmlrrma, Tesco £2.00 http://tinyurl.com/j9vkayp and Lloyds pharmacy £3.09 http://www.tesco.com/groceries/product/details/?id=250268438(Updated: Aug 2016).

Ascorbic Acid Tablets £96.04 500 mg tab Pack of 100 This product can be purchased relatively cheaply, at Sainsbury's they are £2.00 for 30 tablets http://tinyurl.com/zmlrrma, Tesco £2.00 http://tinyurl.com/j9vkayp and Lloyds pharmacy £3.09 http://www.tesco.com/groceries/product/details/?id=250268438(Updated: Aug 2016). 9.6.4 - Nutrition & blood | Vitamins | Vitamin D

Current Status Drug Tariff

Colecalciferol (Desunin ) £4.72 800 unit tablet Pack of 30

Colecalciferol (Fultium-D3) £3.60 800 unit caps Pack of 30

Paricalcitol (Zemplar) £69.44 1 mcg cap Pack of 28

Paricalcitol (Zemplar) £138.88 2 mcg cap Pack of 28

Paricalcitol (Zemplar) £277.76 4 mcg cap Pack of 28

Paricalcitol (Zemplar) £62.00 5 mcg/1ml solution for injection Pack of 5

Alfacalcidol £4.93 0.25 mcg cap Pack of 30 Prescribing in multiples of 30 is more cost effective as can only be dispensed in the original container.

22 January 2020 295/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Alfacalcidol £9.90 0.5 mcg cap Pack of 30 Prescribing in multiples of 30 is more cost effective as can only be dispensed in the original container.

Alfacalcidol £13.82 1 mcg cap Pack of 30 Prescribing in multiples of 30 is more cost effective as can only be dispensed in the original container.

Alfacalcidol Drops (One-Alpha) £21.30 2 mcg / ml (10ml unit) Pack of 1

Calcitriol £5.52 250 ng cap Pack of 30

Calcitriol £7.91 500 ng cap Pack of 30

Calcium Carbonate / Vit D (Accrete D3) £2.95 1.5 g / 400iu tab Pack of 60

Calcium Carbonate / Vit D (Adcal-D3) £2.95 0.75 g / 200iu Caplet Pack of 112

Calcium Carbonate / Vit D (Adcal-D3) £3.65 1.5 g / 400iu Tab (Chewable) Pack of 56

Calcium Carbonate / Vit D (Adcal-D3) £3.65 1.5 g / 400iu Tab (Chewable) (lemon) Pack of 56

Calcium Carbonate / Vit D (Calcichew D3 Forte) £7.08 1.25 g / 400iu Tab (eqv 500mg Ca) Chewable Pack of 100

Calcium Carbonate / Vit D3 (Calceos) £3.51 1.25 g / 400iu Tab (Chewable) Pack of 60

Calcium Carbonate / Vit D3 (TheiCal-D3) £2.95 1000 mg/880unit chewable tablets Pack of 30 (Updated: January 2015)

Calcium and Ergocalciferol £25.54 300 mg calcium lactate Pack of 28 Accrete D3 or Calceos are more cost effective

Calcium Carbonate / Vit D (Adcal-D3) £5.99 1.5 g / 400iu Tab (Dissolve) Pack of 56 Restricted to patients who cannot swallow other formulations of calcium and vit D.

Calcium Carbonate / Vit D (Kalcipos-D3) £4.21 0.5 g / 800iu tab (Chewable) Pack of 30

Calcium Carbonate / Vit D (Natecal D3) £3.63 1.5 g / 400iu Tab (Chewable) Pack of 60 Accrete D3 or Calceos are more cost effective

22 January 2020 296/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Calcium Phosphate / Vit D (Calfovit D3) £4.32 3.1 g / 800iu Powder Sachet Pack of 30 Restricted to patients who cannot swallow other formulations of calcium and vit D

Ergocalciferol Tablets £30.34 1.25 mg tab Pack of 100 Consider Fultium D3 800iu or Desunin 800iu Ergocalciferol is not Drug Tariff listed so uncontrolled cost

Alfacalcidol (One-Alpha) £3.37 0.25 mcg cap Pack of 30 Prescribe generically

Alfacalcidol (One-Alpha) £6.27 0.5 mcg cap Pack of 30 Prescribe generically

Alfacalcidol (One-Alpha) £8.75 1 mcg cap Pack of 30 Prescribe generically

Calcitriol (Rocaltrol) £18.04 250 ng cap Pack of 100

Calcitriol (Rocaltrol) £32.25 500 ng cap Pack of 100

Calcium Carbonate / Vit D (Calcichew D3) £7.68 1.25 g / 200iu Tab (eqv 500mg Ca) chewable Pack of 100

Colecalciferol (Hux D3) £3.49 20000 unit capsules Pack of 20 Unlicensed product

Colecalciferol (Lamberts Vitamin D3) £3.21 400 unit tab Pack of 120 Unlicensed product

Colecalciferol (Lamberts Vitamin D3) £4.63 1000 unit tab Pack of 120 Unlicensed product

Vitamin D (Colecalciferol) £3.21 400 unit tablet Pack of 120 Consider Fultium D3 800iu or Desunin 800iu Vitamin D3 is not Drug Tariff listed so uncontrolled cost

Vitamin D (Colecalciferol) £4.63 1000 unit tablet Pack of 120 Consider Fultium D3 800iu or Desunin 800iu Vitamin D3 is not Drug Tariff listed so uncontrolled cost

22 January 2020 297/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Vitamin D (Colecalciferol) Capsules £4.59 800 unit caps Pack of 30 Consider Fultium D3 800iu or Desunin 800iu Colecalciferol is not Drug Tariff listed so uncontrolled cost

Vitamin D (Colecalciferol) Capsules £3.16 1000 unit caps Pack of 30 Consider Fultium D3 800iu or Desunin 800iu Ergocalciferol is not Drug Tariff listed so uncontrolled cost

Vitamin D3 (Aciferol D3) £9.99 400 iu tab Pack of 90 Unlicensed product

Vitamin D3 (Aciferol D3) £14.99 1000 iu tab Pack of 90 Unlicensed product

Vitamin D3 (Aciferol D3) £25.99 2200 iu tab Pack of 90 Unlicensed product

Vitamin D3 (Aciferol D3) £14.99 3000 iu tab Pack of 60 Unlicensed product

Vitamin D3 (Aciferol D3) £19.99 5000 iu tab Pack of 60 Unlicensed product

Vitamin D3 (Aciferol D3) £13.99 10000 iu tab Pack of 30 Unlicensed product

Vitamin D3 (Aciferol D3) £18.99 20000 iu tab Pack of 30 Unlicensed product

Vitamin D3 (Aciferol D3) £19.99 30000 iu cap Pack of 10 Unlicensed product

Vitamin D3 (Aciferol D3) £19.99 50000 iu cap Pack of 10 Unlicensed product

Vitamin D3 (Pro D3) £4.99 400 iu cap Pack of 30 Unlicensed product

22 January 2020 298/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Vitamin D3 (Pro D3) £6.99 1000 iu cap Pack of 30 Unlicensed product

Vitamin D3 (Pro D3) £22.50 2000 iu liquid ( free) Pack of 100 Unlicensed product

Vitamin D3 (Pro D3) £9.99 2500 iu cap Pack of 30 Unlicensed product

Vitamin D3 (Pro D3) £18.90 3000 iu iu liquid Forte (alcohol free) Pack of 50 Unlicensed product

Vitamin D3 (Pro D3) £14.99 10000 iu cap Pack of 30 Unlicensed product

Vitamin D3 (Pro D3) £19.99 20000 iu cap Pack of 30 Unlicensed product

Vitamin D3 (Pro D3) £24.99 30000 iu cap Pack of 10 Unlicensed product

Vitamin D3 (Valupak) £0.59 1000 unit tablet Pack of 60 Unlicensed product

9.6.6 - Nutrition & blood | Vitamins | Vitamin K

Current Status Drug Tariff

Menadiol Phosphate £204.49 10 mg Tab Pack of 100

Phytomenadione (Konakion) £4.71 2 mg / 0.2ml Paed Amp Pack of 5

Phytomenadione (Konakion) £1.55 10 mg Tab Pack of 10

Phytomenadione (Konakion) £3.78 10 mg / 1ml Amp Pack of 10 9.6.7 - Nutrition & blood | Vitamins | Multivitamin Preparations

Current Status Drug Tariff

22 January 2020 299/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Dalivit Oral Drops £6.50 25 mls Pack of 25

Abidec (Drops) £3.13 0.6 mls / dose Pack of 50

Multivitamin Supplement (Ketovite) £9.21 100 Tab Pack Pack of 100

Multivitamin Supplement (Ketovite) £19.10 150 ml Liquid Pack of 150

Multivitamins & minerals (Forceval Capsules) £9.92 30 caps Pack of 30

Multivitamins & minerals (Forceval Junior) £3.52 30 caps Pack of 30

Vitamin Capsules £15.48 1 caps Pack of 1000

Multivitamin chewable tablets (Centrum Fruity Chewable) £4.78 1 tab Pack of 30

Multivitamin tablets (Centrum Advance ) £3.55 1 tab Pack of 30

Multivitamin tablets (Centrum Advance ) £6.28 1 tab Pack of 60

Multivitamin tablets (Centrum Advance ) £9.35 1 tab Pack of 100

Multivitamin tablets (Centrum Advance 50+) £3.66 1 tab Pack of 30

Multivitamin tablets (Centrum Cardio ) £9.12 1 tab Pack of 60

Multnutrient tablets (Centrum Performance) £4.22 1 tab Pack of 30

Multnutrient tablets (Centrum Performance) £6.95 1 tab Pack of 60

Multnutrient tablets (Centrum Performance) £11.34 1 tab Pack of 100

PreserVision Lutein capsules £9.42 1 Multivitamin and Mineral capsules 60 capsule Pack of 60 Insufficient evidence to support supply on the NHS

PreserVision Original capsules £9.42 1 Multivitamin and Mineral capsules 60 capsule Pack of 60 Insufficient evidence to support supply on the NHS

22 January 2020 300/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

PreserVision tablet £11.06 1 Multivitamin and Mineral tablets 120 tablet Pack of 120 Insufficient evidence to support supply on the NHS

Vitalux Omega capsules £8.96 1 Multivitamin and Mineral capsules 28 capsule Pack of 28 NICE guidelines offer the following advice: Do not offer or advise people to use to prevent another MI: There is a lack of evidence of benefit of treatment with omega 3 fatty acids. Prescribers are advised to review omega 3 fatty acids in all patients who have been prescribed this post MI with a view to stopping treatment. http://guidance.nice.org.uk/CG172

Viteyes Original Formula Plus Lutein capsules £25.50 1 Multivitamin and Mineral capsules 180 capsule Pack of 180 Insufficient evidence to justify supply on the NHS

MacuShield £10.95 1 capsules Pack of 30

Multivitamin and Mineral tablets (MacuLEH Light) £9.95 1 tablets Pack of 90 Do not prescribe as this product has not been assessed for use in the local health economy it is not recommended.

9.8.1 - Nutrition & blood | Metabolic Disorders | Drugs Used in Metabolic Disorders

Current Status Drug Tariff

Agalsidase beta (Fabrazyme) £2196.59 35 mg powder Pack of 35

Alglucosidase alfa (Myozyme) £356.06 50 mg powder Pack of 50

Betaine Powder (Cystadane) £347.00 180 g powder Pack of 180

Mercaptamine Capsule (Cystagon) £70.00 50 mg cap Pack of 100

Mercaptamine Capsule (Cystagon) £190.00 150 mg cap Pack of 100 9.9 - Nutrition & blood | Foods

Current Status Drug Tariff

Similac High Energy £0.69 60 ml liquid Pack of 1

SMA Gold Prem 2 Catch-up Formula £5.18 400 gm powder g/f s/f Pack of 1

SMA LF powder £5.21 430 gm LF powder Pack of 1

SMA Staydown powder £7.51 900 gm Pack of 1

22 January 2020 301/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Anti-Reflux powder (Cow and Gate ) £11.22 900 gm Pack of 1

Enfamil AR £3.62 400 gm powder Pack of 1

Enfamil O-Lac £4.83 400 gm powder Pack of 1

Milupa Aptamil £10.74 900 gm follow on milk Pack of 900 9.10 - Nutrition & blood | Compound Vit/Mineral Formulations

Current Status Drug Tariff

Formula Lutein & Zeaxanthin (ICaps) £9.44 30 tabs (Once a Day) Pack of 30 Insufficient evidence to support supply on the NHS

Formula Lutein & Zeaxanthin (ICaps) £7.19 60 tabs Pack of 60 Insufficient evidence to support supply on the NHS

Ocuvite (Ocuvite) £9.42 1 complete capsule Pack of 60 Insufficient evidence to support supply on the NHS

Ocuvite Lutein Forte £9.70 1 tab Pack of 30 Insufficient evidence to support supply on the NHS

9.11.1 - Nutrition & blood | Health Supplements | Amino Acids & Nutritional Agents

Current Status Drug Tariff

Prosource Liquid £97.23 30 ml sachet Pack of 100 Specialsit initiation. Primarily as a way of increasing protein while (1) maintaining a closed system (avoids asking the patient to mix powders where there are concerns about infection control in the home environment) (2) for patients with pressure sores (3) patients who only tolerate low volumes of feed (4) for jejunally fed patients who experience dumping and cannot tolerate a high energy feed (5) bariatric patients waiting for a reversal whose protein status is poor. 9.11.2 - Nutrition & blood | Health Supplements | Enzymes

Current Status Drug Tariff

Colief Infant Drops £8.40 7 ml unit Pack of 7 Only for infants with confirmed lactose intolerance, confirmed by presence of reducing substances and/or excessive acid in stools,a low concentration of the corresponding disccharide enzyme on biopsy or by breath hydrogen test or lactose intolerance test 9.11.4 - Nutrition & blood | Health Supplements | Digestive Aids

Current Status Drug Tariff

22 January 2020 302/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Probiotic Food Supplement (VSL#3) £32.98 4.4 g sachet Pack of 30 In general this should not be prescribed with the exception of one very specific indication for pouchitis induced by antibacterials.The EKPG Recommendation is available here: https://tinyurl.com/y8ghgdoy 9.12 - Nutrition & blood | Other Health Supplements

Current Status Drug Tariff

Melatonin Capsule ((Unlicensed)) £120.00 0.5 mg cap Pack of 60 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Capsule ((Unlicensed)) £92.00 1 mg cap Pack of 60 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Capsule ((Unlicensed)) £100.00 2 mg cap Pack of 60 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Capsule ((Unlicensed)) £127.00 2.5 mg cap Pack of 60 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Capsule ((Unlicensed)) £108.00 3 mg cap Pack of 60 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Capsule ((Unlicensed)) £105.00 3 mg cap M/R Pack of 60 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

22 January 2020 303/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Melatonin Capsule ((Unlicensed)) £102.00 5 mg cap Pack of 60 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Capsule ((Unlicensed)) £143.00 10 mg cap Pack of 60 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Liquid Special ((Unlicensed)) £350.00 2 mg / 5ml Pack of 150 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Liquid Special ((Unlicensed)) £204.00 2.5 mg / 5ml Pack of 150 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Liquid Special ((Unlicensed)) £500.00 3 mg / 5ml Pack of 150 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Liquid Special ((Unlicensed)) £115.00 4 mg / 5ml Pack of 150 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Liquid Special ((Unlicensed)) £110.00 5 mg / 5ml Pack of 150 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

22 January 2020 304/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Melatonin Tablet ((Unlicensed)) £70.00 1 mg tab Pack of 60 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Tablet ((Unlicensed)) £97.00 3 mg tab Pack of 60 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Tablet ((Unlicensed)) £63.00 3 mg tab M/R Pack of 60 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Melatonin Tablet ((Unlicensed)) £214.00 5 mg tab Pack of 60 This is an unlicensed drug or off- licensed drug which has limited evidence for improving sleep latency in children with neurodevelopment disorders. The following recommendations are provided to GPs to manage requests to initiate or continue treatment for melatonin: 1. Melatonin initiated by the Children and Adolescent Mental Health service (CAMHs) provider (i.e. Sussex Partnership Trust) will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.2. Melatonin initiated by the Community Paediatricians employed by East Kent Hospitals Trust (EKHFT), will remain the responsibility of this team. All prescribing will be undertaken by them. GPs should not prescribe.3. Requests to prescribe Melatonin from tertiary centres and for patients over 18 should be referred to your Prescribing Adviser for advice.

Glucosamax £11.42 30 tab pack Pack of 30

Glucosamine (Cozachew Meltdown) £18.40 1500 mg tab (chewable) Pack of 30

Glucosamine + MSM (Health+ Plus) £5.13 500 mg / 500mg tabs Pack of 90

Glucosamine & Chondroitin £12.72 400 mg / 100mg cap Pack of 100

Glucosamine & Chondroitin £16.80 400 mg / 100mg tabs Pack of 100

Glucosamine & Chondroitin £60.00 500 mg / 400mg caps (No PL) Pack of 30

Glucosamine & Chondroitin £60.00 500 mg / 400mg tab Pack of 30

Glucosamine & Chondroitin (Cozachew Meltdown Combi) £18.40 500 mg / 400mg tabs Pack of 90

Glucosamine & Chondroitin (Ostex Plus) £7.40 500 mg / 400mg tab Pack of 60

22 January 2020 305/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Glucosamine / Chondroitin (Flexeze) £7.99 60 cap (hi-stength truefil caps) Pack of 60

Glucosamine + Collagen (Power Health) £5.64 500 mg / 400mg cap Pack of 30

Glucosamine Hydrochloride (Ardern) £10.16 750 mg capsule Pack of 60

Glucosamine Sachets (Glusartel) £36.11 1500 mg / sachet Pack of 30

Glucosamine Sulfate Tablet (Ostex) £4.84 750 mg tab Pack of 60

Glucosamine Sulphate £40.00 500 mg tablet Pack of 60

Glucosamine Sulphate £8.08 550 mg caps Pack of 60

Glucosamine Sulphate £4.00 600 mg tab Pack of 30

Glucosamine Sulphate £19.00 750 mg tablet Pack of 30

Glucosamine Sulphate £3.50 750 mg M/R tab Pack of 30

Glucosamine Sulphate £2.13 1000 mg tab Pack of 30

Glucosamine Sulphate £18.20 1500 mg tab Pack of 30

Glucosamine Sulphate (Bio-Glucosamine Super / Std) £4.41 675 mg cap Pack of 50

Glucosamine Sulphate (Dolenio) £18.20 1500 mg tab Pack of 30

Glucosamine Sulphate (Glucosamine Gold Standard) £79.38 500 mg caps Pack of 90

Glucosamine Sulphate (Glucosamine Gold Standard) £79.31 500 mg tab Pack of 90

Glucosamine Sulphate (Glucosamine Gold Standard) £39.68 750 mg tab Pack of 30

Glucosamine Sulphate (Glucosamine Gold Standard) £59.68 1500 mg tabs Pack of 30

Glucosamine Sulphate (Glucosamine PDP) £29.86 500 mg / 400mg tab (chondroitin combi) Pack of 30

Glucosamine Sulphate (Glucosamine PDP) £29.86 500 mg caps Pack of 90

22 January 2020 306/403 Formulary Book [9: Nutrition & blood] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Glucosamine Sulphate (Glucosamine PDP) £29.86 500 mg tab Pack of 90

Glucosamine Sulphate (Glucosamine PDP) £24.86 750 mg tab Pack of 30

Glucosamine Sulphate (Glucosamine PDP) £29.86 1500 mg tab Pack of 30

Glucosamine Sulphate (Valupak) £1.07 500 mg tab Pack of 30

Glucosamine Sulphate (Valupak) £3.57 1500 mg tab Pack of 30

Glucosamine Tablet (Alateris) £18.40 625 mg tab Pack of 60

Ocuvite (Ocuvite) £5.50 1 lutein capsule Pack of 30

St Johns Wort £6.00 1 pack unspecified strength Pack of 1

St Johns Wort £16.00 300 mg tab Pack of 30

St Johns Wort £1.60 333 mg tab Pack of 30

St Johns Wort £7.00 333 mg vegan capsule Pack of 30

St Johns Wort £2.55 334 mg powder Pack of 30

St Johns Wort £8.00 500 mg tab Pack of 30

St Johns Wort £14.00 900 mg tab Pack of 30

St Johns Wort (Valupak) £1.19 1 g tab Pack of 60

Melatonin Tablet (Circadin) £10.77 2 mg tab M/R Pack of 21 10.1.1 - Musculoskeletal & joint diseases | Drugs Used In Rheumatic Diseases & Gout | Non-Steroidal Anti- Inflammatory Drugs

Current Status Drug Tariff

Ibuprofen Tablets £3.82 200 mg tab Pack of 84

Ibuprofen Tablets £3.68 400 mg tab Pack of 84

22 January 2020 307/403 Formulary Book [10: Musculoskeletal & joint diseases] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ibuprofen Tablets £4.08 600 mg tab Pack of 84

Piroxicam £4.90 10 mg Cap Pack of 56 Dose should not exceed 20mg daily

Piroxicam £4.48 20 mg Cap Pack of 28 Dose should not exceed 20mg daily

Diclofenac / Misoprostol (Arthrotec) £11.98 50 mg/200 mcg tab Pack of 60

Diclofenac / Misoprostol (Arthrotec) £15.83 75 mg/200 mcg tab Pack of 60

Diclofenac Injection (Voltarol) £9.91 75 mg / 3ml Amp Pack of 10 For acute use only

Diclofenac SR (Diclofenac SR of unspecified brand) £8.06 75 mg tab Pack of 56

Diclofenac SR (Diclofenac SR of unspecified brand) £5.36 100 mg tab Pack of 28

Diclofenac Suppository £3.64 100 mg supps Pack of 10

Diclofenac Tablet £1.77 25 mg tab e/c Pack of 28

Diclofenac Tablet £1.75 50 mg tab e/c Pack of 28

Etoricoxib Tablets £8.31 30 mg tablets Pack of 28

Etoricoxib Tablets £2.97 60 mg tablets Pack of 28

Etoricoxib Tablets £2.83 90 mg tablets Pack of 28

Etoricoxib Tablets £13.64 120 mg tablets Pack of 28

Ibuprofen Granules (Brufen Granules) £6.80 600 mg/sachet Pack of 20

Ibuprofen Suspension £1.57 100 mg/5ml (s/f) Pack of 100

Ibuprofen Suspension (Cuprofen) £1.70 100 mg/5ml S/F Pack of 100

22 January 2020 308/403 Formulary Book [10: Musculoskeletal & joint diseases] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ibuprofen Suspension (Orbifen) £1.67 100 mg/5ml Pack of 100

Ibuprofen Tablet (Cuprofen) £1.03 200 mg tab Pack of 24

Ibuprofen Tablet (Cuprofen) £1.03 400 mg tab Pack of 12

Ibuprofen Tablets (Arthrofen) £4.75 400 mg tab Pack of 84

Ibuprofen Tablets (Mandafen) £0.55 400 mg tab Pack of 48

Ibuprofen Tablets (Mandafen) £1.10 600 mg tab (tub) Pack of 84

Indometacin (Indomethacin) £1.32 25 mg Cap Pack of 28

Indometacin (Indomethacin) £1.59 50 mg Cap Pack of 28

Indometacin (Indomethacin) SR (Indomax) £4.98 75 mg cap Pack of 28

Indometacin (Indomethacin) SR (Pardelprin MR) £8.48 75 mg cap Pack of 100

Indometacin (Indomethacin) Suppository £17.61 100 mg supps Pack of 10

Mefenamic Acid £179.00 50 mg/5 mL Pack of 125 Reserve for patients who cannot swallow tablets or capsules

Mefenamic Acid £22.64 250 mg caps Pack of 100

Mefenamic Acid £26.52 500 mg tab Pack of 28

Meloxicam £1.27 7.5 mg tab Pack of 30

Meloxicam £2.32 15 mg tab Pack of 30

Naproxen £3.29 250 mg tab Pack of 28

Naproxen £11.69 250 mg E/C tab Pack of 56

Naproxen £27.77 375 mg E/C tab Pack of 56

22 January 2020 309/403 Formulary Book [10: Musculoskeletal & joint diseases] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Naproxen £3.02 500 mg tab Pack of 28

Naproxen £22.63 500 mg E/C tab Pack of 56

Etodolac (Eccoxolac) £8.14 300 mg Cap Pack of 60 Ideally all NSAIDs ONLY TO BE PRESCRIBED ACUTELY due to ongoing Cardiovascular and Gastrointestinalrisk and renal toxicity.Long term pain relief – please consider Paracetamol 1g QDS regularly (as per the WHO analgesia ladder).Low-dose Ibuprofen (1200mg per day or less) is an appropriate first choice NSAID in view of its low risk ofGI and CV side effects.Low-dose ibuprofen or naproxen 1000mg per day would appear the most appropriate for patients in whomCV risk is a significant consideration.http://www.mhra.gov.uk/Safetyinformation/Safetywarningsalertsandrecalls/Safetywarningsandmessagesformedicines/CON1004257

Phenylbutazone £135.00 100 mg tab Pack of 84

Aceclofenac £9.62 100 mg tab Pack of 60

Aceclofenac (Preservex) £9.63 100 mg tab Pack of 60

Acemetacin (Emflex) £28.20 60 mg Cap Pack of 90

Celecoxib (Celebrex) £21.55 100 mg cap Pack of 60 Prescribe generically

Celecoxib (Celebrex) £21.55 200 mg cap Pack of 30 Prescribe generically

Dexibuprofen Tablets (Seractil) £9.47 300 mg tab Pack of 60

Dexibuprofen Tablets (Seractil) £8.47 400 mg tab Pack of 60

Dexketoprofen (Keral) £3.67 25 mg tab Pack of 20

Diclofenac (Voltarol) £1.05 25 mg tab Pack of 30

Diclofenac (Voltarol) £4.57 50 mg tab Pack of 84

Diclofenac (Voltarol Pain-Eze) £2.39 12.5 mg tab Pack of 10

Diclofenac SR (Voltarol Retard) £15.50 75 mg tab Pack of 56

Diclofenac SR (Voltarol Retard) £11.36 100 mg tab Pack of 28

22 January 2020 310/403 Formulary Book [10: Musculoskeletal & joint diseases] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Etodolac (Lodine SR) £15.50 600 mg SR tab Pack of 30

Etoricoxib (Arcoxia) £13.99 30 mg tab Pack of 28

Etoricoxib (Arcoxia) £20.11 60 mg tab Pack of 28

Etoricoxib (Arcoxia) £22.96 90 mg tab Pack of 28

Etoricoxib (Arcoxia) £24.11 120 mg tab Pack of 28

Fenbufen £20.71 300 mg cap Pack of 84

Fenbufen £6.00 300 mg tab Pack of 84

Fenbufen £24.97 450 mg tab Pack of 56

Fenbufen (Lederfen) £20.71 300 mg cap Pack of 84

Fenbufen (Lederfen) £6.00 300 mg tab Pack of 84

Fenbufen (Lederfen) £6.49 450 mg tab Pack of 56

Fenoprofen (Fenopron) £9.45 300 mg tab Pack of 100

Flurbiprofen £43.17 50 mg tab Pack of 100

Flurbiprofen £77.20 100 mg tab Pack of 100

Flurbiprofen (Froben) £21.30 50 mg tab Pack of 100

Flurbiprofen (Froben) £38.10 100 mg tab Pack of 100

Flurbiprofen (Froben SR) £7.84 200 mg SR caps Pack of 30

Ibuprofen (Nurofen Meltlets) £2.58 200 mg tab Pack of 12

Ibuprofen / Codeine £2.99 200 mg / 12.8mg tab Pack of 32

Ibuprofen / Codeine (Codafen Continus - disc) £4.80 300 mg / 20mg SR tab Pack of 56

22 January 2020 311/403 Formulary Book [10: Musculoskeletal & joint diseases] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ibuprofen / Codeine (Nurofen Plus) £4.52 200 mg /12.8mg tab Pack of 24

Ibuprofen / Codeine Phosphate Tablet (Cuprofen Plus) £2.58 200 mg / 12.8mg tab Pack of 24

Ibuprofen Capsules £3.14 400 mg caps Pack of 10

Ibuprofen MR Capsule (Fenbid Spansule) £9.64 300 mg Spansule MR Pack of 120

Ibuprofen S/R (Brufen Retard) £7.74 800 mg S/R tab Pack of 56

Ibuprofen Suspension (Brufen Syrup) £8.88 100 mg/5ml Pack of 500

Ibuprofen Suspension (Calprofen) £2.42 100 mg/ 5ml sachets Pack of 12

Ibuprofen Suspension (Calprofen) £2.32 100 mg/ 5ml Pack of 100

Ibuprofen Suspension (Nurofen) £2.58 100 mg/5ml (s/f) Pack of 100

Ibuprofen Tablet (Brufen) £3.92 200 mg tab Pack of 100

Ibuprofen Tablet (Brufen) £8.16 400 mg tab Pack of 100

Ibuprofen Tablet (Brufen) £12.24 600 mg tab Pack of 100

Indometacin (Indomethacin) SR (Indolar SR) £12.75 75 mg cap Pack of 100

Ketoprofen / Omeprazole (Axorid) £13.80 100 mg / 20mg cap Pack of 30

Ketoprofen / Omeprazole (Axorid) £13.80 200 mg / 20mg cap Pack of 30

Ketoprofen cap (Tiloket) £17.20 50 mg cap Pack of 112

Ketoprofen Capsules £40.39 50 mg cap Pack of 100

Ketoprofen Capsules £23.93 100 mg cap CR Pack of 56

Ketoprofen Capsules £23.07 100 mg cap Pack of 100

Ketoprofen Capsules £23.85 200 mg cap CR Pack of 28

22 January 2020 312/403 Formulary Book [10: Musculoskeletal & joint diseases] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ketoprofen SR (Ketocid) £10.79 200 mg cap Pack of 28

Ketoprofen SR (Ketovail) £7.84 100 mg cap Pack of 56

Ketoprofen SR (Ketovail) £8.53 200 mg cap Pack of 28

Ketoprofen SR (Oruvail) £23.93 100 mg cap Pack of 56

Ketoprofen SR (Oruvail) £13.66 150 mg cap Pack of 28

Ketoprofen SR (Oruvail) £23.85 200 mg cap Pack of 28

Ketoprofen SR (Tiloket CR) £10.70 100 mg cap Pack of 56

Ketoprofen SR (Tiloket CR) £10.70 200 mg cap Pack of 28

Ketoprofen Suppository (Orudis) £6.65 100 mg supp Pack of 10

Mefenamic Acid (Ponstan) £8.17 250 mg caps Pack of 100

Mefenamic Acid (Ponstan Forte) £15.72 500 mg tab Pack of 100

Meloxicam (Mobic) £9.30 7.5 mg tab Pack of 30

Meloxicam (Mobic) £12.93 15 mg tab Pack of 30

Nabumetone £6.90 500 mg tab Pack of 56

Nabumetone (Relifex) £6.18 500 mg tab Pack of 56

Nabumetone (Relifex) £28.90 500 mg/5mls Pack of 300

Naproxen (Feminax Ultra) £3.04 250 mg cap Pack of 9

Naproxen (Naprosyn) £4.29 250 mg tab Pack of 56

Naproxen (Naprosyn) £4.29 250 mg E/C tab Pack of 56

Naproxen (Naprosyn) £6.42 375 mg E/C tab Pack of 56

22 January 2020 313/403 Formulary Book [10: Musculoskeletal & joint diseases] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Naproxen (Naprosyn) £8.56 500 mg tab Pack of 56

Naproxen (Naprosyn) £8.56 500 mg E/C tab Pack of 56

Naproxen (Synflex) £7.10 275 mg tab Pack of 60

Naproxen / Esomeprazole Tablets (Vimovo) £14.95 500 mg / 20mg tab Pack of 60

Naproxen / Misoprostol (Napratec) £23.76 500 mg / 200mcg tab Pack of 112

Parecoxib £1.00 40 mg vial injection Pack of 1

Piroxicam (Brexidol) £13.82 20 mg tab Pack of 30

Piroxicam (Feldene) £3.86 10 mg cap Pack of 30

Piroxicam (Feldene) £7.71 20 mg cap Pack of 30

Piroxicam Dispersible £9.96 10 mg Disp Tab Pack of 56

Piroxicam Dispersible £9.36 20 mg Disp Tab Pack of 28

Piroxicam Dispersible - disc (Feldene) £11.70 10 mg Disp Tab Pack of 56

Piroxicam Melt (Feldene Melt) £9.83 20 mg melt Tab Pack of 28

Sulindac £29.79 100 mg tab Pack of 56

Sulindac £38.30 200 mg tab Pack of 56

Tenoxicam £16.16 20 mg tab Pack of 28

Tenoxicam (Mobiflex) £13.42 20 mg tab Pack of 30

Tiaprofenic Acid £20.48 300 mg Tab Pack of 56

Tiaprofenic Acid (Surgam) £15.56 200 mg Tab Pack of 84

Tiaprofenic Acid (Surgam) £14.95 300 mg Tab Pack of 56

22 January 2020 314/403 Formulary Book [10: Musculoskeletal & joint diseases] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Tiaprofenic Acid (Surgam SA) £15.56 300 mg MR Cap Pack of 56

Valdecoxib (Bextra) £23.12 10 mg Tab Pack of 30

Valdecoxib (Bextra) £23.12 20 mg Tab Pack of 30

Valdecoxib (Bextra) £3.58 40 mg Tab Pack of 5

Ibuprofen / Pseudoephedrine (Nurofen Cold and Flu) £2.38 200 mg / 30mg tab Pack of 12 10.1.2.2 - Musculoskeletal & joint diseases | Drugs Used In Rheumatic Diseases & Gout | Local Corticosteroid Injections

Current Status Drug Tariff

Hydrocortisone Acetate Injection (Hydrocortistab) £68.72 25 mg / 1ml Amp Pack of 10

Methylprednisolone / Lidocaine (Depo-medrone & Lidocaine) £3.94 40 mg & 10mg /ml (1ml vial) Pack of 1

Methylprednisolone / Lidocaine (Depo-medrone & Lidocaine) £7.06 40 mg & 10mg /ml (2ml vial) Pack of 1

Methylprednisolone Acetate Injection (Depo-Medrone) £34.04 40 mg / 1ml Vial Pack of 10

Methylprednisolone Acetate Injection (Depo-Medrone) £6.18 80 mg / 2ml Vial Pack of 1

Methylprednisolone Acetate Injection (Depo-Medrone) £8.96 120 mg / 3ml Vial Pack of 1

Triamcinolone acetonide (Adcortyl) £3.63 5 ml intradermal Pack of 1

Triamcinolone Injection (Adcortyl Intra-articular / Intradermal) £4.47 10 mg / amp (1ml) Pack of 5 10.1.3 - Musculoskeletal & joint diseases | Drugs Used In Rheumatic Diseases & Gout | Rheumatic Disease Suppressant Drugs

Current Status Drug Tariff

Hydroxychloroquine £7.31 200 mg tab Pack of 60

Hydroxychloroquine (Plaquenil) £5.15 200 mg tab Pack of 60

Hydroxychloroquine (Quinoric) £5.10 200 mg tab Pack of 60

Leflunomide £5.92 10 mg tab Pack of 30

22 January 2020 315/403 Formulary Book [10: Musculoskeletal & joint diseases] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Leflunomide £6.08 20 mg tab Pack of 30

Methotrexate £4.80 2.5 mg tab Pack of 100

Methotrexate (Maxtrex) £9.96 2.5 mg tab Pack of 100

Methotrexate (Metoject) £14.85 7.5 mg / 0.15ml pre-filled syringe Pack of 1

Methotrexate (Metoject) £15.29 10 mg / 0.2ml pre-filled syringe Pack of 1

Methotrexate (Metoject) £16.50 12.5 mg / 0.25ml pre-filled syringe Pack of 1

Methotrexate (Metoject) £16.57 15 mg / 0.3ml pre-filled syringe Pack of 1

Methotrexate (Metoject) £17.50 17.5 mg / 0.35ml pre-filled syringe Pack of 1

Methotrexate (Metoject) £17.84 20 mg / 0.4ml pre-filled syringe Pack of 1

Methotrexate (Metoject) £18.45 22.5 mg / 0.45ml pre-filled syringe Pack of 1

Methotrexate (Metoject) £18.48 25 mg / 0.5ml pre-filled syringe Pack of 1

Methotrexate (Metoject) £18.95 30 mg / 0.6ml pre-filled syringe Pack of 1

Methotrexate (Metoject PEN) £12.87 7.5 mg/0.15 ml solution for injection pre-filled pen Pack of 1

Methotrexate (Metoject PEN) £13.26 10 mg/0.2 ml solution for injection pre-filled pen Pack of 1

Methotrexate (Metoject PEN) £14.35 12.5 mg/0.25 ml solution for injection pre-filled pen Pack of 1

Methotrexate (Metoject PEN) £14.41 15 mg/0.3 ml solution for injection pre-filled pen Pack of 1

Methotrexate (Metoject PEN) £15.25 17.5 mg/0.35 ml solution for injection pre-filled pen Pack of 1

Methotrexate (Metoject PEN) £15.56 20 mg/0.4 ml solution for injection pre-filled pen Pack of 1

Methotrexate (Metoject PEN) £16.11 22.5 mg/0.45 ml solution for injection pre-filled pen Pack of 1

Methotrexate (Metoject PEN) £16.13 25 mg/0.5 ml solution for injection pre-filled pen Pack of 1

22 January 2020 316/403 Formulary Book [10: Musculoskeletal & joint diseases] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Methotrexate (Metoject PEN) £16.50 27.5 mg/0.55 ml solution for injection pre-filled pen Pack of 1

Methotrexate (Metoject PEN) £16.56 30 mg/0.6 ml solution for injection pre-filled pen Pack of 1

Methotrexate (Nordimet) £13.37 7.5 mg/0.3ml solution for injection pre-filled pens Pack of 1

Methotrexate (Nordimet) £13.77 10 mg/0.4ml solution for injection pre-filled pens Pack of 1

Methotrexate (Nordimet) £14.85 12.5 mg/0.5ml solution for injection pre-filled pens Pack of 1

Methotrexate (Nordimet) £14.92 15 mg/0.6ml solution for injection pre-filled pens Pack of 1

Methotrexate (Nordimet) £15.75 17.5 mg/0.7ml solution for injection pre-filled pens Pack of 1

Methotrexate (Nordimet) £16.06 20 mg/0.8ml solution for injection pre-filled pens Pack of 1

Methotrexate (Nordimet) £16.61 22.5 mg/0.9ml solution for injection pre-filled pens Pack of 1

Methotrexate (Nordimet) £16.64 25 mg/1ml solution for injection pre-filled pens Pack of 1

Penicillamine £52.71 125 mg tab Pack of 56

Penicillamine £94.60 250 mg tab Pack of 56

Penicillamine (Distamine) £10.34 125 mg Tab Pack of 100

Penicillamine (Distamine) £17.78 250 mg Tab Pack of 100

Sodium aurothiomalate Injection (Myocrisin) £45.55 10 mg / 0.5ml Amp Pack of 10

Sodium aurothiomalate Injection (Myocrisin) £55.21 20 mg / 0.5ml Amp Pack of 10

Sodium aurothiomalate Injection (Myocrisin) £134.80 50 mg / 0.5ml Amp Pack of 10

Abatacept £302.40 125 mg pre-filled syringe Pack of 1

Abatacept £302.40 250 mg vial, poweder for reconstitution Pack of 1

Adalimumab Injection (Humira) £352.14 40 mg prefilled pen Pack of 1

22 January 2020 317/403 Formulary Book [10: Musculoskeletal & joint diseases] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Adalimumab Injection (Humira) £352.14 40 mg prefilled syringe Pack of 1

Adalimumab Injection (Humira) £352.14 40 mg vial Pack of 1

Anakinra (Kineret) £734.44 100 mg injection 0.67ml pfs Pack of 100

Apremilast (Otezla) £550.00 30 mg tablets Pack of 56 For specialist prescribing only. Please refer back to specialist.

Belimumab (Benlysta) £121.50 120 mg powder Pack of 1

Belimumab (Benlysta) £405.00 400 mg powder Pack of 1

Certolizumab (Cimzia) £357.50 200 mg pre-filled syringe Pack of 1

Etanercept (Enbrel) £89.38 25 mg vial for injection Pack of 1

Etanercept (Enbrel) £89.38 25 mg / 0.5ml prefilled syringe Pack of 1

Etanercept (Enbrel) £89.38 25 mg vial for injection (paediatric) Pack of 1

Etanercept (Enbrel) £178.75 50 mg / 1ml prefilled syringe Pack of 1

Golimumab £762.97 50 mg prefilled pen or syringe Pack of 1

Infliximab (Remicade) £419.62 100 mg vial Pack of 1

Rituximab £174.63 100 mg in 10 mL vial Pack of 1

Rituximab £873.15 500 mg in 50 mL vial Pack of 1

Tocilizumab (RoActemra) £102.40 80 mg in 4 mL vial Pack of 1

Tocilizumab (RoActemra) £256.00 200 mg in 10 mL vial Pack of 1

Tocilizumab (RoActemra) £512.00 400 mg in 20 mL vial Pack of 1

Leflunomide (Arava) £51.13 10 mg Pack of 30

22 January 2020 318/403 Formulary Book [10: Musculoskeletal & joint diseases] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Leflunomide (Arava) £61.36 20 mg Pack of 30

Leflunomide (Arava) £30.67 100 mg Pack of 3

Methotrexate £50.99 10 mg tab Pack of 100 Methotrexate should be supplied as multiples of 2.5mg tablets only for safety reasons

10.1.4 - Musculoskeletal & joint diseases | Drugs Used In Rheumatic Diseases & Gout | Gout & Cytotoxic Induced Hyperiuicaemia

Current Status Drug Tariff

Allopurinol £1.13 100 mg tab Pack of 28

Allopurinol £1.59 300 mg tab Pack of 28

Colchicine £9.53 500 mcg tab Pack of 100

Febuxostat (Adenuric) £24.36 80 mg tab Pack of 28 only for patients who are intolerant of allopurinol or in whom allopurinol is contraindicatedwww.nice.org.uk/TA164

Febuxostat (Adenuric) £24.36 120 mg tab Pack of 28 only for patienst who are intolerant of allopurinol or in whom allopurinol is contraindicatedwww.nice.org.uk/TA164

Sulfinpyrazone (Anturan) £5.66 100 mg Tab Pack of 84

Sulfinpyrazone (Anturan) £11.25 200 mg Tab Pack of 84

Allopurinol (Zyloric) £10.19 100 mg tab Pack of 100 prescribe generically

Allopurinol (Zyloric) £7.31 300 mg tab Pack of 28 prescribe generically

10.2.1 - Musculoskeletal & joint diseases | Drugs Used In Neuromuscular Disorders | Dgs Which Enhance Neuromus'ar Transmi'on

Current Status Drug Tariff

Neostigmine Bromide £120.52 15 mg tab Pack of 140

22 January 2020 319/403 Formulary Book [10: Musculoskeletal & joint diseases] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pyridostigmine (Mestinon) £45.57 60 mg tab Pack of 200

Amifampridine (Firdapse) £1815.00 10 mg tabs Pack of 100

Edrophonium Chloride £1.00 10 mg/mL 1mL Amp Pack of 1

Neostigmine Bromide £7.52 2.5 mg / ml injection Pack of 10 10.2.2 - Musculoskeletal & joint diseases | Drugs Used In Neuromuscular Disorders | Skeletal Muscle Relaxants

Current Status Drug Tariff

Baclofen Solution £3.57 5 mg/5ml liquid SF Pack of 300

Baclofen Solution (Lioresal) £10.31 5 mg/5ml liquid Pack of 300

Baclofen Tablet £1.65 10 mg tab Pack of 84

Baclofen Tablet (Lioresal) £10.40 10 mg tab Pack of 84

Carisoprodol (Carisoma) £7.45 350 mg Tab Pack of 100

Dantrolene Sodium (Dantrium) £6.16 25 mg cap Pack of 50

Dantrolene Sodium (Dantrium) £43.07 100 mg cap Pack of 100

Methocarbamol (Robaxin ) £12.65 750 mg Tab Pack of 100

Tizanidine £7.22 2 mg tab Pack of 120

Tizanidine £40.04 4 mg tab Pack of 120

Tizanidine (Zanaflex) £30.41 2 mg tab Pack of 120

Tizanidine (Zanaflex) £42.18 4 mg tab Pack of 120

Dronabinol / Oromucosal Spray (Sativex) £300.00 2.7 mg / 2.5mg per dose (3 x 90 dose units) Pack of 270 Do not prescribe, as per East Kent Prescribing group discussions. See http://www.nelcsu.nhs.uk/wp-content/uploads/2018/05/PR2016-27.pdf for more information. 10.3.1 - Musculoskeletal & joint diseases | Drugs For Relief Of Soft-Tissue Inflamm | Enzymes

22 January 2020 320/403 Formulary Book [10: Musculoskeletal & joint diseases] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Sodium Hyaluronate Injection (Hyalgan) £37.00 20 mg / 2ml pre-filled injection Pack of 1 10.3.2 - Musculoskeletal & joint diseases | Drugs For Relief Of Soft-Tissue Inflamm | Rubefacients & Other Top.Antirheumatics

Current Status Drug Tariff

Ibuprofen Gel (Fenbid) £1.50 5 % gel Pack of 100

Ibuprofen Gel (Fenbid) £4.00 10 % FORTE Gel Pack of 100

Piroxicam Gel £4.09 0.5 % gel Pack of 112

Benzydamine Hydrochloride 3% (Difflam Cream) £6.84 100 g Pack of 100

Capsaicin Cream (low dose) (Zacin) £17.71 0.025 % cream Pack of 45

Diethylamine Salicylate (Algesal) £1.49 10 % cream (50g tube) Pack of 50

Felbinac (Traxam Pain Relief) £2.26 3 % gel Pack of 30

Heat Rub Cream (Transvasin) £1.92 1 unit (40g) Pack of 40

Ibuprofen Gel (Cuprofen) £2.32 5 % Gel Pack of 30

Ibuprofen Gel (Ibuleve) £3.39 10 % Gel (30g unit) Pack of 30

Ketoprofen Gel £3.34 2.5 % Gel Pack of 100

Ketoprofen Gel (Oruvail Gel) £2.77 2.5 % Gel Pack of 30

Ketoprofen Gel (Tiloket) £3.00 2.5 % gel Pack of 50

Movelat £5.71 100 g tube cream Pack of 100

Movelat £5.71 100 g tube gel Pack of 100

Piroxicam Gel (Feldene P Gel) £2.47 0.5 % gel Pack of 30

22 January 2020 321/403 Formulary Book [10: Musculoskeletal & joint diseases] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Capsaicin Patch (Qutenza) £210.00 179 mg patch Pack of 1 No formulary application has been received for this product to clarify position in therapy

Diclofenac Gel (Voltarol / Voltaren Emulgel) £4.63 100 g tube Pack of 100

Diclofenac Gel Patch (Voltarol) £11.98 1 % gel patch Pack of 10

Diclofenac Topical Solution (Pennsaid) £16.00 1.5 % (60ml unit) Pack of 60

Felbinac (Traxam ) £8.03 3 % gel Pack of 100

Felbinac (Traxam ) £8.41 3 .17% foam Pack of 100

Ibuprofen Gel £2.64 5 % Gel Pack of 100

Ibuprofen Gel £5.79 10 % Gel Pack of 100

Ibuprofen Gel (Ibugel) £4.87 5 % Gel Pack of 100

Ibuprofen Gel (Ibugel) £5.79 10 % FORTE Gel Pack of 100

Ibuprofen Gel (Phorpain) £1.50 5 % Gel Pack of 100

Ibuprofen Gel (Phorpain Forte) £4.00 10 % FORTE Gel Pack of 100

Ibuprofen Mousse (Ibuleve) £5.44 5 % Mousse (75g Unit) Pack of 75

Ibuprofen Mousse (Ibumousse) £5.85 5 % mousse Pack of 125

Ibuprofen Spray (Ibuleve) £3.26 5 % Spray (35ml Unit) Pack of 35

Ibuprofen Spray (Ibuspray) £6.18 5 % spray Pack of 100

Ketoprofen Gel (Powergel) £5.89 2.5 % Gel Pack of 100 prescribe generically

Piroxicam Gel (Feldene Gel) £9.41 0.5 % gel Pack of 112 prescribe generically

22 January 2020 322/403 Formulary Book [11: Eye] NHS Canterbury And Coastal CCG 11.1 - Eye | Administration of drugs to the eye

Current Status Drug Tariff

MGDRx EyeBag £10.00 1 MGDRx EyeBag device Pack of 1 Do not prescribe. A request to consider use of this product in East Kent has NOT been received from specialist staff and so use is NOT recommended.

11.2 - Eye | Control of microbial contamination

Current Status Drug Tariff

Lid-care wipes (Blephaclean) £5.34 20 wipes Pack of 20 Do NOT prescribe. Not recommended due to lack of evidence to support prescribing on the NHS.

11.4.1 - Eye | Corti'roids & Other Anti-Inflamm.Preps. | Corticosteroids

Current Status Drug Tariff

Betamethasone ear/eye/nose drops (Betnesol) £2.32 0.1 % drops (10 mil unit) Pack of 1 1st line for nasal polyps.

Dexamethasone (Ozurdex) £870.00 700 micrograms intravitreal implant Pack of 1 11.6 - Eye | Treatment Of Glaucoma

Current Status Drug Tariff

Acetazolamide M/R Caps (Diamox SR) £16.66 250 mg SR cap Pack of 30

Acetazolamide Tablet £8.59 250 mg tab Pack of 112

Betaxolol Eye Drops £2.80 0.25 % drops (5ml unit) Pack of 5

Betaxolol Eye Drops £2.00 0.5 % drops (5ml unit) Pack of 5

Brimonidine / Timolol (Combigan) £10.00 0.2 % / 0.5% (5ml unit) Pack of 1 MHRA Advice Summaries:1.Warn patients not to apply brimonidine gel to irritated or damaged skin, including after laser therapy to the skin due to risk of systemic cardiovascular effect.2.Initiate treatment with a small amount of gel and increase the dose gradually to avoid exacerbation or rebound symptoms of rosacea. 3.Initiate treatment with a small amount of gel for at least 1 week and increase the dose gradually, based on tolerability and response to treatment. 4.Advise patients carefully on how to apply the gel and on the importance of not exceeding the maximum daily dose.

Brimonidine Tartrate £2.29 0.2 % drops (5ml unit) Pack of 1 MHRA Advice Summaries:1.Warn patients not to apply brimonidine gel to irritated or damaged skin, including after laser therapy to the skin due to risk of systemic cardiovascular effect.2.Initiate treatment with a small amount of gel and increase the dose gradually to avoid exacerbation or rebound symptoms of rosacea. 3.Initiate treatment with a small amount of gel for at least 1 week and increase the dose gradually, based on tolerability and response to treatment. 4.Advise patients carefully on how to apply the gel and on the importance of not exceeding the maximum daily dose.

22 January 2020 323/403 Formulary Book [11: Eye] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Brimonidine Tartrate (Alphagan) £6.85 0.2 % drops (5ml unit) Pack of 1 MHRA Advice Summaries:1.Warn patients not to apply brimonidine gel to irritated or damaged skin, including after laser therapy to the skin due to risk of systemic cardiovascular effect.2.Initiate treatment with a small amount of gel and increase the dose gradually to avoid exacerbation or rebound symptoms of rosacea. 3.Initiate treatment with a small amount of gel for at least 1 week and increase the dose gradually, based on tolerability and response to treatment. 4.Advise patients carefully on how to apply the gel and on the importance of not exceeding the maximum daily dose.

Carteolol Eye Drops £7.60 1 % eye drops (5ml unit) Pack of 5

Carteolol Eye Drops £8.40 2 % eye drops (5ml unit) Pack of 5

Dorzolamide £2.42 20 mg/ml eye drops ml Pack of 5

Dorzolamide (Trusopt) £24.18 2 % eye drops (unit dose) (60 x 0.2ml) Pack of 60 Reserved for situations where preservative free is required

Dorzolamide / Timolol Eye Drops £2.37 20 mg/ml / Timolol 5mg/ml eye drops ml Pack of 5

Dorzolamide / Timolol Eye Drops (Cosopt Eye Drops) £28.59 0.5 % drops (60 unit doses each 0.2ml) Pack of 60 Reserved for situations where preservative free is required

Latanoprost / Timolol Eye Drops £3.75 2.5 ml Unit Pack of 1

Latanoprost eye drops (Monopost) £8.49 50 mg/ml eye drops 0.2ml preservative free Pack of 30 Reserved for situations where preservative free is required

Latanoprost Eye Drops £4.96 2.5 ml Unit Pack of 1

Levobunolol Eye Drops £1.85 0.5 % drops (5ml unit) Pack of 5

Levobunolol Eye Drops (Betagan) £1.85 0.5 % drops (5ml unit) Pack of 5

Levobunolol Eye Drops (Betagan) £9.98 0.5 % drops in 0.4ml Unit Dose Vials Pack of 30 Reserved for situations where preservative free is required

Pilocarpine Eye Drops £22.20 1 % eye drops Pack of 10

Pilocarpine Eye Drops £22.79 2 % eye drops Pack of 10

Pilocarpine Eye Drops £28.40 4 % eye drops Pack of 10

22 January 2020 324/403 Formulary Book [11: Eye] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Timolol Eye Drops £1.40 0.25 % 5ml unit Pack of 5

Timolol Eye Drops £1.48 0.5 % 5ml unit Pack of 5

Timolol Eye Gel (Timoptol-LA) £3.12 0.25 % 2.5ml Unit Pack of 1

Timolol Eye Gel (Timoptol-LA) £3.12 0.5 % 2.5ml Unit Pack of 1

Travoprost /Timolol Eye Drop (DuoTrav) £13.95 40 mcg/ml & 5mg/ml (2.5ml unit) Pack of 1

Travoprost Eye Drops (Travatan) £10.95 2.5 ml Unit Pack of 1

Bimatoprost (Lumigan) £11.71 0.01 % drops (3ml unit) Pack of 1

Bimatoprost (Lumigan) £10.30 0.03 % drops (3ml unit) Pack of 1

Bimatoprost / Timolol Eye Drops (Ganfort) £14.16 0.3 mg & 5mg/ml (3ml unit) Pack of 1

Brinzolamide (Azopt) £6.92 10 mg/ ml (5 ml unit) Pack of 1

Acetazolamide injection 500mg vial (Diamox) £14.76 500 mg vial, powder for reconstitution Pack of 1

Betaxolol Eye Drops (Betoptic) £2.66 0.25 % Drops (5ml Unit) Pack of 5 Prescribe generically

Betaxolol Eye Drops (Betoptic) £1.90 0.5 % Drops (5ml Unit) Pack of 5 Prescribe generically

Carteolol (Teoptic) £7.60 1 % eye drops 5ml unit Pack of 5

Dorzolamide (Trusopt) £6.33 2 % eye drops (Ocumeter Plus MDU) Pack of 5 Prescribe generically

Dorzolamide / Timolol Eye Drops (Cosopt Eye Drops) £10.05 2 % / 0.5% (5ml unit) Pack of 1 Prescribe generically

Latanoprost / Timolol Eye Drops (Xalacom) £14.32 2.5 ml Unit Pack of 1 Prescribe generically

22 January 2020 325/403 Formulary Book [11: Eye] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Latanoprost Eye Drops (Xalatan) £12.48 2.5 ml Unit Pack of 1 Prescribe generically

Timolol (Tiopex) £7.49 1 mg/g eye gel 0.4g unit dose Pack of 30 Do not prescribe, not assessed.

11.8.1 - Eye | Miscellaneous Ophthalmic Preparations | Tear Deficiency,Eye Lubricant/Astringent

Current Status Drug Tariff

Carbomer 980 Liquid Gel (Clinitas Carbomer) £1.49 0.2 % in 10g unit Pack of 1

Eye Ointment (VitA-POS) £2.75 5 g unit Pack of 1 First Line choice - 6 month expiry date. Please note preparations with extended expiry dates, should not be placed on regular 4 weeks repeat.

Hypromellose Eye Drops £1.31 0.3 % Drops (10ml Unit) Pack of 1

Ciclosporin (Ikervis) £72.00 0.1 % eye drops 0.3ml unit dose Pack of 30

Hypromellose Eye Drops (Lumecare) £4.65 0.3 % drops (0.5ml unit) preservative free Pack of 30 The opthalmologists define allergy to preservative as “when the surrounding periorbital skin is either excoriated or red or thickened or swelling occurs". http://bit.ly/Categ11

Hydroxypropyl Guar Eye Drops (Systane Balance) £7.49 10 ml unit Pack of 1 Do not prescribe as not yet assessed. (September 2016).

Lid-Care wipes (Supranettes) £5.06 1 Supranettes sterile eye cleansing wipes dressing Pack of 20 Do NOT prescribe.Not recommended due to lack of evidence to support prescribing on the NHS.

Systane lid wipes £6.37 1 Systane lid wipes dressing Pack of 30 Do not prescribe as not yet assessed. (September 2016).

Acetylcysteine (OroNAC) £24.95 600 mg capsules Pack of 30

Acetylcysteine (OroNAC) £24.95 600 mg tablets Pack of 30

Acetylcysteine (OroNAC) £75.99 600 mg capsules Pack of 90

Acetylcysteine (OroNAC) £75.99 600 mg tablets Pack of 90

22 January 2020 326/403 Formulary Book [11: Eye] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Hydroxypropyl Guar Eye Drops (Systane) £4.66 0.8 ml vial (preservative free) Pack of 28 Do not prescribe as not yet assessed. (September 2016).

Hydroxypropyl Guar Eye Drops (Systane) £4.66 10 ml unit Pack of 1 Do not prescribe as not yet assessed. (September 2016).

Hydroxypropyl Guar Eye Drops (Systane Ultra) £6.69 0.7 ml unit dose Pack of 30 Do not prescribe as not yet assessed. (September 2016).

Hydroxypropyl Guar Eye Drops (Systane Ultra) £6.69 10 ml unit Pack of 1 Do not prescribe as not yet assessed. (September 2016).

11.8.2 - Eye | Miscellaneous Ophthalmic Preparations | Ocular Diagnos/Peri-op Prepn&Photodyn Tt

Current Status Drug Tariff

Aflibercept (Eylea) £816.00 2 mg Pack of 1

Ranibizumab 10mg/ml intravitreal injection (Lucentis) £761.20 10 mg/ml intravitreal injection Pack of 1 12.1.1 - Ear, nose & oropharynx | Drugs Acting On The Ear | Otitis Externa

Current Status Drug Tariff

Acetic Acid (Glacial) (Earcalm) £4.67 2 % spray (5ml unit) Pack of 5

Betamethasone / Neomycin Eye Drops (Betnesol N) £2.39 0.1 % / 0.5% drops (10ml unit) Pack of 1

Choline / Glycerol Ear Drops (Earex Plus) £3.10 10 ml unit Pack of 10

Dexamethasone / Neomycin Ear Spray (Otomize Spray ) £3.27 5 ml Unit Pack of 1

Flumetasone / Cliquinol Ear Drops (Locorten-Vioform) £1.76 0.02 % / 1% (7.5ml unit) Pack of 7

Gentamicin/ Hydrocortisone (Gentisone HC Ear Drops) £4.76 0.3 /1% drops 10ml unit Pack of 1

Otosporin Ear Drops £2.00 5 mls/unit Pack of 5

Prednisolone/ Neomycin Drops (Predsol-N Eye Drops) £2.36 0.5 %/ 0.5% Pack of 10

22 January 2020 327/403 Formulary Book [12: Ear, nose & oropharynx] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Sofradex Ear / Eye Drops £7.50 10 ml unit ear drops Pack of 1

Sofradex Ointment £3.46 5 g tube Pack of 1

Tri-Adcortyl Otic £1.47 10 g tube with nozzle Pack of 10

Chloramphenicol Ear Drops £97.05 5 % ear drops Pack of 10 can cause hypersensitivty reactions

Chloramphenicol Ear Drops £90.03 10 % ear drops Pack of 10 can cause hypersensitivity reactions

12.1.3 - Ear, nose & oropharynx | Drugs Acting On The Ear | Removal of Ear Wax & other Substances

Current Status Drug Tariff

Olive Oil £0.53 10 ml Olive Oil Pack of 1

Cerumol £2.05 11 ml unit Pack of 11

Docusate Sodium Ear Drops (Waxsol) £1.95 0.5 % Drops 10ml Unit Pack of 10

Exterol Ear Drops £1.75 5 % Drops (8ml Unit) Pack of 8

Sodium Bicarbonate Ear Drops £0.98 10 ml unit Pack of 10 12.2.1 - Ear, nose & oropharynx | Drugs Acting On The Nose | Drugs Used In Nasal Allergy

Current Status Drug Tariff

Mometasone Nasal Spray £4.39 50 mcg/spray 140 dose Pack of 1

Azelastine (Rhinolast) £10.50 0.1 % nasal spray 22ml unit Pack of 1 More cost effective intranasal preparations re available such as beclometasone, rhinocort or mometasone.

Beclometasone Nasal Spray (Beclomethasone) £3.64 50 mcg / spray (200 dose Unit) Pack of 1 2nd line after mometasone (generic) or fluticasone furoate

Budesonide Aqueous Nasal Spray £4.82 100 mcg / spray 200 doses Pack of 1

22 January 2020 328/403 Formulary Book [12: Ear, nose & oropharynx] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Budesonide Aqueous Nasal Spray (Rhinocort Aqua) £5.25 64 mcg / spray (120 doses) Pack of 1

Budesonide Aqueous Nasal Spray (Rhinocort Aqua) £2.91 64 mcg / spray (100 doses) Pack of 1

Fluticasone Nasal Drops (Flixonase Nasule) £12.99 400 mcg / 0.4ml unit Pack of 28 For nasal polyps 2nd line after betametasone drops. Betametasone drops are more cost effective.

Fluticasone Nasal Spray (Avamys) £6.44 27.5 mcg / dose (120 dose unit) Pack of 1 3rd line choice after mometasone generic and beclomethasone generic

Fluticasone Nasal Spray (Nasofan Aqueous) £8.04 50 mcq / spray (150 doses) Pack of 1 For 2nd line use after mometasone or fluticasone furoate only. Prescribe as 150 dose.

Fluticasone Propionate / Azelastine (Dymista) £14.80 50 mg / 137mg nasal spray (120 doses) Pack of 1 Where combination of oral antihistamine and intranasal corticosteroid has failed (after 8-12 weeks). Step down treatment once symptoms are controlled.

Azelastine Nasal Spray (Aller-eze / Allereze) £3.57 0.1 % spray (36 dose unit in 5ml) Pack of 5 Not on formulary. More cost effective intranasal preparations re available such as beclometasone, rhinacort or mometasone.

Azelastine Nasal Spray (Unspecified) £3.57 140 mcg / dose ml Pack of 10 Not on formulary. More cost effective intranasal preparations re available such as beclometasone, rhinacort or mometasone.

Beclometasone Nasal Spray (Beclomethasone) £5.54 50 mcg / spray (180 dose Unit) Pack of 1

Beclometasone Nasal Spray (Beclomethasone) (Beconase) £2.63 50 mcg / spray (200 dose Unit) Pack of 1 Prescribe as generic.

Beclometasone Nasal Spray (Beclomethasone) (Beconase) £7.11 50 mcg / spray (180 dose Unit) Pack of 1 Prescribe as generic (200 dose size).

Beclometasone Nasal Spray (Beclomethasone) (Nasobec Aqueous) £3.06 50 mcg / spray (200 Metered Dose Unit) Pack of 1

Budesonide Aqueous Nasal Spray £5.17 64 mcg / spray 120 doses Pack of 1 Prescribe as Rhinocort brand.

22 January 2020 329/403 Formulary Book [12: Ear, nose & oropharynx] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Dexamethasone / tramazoline Nasal Spray (Dexa-Rhinaspray Duo) £2.15 110 Dose Unit Pack of 1 Not on formulary. More cost effective intranasal preparations are available such as beclometasone, rhinacort or mometasone.

Flunisolide Nasal Spray (Syntaris) £5.05 25 mcg / spray (240 dose unit [24ml]) Pack of 1 Not on formulary. More cost effective intranasal preparations are available such as beclometasone or mometasone.

Fluticasone Nasal Spray (Flixonase) £11.01 50 mcg (150 dose) Pack of 1 Consider mometasone or fluticasone furoate as 1st line. Nasofan (150 dose)brand is more cost effective than generic prescription.

Fluticasone Nasal Spray (Nasofan Allergy) £4.68 50 mcg / spray (60 dose) Pack of 60 Prescribe as 150 dose as more cost effective. Mometasone or fluticasone furoate are 1st choice

Fluticasone propionate (Pirinase Hayfever) £4.59 0.05 % nasal spray Pack of 60 OTC product.

Mometasone Nasal (Nasonex Spray) £7.68 50 mcg/spray 140 dose Pack of 1 Prescribing as MOMETASONE is more cost effective.

Sodium cromoglicate (Opticrom Hayfever) £3.35 2 % eye drops ml Pack of 10 OTC product.

Sodium cromoglicate (Optrex Allergy) £3.88 2 % eye drops ml Pack of 10 OTC product.

Sodium Cromoglicate / Benzalkonium Nasal Spray (Vividrin) £11.60 2 % / 0.01% Nasal Spray (15ml unit) Pack of 15 Not on formulary. More cost effective intranasal preparations are available such as beclometasone or mometasone.

Sodium Cromoglycate Nasal Spray (Rynacrom) £17.07 4 % Spray (22ml Unit) Pack of 1 more cost effective preparations are available

Triamcinolone Nasal Spray (Nasacort) £7.39 55 mcg / dose (20ml 120 dose Unit) Pack of 1 Beclometasone,rhinacort or mometasone are first choice options on formulary. Triamcinolone is not on formulary.

12.2.2 - Ear, nose & oropharynx | Drugs Acting On The Nose | Topical Nasal Decongestants

Current Status Drug Tariff

Ephedrine Nasal Drops £1.90 0.5 % 10ml unit Pack of 10

22 January 2020 330/403 Formulary Book [12: Ear, nose & oropharynx] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ephedrine Nasal Drops £1.94 1 % 10ml unit Pack of 10

Ipratropium bromide Nasal Spray (Rinatec) £6.54 0.03 % 15ml Unit Pack of 1

Sodium Chloride Inhalation Solution (Steri-Neb) £21.70 0.9 % unit dose vials (2.5ml) Pack of 20

Xylometazoline (Otrivine) £1.91 0.05 % Paediactric Nasal Drops 10 ml unit Pack of 10

Xylometazoline (Otrivine) £2.18 0.1 % Nasal Spray 10 ml unit Pack of 1

Xylometazoline (Otrivine) £2.18 0.1 % Nasal Drops 10 ml unit Pack of 10 12.2.3 - Ear, nose & oropharynx | Drugs Acting On The Nose | Nasal Prepn for Infection

Current Status Drug Tariff

chlorhexidine HCl 0.1%, neomycin sulph 0.5% (Naseptin Cream) £1.99 15 g tube Pack of 15

Mupirocin Nasal Oint (Bactroban Nasal Oint) £4.24 2 % (3g tube) Pack of 1 12.3.1 - Ear, nose & oropharynx | Drugs Acting On The Oropharynx | Drugs For Oral Ulceration & Inflammation

Current Status Drug Tariff

Oral Rinse (Caphosol) £34.28 30 ml monthly pack Pack of 30

Benzydamine (Difflam Spray) £4.24 0.15 % (30ml unit) Pack of 30

Benzydamine Oral Rinse (Difflam Oral Rinse) £6.50 0.15 % oral rinse Pack of 300

Benzydamine Spray £2.92 0.15 % spray (30 ml unit) Pack of 1

Carmellose Gelatin Mouth Preps (Orabase) £2.02 30 g Unit Oral Paste Pack of 30

Choline salicylate 8.7% (Bonjela Dental Gel) £2.91 15 g tube sugar free Pack of 15

Hydrocortisone (Corlan Lozenges) £2.03 2.5 mg pellets Pack of 20

Hydrocortisone Tablets £8.95 2.5 mg buccal tab sugar free Pack of 20

Triamcinolone Dental Paste (Adcortyl in Orabase) £1.13 0.1 % w/w 10g unit Pack of 1

22 January 2020 331/403 Formulary Book [12: Ear, nose & oropharynx] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Doxycycline Hyclate (Periostat) £17.30 20 mg tab Pack of 56 for treatment of periodonitis as an adjunct to scaling and root planing

12.3.2 - Ear, nose & oropharynx | Drugs Acting On The Oropharynx | Oropharyngeal Anti-Infective Drugs

Current Status Drug Tariff

Miconazole Oral Gel (Daktarin Oral Gel) £4.01 20 mg/g oromucosal gel S/F Pack of 15 12.3.3 - Ear, nose & oropharynx | Drugs Acting On The Oropharynx | Lozenges & Sprays

Current Status Drug Tariff

Sore Throat Spray (AAA) £2.83 7.5 g unit Pack of 1 12.3.4 - Ear, nose & oropharynx | Drugs Acting On The Oropharynx | Mouth-Washes, Gargles, And Dentifrices

Current Status Drug Tariff

Chlorhexidine Oral Preps (Corsodyl) £1.81 0.2 % mouth wash (original) Pack of 300 prescribing by brans is more cost effective

Chlorhexidine Oral Preps £4.19 0.2 % mouth wash (mint) Pack of 300

Chlorhexidine Oral Preps £4.19 0.2 % mouth wash (original) Pack of 300

Chlorhexidine Oral Preps (Corsodyl) £4.28 0.2 % spray (60ml Unit) Pack of 60

Chlorhexidine Oral Preps (Corsodyl) £2.73 0.2 % mouth wash (alcohol free) Pack of 300

Hexetidine Mouthwash (Oraldene) £1.43 0.1 % Mouthwash 100ml SF Pack of 1 12.3.5 - Ear, nose & oropharynx | Drugs Acting On The Oropharynx | Treatment Of Dry Mouth

Current Status Drug Tariff

Artificial Saliva Spray (Saliveze) £3.50 50 ml unit Pack of 1

Pilocarpine Tab (Salagen) £41.14 5 mg Tab Pack of 84

Artificial Saliva Spray ((Unspecified)) £4.48 50 ml spray Pack of 50

Artificial Saliva Spray (AS Saliva Orthana) £4.92 50 ml unit Pack of 1

22 January 2020 332/403 Formulary Book [12: Ear, nose & oropharynx] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Artificial Saliva Spray (AS Saliva Orthana) £34.27 450 ml unit (refill) Pack of 1

Artificial Saliva Spray (Glandosane) £5.68 50 ml unit (natural) Pack of 1

Artificial Saliva Spray (Glandosane) £5.68 50 ml unit (unspecified) Pack of 1

Bioxtra ( ) £3.98 40 ml for dry mouths Pack of 40

Dry Mouth Care Mouthwash (Biotene ) £3.69 1 unit Pack of 250

Dry Mouth Pastilles (Salivix) £3.55 50 Pastilles Pack of 50

Xylitol Gel (Biotene Oralbalance) £4.46 50 g unit (Saliva Gel) Pack of 50 13.1.1 - Skin | Vehicles and Emulsifying Agents

Current Status Drug Tariff

Cetomacrogol Cream Formula A (Cetomacrogol cream ) £3.36 500 g Pack of 500

Emulsifying Wax £6.65 500 g Pack of 500 13.2.1 - Skin | Emollient & Barrier Preparations | Emollients

Current Status Drug Tariff

Emollient Bath Oil (Zeroneum) £4.48 500 ml unit (83.35% bath oil) Pack of 500

Emollient Cream (ZeroAQS) £3.29 500 g unit Pack of 500

Emollient Ointment (Zeroderm) £4.10 500 g ointment Pack of 500

Emollient Skin Lotion (QV) £3.19 250 ml Pack of 250

Isopropyl myristate / Liquid paraffin (Zerodouble) £2.25 100 gram gel Pack of 1

Isopropyl myristate / Liquid paraffin (Zerodouble) £4.71 475 gram gel Pack of 1

Liquid Paraffin Emollient Cream (Zerobase Cream) £5.26 500 g unit Pack of 500

Zerocream (Zerocream) £4.08 500 g unit Pack of 500

22 January 2020 333/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Zeroguent cream (Zeroguent) £6.99 500 g unit Pack of 500

Chamomile Extract (Kamillosan) £2.81 10.5 % oint Pack of 50

Chlorhexidine Gluconate Cream (Eczmol) £3.70 1 % cream Pack of 250

Coal Tar Emollient (Polytar Emollient) £5.78 2.5 % Solution (500ml Unit) Pack of 500

Dermol Preps £2.86 100 g Cream Pack of 100

Dermol Preps £3.55 200 shower emollient Pack of 200

Dermol Preps £6.04 500 lotion Pack of 500

E45 Wash Cream £3.30 250 ml dispenser Pack of 250

Emollient (Doublebase) £5.21 200 g shower gel Pack of 200

Emollient Aerosol (Emollin) £4.00 150 ml spray Pack of 150

Emollient Aerosol (Emollin) £6.39 240 ml spray Pack of 240

Emollient Bath Oil (QV) £4.79 85.09 % w/w (500ml unit) Pack of 500

Emollient Bath Oil (Zerolatum Plus) £4.79 500 ml unit (65% bath oil) Pack of 500

Emollient cream (Hydromol) £4.16 100 g Cream Pack of 100

Emollient Cream (Aquamax) £3.99 500 g unit Pack of 500

Emollient Cream (Cetraben) £5.99 500 g pump Pack of 1

Emollient Cream (Diprobase) £6.32 1 unit (500g pump) Pack of 500 Zerobase Cream is more cost effective

Emollient Cream (E45) £5.99 1 unit (500g pump) Pack of 500 Zerocream is more cost effective

22 January 2020 334/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Emollient Cream (E45 Itch Relief Cream) £2.81 1 unit (50g) Pack of 50

Emollient Cream (Oilatum) £3.06 1 unit (150g) Pack of 150

Emollient Cream (Oilatum) £5.28 1 unit (500ml liquid) Pack of 500

Emollient Cream (Oilatum Junior) £5.28 1 unit (500ml) Pack of 500

Emollient Cream (QV) £2.08 100 g Pack of 100

Emollient Cream (QV) £5.96 500 g Pack of 500

Emollient Crm (Aqueous Cream) £6.25 1 unit (500g tub) Pack of 500 ZeroAQS is more cost effective

Emollient Gel (Oilatum Gel) £5.16 1 unit (150ml) Pack of 150

Emollient Lotion (Oilatum) £3.26 1 unit (200ml) Pack of 200

Emollient Ointment (Diprobase) £1.28 50 g tube Pack of 50

Emollient Ointment (Hydromol) £2.92 125 g Ointment Pack of 125 Prescribing Zeroderm is more cost effective. However existing prescription recommendations from a dermatologist or specialist nurse should not be substituted.

Emollient Ointment (Hydromol) £4.96 500 g Ointment Pack of 500 Prescribing Zeroderm is more cost effective. However existing prescription recommendations from a dermatologist or specialist nurse should not be substituted.

Emollient Ointment (QV) £5.75 450 g intensive ointment Pack of 450

Emollient Spray (Dermamist) £5.97 10 % (250ml spray) Pack of 1

Emollient Wash (QV) £3.19 250 ml Gentle Wash Pack of 250

Emulsifying Ointment £4.28 500 g Pack of 500

Hydrating Gel (Doublebase Gel) £5.83 500 g gel pump dispenser Pack of 500 Prescribing Zerodouble is more cost effective

22 January 2020 335/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Hydrous Ointment £4.89 500 g Unit Pack of 500

Lipobase Cream £1.46 50 g Unit Cream Pack of 50

Liquid and White Soft Paraffin Ointment £4.57 50 % / 50% ointment Pack of 500

Moisturising Lotion (E45 Moisturising Lotion) £2.40 1 unit (200ml) Pack of 200

Once Heel Balm (Dermatonics) £3.60 75 ml unit Pack of 75

Shower Emollient (Oilatum Gel) £5.27 150 g unit Fragrance free Pack of 150

Unguentum M £5.50 200 g dispenser Pack of 200 Zeroguent Cream is more cost effective

Urea Cream (Aquadrate) £1.64 10 % urea cream Pack of 30

White Soft Paraffin £4.03 500 g unit Pack of 1

Yellow Soft Paraffin (Epaderm) £6.58 500 g ointment Pack of 500 Zeroderm is more cost effective

Yellow Soft Paraffin (Epaderm) £7.01 500 g cream Pack of 500 13.2.1.1 - Skin | Emollient & Barrier Preparations | Emollient Bath Additives

Current Status Drug Tariff

Liquid Paraffin Emolient (LPL 63.4) £3.10 500 ml unit Pack of 1

Colloidal Intensive Relief Hand Cream (Aveeno) £3.82 75 g Pack of 75

Dermol Preps £7.55 600 bath emollient Pack of 600

Emollient (Doublebase) £5.45 500 ml bath additive Pack of 500

Emollient (Oilatum ) £2.75 1 unit (250ml) Pack of 250

Emollient Bath Oil (Alpha Keri Bath Oil) £3.21 1 unit (240ml) Pack of 240

22 January 2020 336/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Emollient Bath Oil (Aveeno Bath Oil) £4.49 1 unit (250ml) Pack of 250

Emollient Bath Oil (Aveeno Bath Oil) £7.33 50 g Sachet Colloidal Bath Additive Pack of 10

Emollient Bath Oil (Balneum) £2.48 1 unit (200mls) Pack of 200 Zeroneum Bath Additive Oil is more cost effective

Emollient Bath Oil (Balneum Plus Bath Oil) £6.66 1 unit (500ml) Pack of 500

Emollient Bath Oil (Cetraben Emollient Bath Additive) £5.75 500 ml unit Pack of 500

Emollient Bath Oil (Dermalo) £3.44 1 unit (500mls) Pack of 500

Emollient Bath Oil (Diprobath) £6.71 1 unit (500ml) Pack of 500

Emollient Bath Oil (E45 Bath Oil) £3.30 1 unit (250 ml) Pack of 250

Emollient Bath Oil (Hydromol) £3.91 1 unit (350ml) Pack of 350

Emollient Bath Oil (Hydromol) £4.46 1 unit (500ml) Pack of 500

Emollient Bath Oil (Oilatum Junior) £6.67 1 unit (600ml) Pack of 600 LPL 63.4 bath oil is more cost effective

Emollient Bath with Antimicrobial (Oilatum Plus ) £7.22 1 unit (500ml) Pack of 500

Emulsiderm Emollient £3.85 300 ml bottle Pack of 300 13.2.2 - Skin | Emollient & Barrier Preparations | Barrier Preparations

Current Status Drug Tariff

Dimeticone Lotion (Hedrin Lotion) £3.28 4 % lotion Pack of 50

Drapolene Cream £2.81 100 g tube Pack of 100

Sudocrem £2.15 125 g tub Pack of 125

Titanium Barrier Ointment (Metanium) £2.24 30 g Unit Pack of 30

22 January 2020 337/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Zinc & Castor Oil Ointment £5.15 500 g unit Pack of 500

Conotrane Cream £0.88 100 g tube Pack of 100

Steripaste Bandage £3.28 7.5 cm x 6m Pack of 1 Steripaste has now be discontinued, Viscopaste is the alternative as discussed at the First Choice dressing review group Oct 2015.

13.3 - Skin | Top Local Anaesthetics & Antipruritics

Current Status Drug Tariff

Doxepin Cream (Xepin) £13.66 5 % cream Pack of 30

Brimonidine (Mirvaso) £33.69 3 mg/g gel Pack of 30 MHRA Advice Summaries:1.Warn patients not to apply brimonidine gel to irritated or damaged skin, including after laser therapy to the skin due to risk of systemic cardiovascular effect.2.Initiate treatment with a small amount of gel and increase the dose gradually to avoid exacerbation or rebound symptoms of rosacea. 3.Initiate treatment with a small amount of gel for at least 1 week and increase the dose gradually, based on tolerability and response to treatment. 4.Advise patients carefully on how to apply the gel and on the importance of not exceeding the maximum daily dose.

Crotamiton (Eurax) £2.50 10 % cream Pack of 30

Crotamiton (Eurax) £3.14 10 % lotion Pack of 100

Calamine Aqueous Cream £1.43 100 ml Bottle Pack of 100 BNF notes as of limited therapeutic value

Calamine Lotion £1.43 100 mls bottle Pack of 100 BNF notes- of limited therapeutic value

13.4 - Skin | Topical Corticosteroids

Current Status Drug Tariff

Alclometasone dipropionate (Modrasone) £2.68 0.05 % cream Pack of 50

Alclometasone dipropionate (Modrasone) £2.68 0.05 % ointment Pack of 50

Betamethasone / Clioquinol (Betnovate-C) £1.76 30 g Cream Pack of 30

Betamethasone / Clioquinol (Betnovate-C) £1.76 30 g Ointment Pack of 30

Betamethasone / Clotrimazole Cream (Lotriderm) £6.34 30 g cream Pack of 30

22 January 2020 338/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Betamethasone / Neomycin (Betnovate-N) £1.76 30 g Cream Pack of 30

Betamethasone / Neomycin (Betnovate-N) £1.76 30 g Ointment Pack of 30

Betamethasone / (Diprosalic ointment) £3.18 0.05 % / 3% Ointment (30g Unit) Pack of 30

Betamethasone Cream £7.40 0.1 % 100g tube Pack of 100

Betamethasone Cream (Betnovate) £4.05 100 g Cream Pack of 100

Betamethasone Cream (Betnovate-RD) £3.15 0.025 % cream Pack of 100

Betamethasone Cream (Diprosone ) £2.16 0.05 % cream Pack of 30

Betamethasone Ointment £1.97 0.1 % ointment Pack of 30

Betamethasone Ointment (Betnovate) £1.43 0.1 % ointment Pack of 30

Betamethasone Ointment (Betnovate-RD) £3.15 100 g Ointment Pack of 100

Betamethasone Ointment (Diprosone) £2.16 0.05 % ointment Pack of 30

Betamethasone Scalp (Bettamousse) £9.75 0.1 % scalp mousse Pack of 100

Betamethasone Scalp Application (Betnovate) £4.99 0.1 % soln Pack of 100

Betamethasone Scalp Lotion (Betacap) £3.75 0.1 % Lotion Pack of 100

Betamethasone/ Salicylic Acid Scalp (Diprosalic Scalp Application) £10.10 100 ml Pack of 100

Calmurid HC Cream £2.80 30 g tube Pack of 30

Chlortetracycline / Triamcinolone Ointment (Aureocort ) £3.51 3 % / 0.1% ointment Pack of 15

Clobetasol Cream (Dermovate Cream) £2.69 0.05 % cream Pack of 30

Clobetasol Ointment (Dermovate Ointment) £2.69 0.05 % oint Pack of 30

Clobetasol Scalp (Dermovate Scalp) £3.07 0.05 % soln (30 ml unit) Pack of 30

22 January 2020 339/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Clobetasol/ Neomycin/ Nystatin (Dermovate-NN) £3.91 30 g cream Pack of 30 Cost of Clobetasol/Neomycin/Nystatin preparations have increased significantly (£87.00).If appropriate, then an alternative high potency corticosteroid / anti-infective topical agent should be

Clobetasol/ Neomycin/ Nystatin (Dermovate-NN) £3.91 30 g ointment Pack of 30 Cost of Clobetasol/Neomycin/Nystatin preparations have increased significantly (£87.00).If appropriate, then an alternative high potency corticosteroid / anti-infective topical agent should be

Clobetasone Cream (Eumovate Cream) £1.86 0.05 % cream Pack of 30

Clobetasone Ointment (Eumovate Ointment) £1.86 0.05 % oint Pack of 30

Clotrimazole/ Hydrocortisone Cream (Canesten HC Cream) £2.42 1 % / 1% (30g tube) Pack of 30

Crotamiton-HC (Eurax-Hydrocortisone) £4.14 10 %: 0.25% cream Pack of 30

Diflucortolone Cream (Nerisone) £4.95 0.1 % oily cream (30g unit) Pack of 30

Diflucortolone Cream (Nerisone) £3.98 0.1 % ointment (30g unit) Pack of 30

Diflucortolone Cream (Nerisone) £3.98 0.1 % cream (30g unit) Pack of 30

Diflucortolone Cream (Nerisone Forte) £4.70 0.3 % oily cream (15g unit) Pack of 15

Diflucortolone Cream (Nerisone Forte) £4.70 0.3 % ointment (15g unit) Pack of 15

Fludroxycortide (Haelan) £9.27 7.5 x 50cm Fludroxycortide Tape Pack of 1 For over granulation enteral feeding sites etc

Fludroxycortide (Haelan) £24.95 7.5 x 200cm Fludroxycortide Tape Pack of 1 For over granulation enteral feeding sites etc

Fludroxycortide (Haelan) £3.26 60 g Tube Cream Pack of 60

Fluocinolone acetonide (Synalar) £4.84 0.0063 % 1/4 diluted cream (50g tube) Pack of 1

Fluocinolone acetonide (Synalar) £4.84 0.0063 % 1/4 diluted ointment (50g tube) Pack of 1

Fluocinolone acetonide (Synalar) £4.14 0.025 % cream (30g tube) Pack of 1

22 January 2020 340/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fluocinolone acetonide (Synalar) £4.14 0.025 % gel (30g tube) Pack of 1

Fluocinolone acetonide (Synalar) £4.14 0.025 % ointment (30g tube) Pack of 1

Fluocinonide (Metosyn) £3.96 0.05 % Cream Pack of 25

Fluocinonide (Metosyn) £3.50 0.05 % Ointment Pack of 25

Fluticasone Cream (Cutivate) £2.27 0.05 Cream Pack of 15

Fluticasone Ointment (Cutivate) £2.27 0.05 % Ointment Pack of 15

Fusidic Acid - HC Cream (Fucidin H Cream) £6.02 30 g tube Pack of 30

Fusidic Acid / Betamethasone Cream (FuciBET) £6.38 30 g tube Pack of 30

Hydrocortisone / Urea Cream (Alphaderm) £2.38 1 % hydrocortisone /10%urea Pack of 30

Hydrocortisone 17 Butyrate (Locoid) £1.60 0.1 % cream (30g tube) Pack of 30

Hydrocortisone 17 Butyrate (Locoid) £1.60 0.1 % ointment (30g tube) Pack of 30

Hydrocortisone 17 Butyrate Topical Emulsion (Locoid Crelo) £5.91 100 g unit Pack of 100

Hydrocortisone Cream £1.26 0.5 % (15g) Pack of 15

Hydrocortisone Cream £2.42 1 % (30g) Pack of 30

Hydrocortisone Cream £4.94 2.5 % (15g) Pack of 15

Hydrocortisone Ointment £44.00 0.5 % (15g) Pack of 15

Hydrocortisone Ointment £2.60 1 % (30g) Pack of 30

Hydrocortisone Ointment £24.52 2.5 % (15g) Pack of 15

Locoid Scalp Lotion £6.83 100 ml Unit Pack of 1

Miconazole/ HC (Daktacort) £1.82 2 %: 1% cream Pack of 30

22 January 2020 341/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Miconazole/ HC (Daktacort) £2.50 2 %: 1% ointment Pack of 30

Mometasone Cream £9.70 0.1 % cream Pack of 100

Mometasone Cream (Elocon Cream) £4.80 0.1 % cream Pack of 30 Mometasone Cream is more cost effective.

Mometasone Ointment £10.37 0.1 % ointment Pack of 100

Mometasone Ointment (Elocon Ointment) £4.32 0.1 % oint Pack of 30 Mometasone Ointment is more cost effective.

Mometasone Scalp Lotion (Elocon Scalp Lotion) £4.36 0.1 % lotion Pack of 30

Nystatin - Chlorhexidine - HC (Nystaform - HC) £2.66 30 g cream Pack of 30

Timodine Cream £3.37 30 g tube Pack of 30

Trimovate Cream £12.45 30 g tube Pack of 30 13.5.1 - Skin | Preparations For Eczema And Psoriasis | Preparations For Eczema

Current Status Drug Tariff

Pimecrolimus Cream (Elidel) £19.69 1 % 30g tube Pack of 30

Alitretinoin Caps (Toctino) £493.72 10 mg capsules Pack of 30

Alitretinoin Caps (Toctino) £493.72 30 mg capsules Pack of 30

Gamolenic Acid / £58.01 40 mg caps Pack of 240 Insufficient evidence to justify supply on the NHS

Gamolenic Acid / £58.01 80 mg caps Pack of 120 Insufficient evidence to justify supply on the NHS

Icthaband £3.08 7.5 cm x 6m Pack of 1 13.5.2 - Skin | Preparations For Eczema And Psoriasis | Preparations For Psoriasis

Current Status Drug Tariff 22 January 2020 342/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Betamethasone / Calcipotriol Scalp Gel (Xamiol) £36.50 0.05 % / 50mcg/g Pack of 60

Calcipotriol £23.10 50 mcg / g cream Pack of 120

Calcipotriol / Betamethasone (Dovobet) £39.68 60 gm 50 mcg & 0.5mg / g oint Pack of 1 Please note: There should be a break of 4 weeks between courses of treatment with potent/very potent corticosteroids, with non-steroid-based treatments such as vitamin D, vitamin D analogues or coal tar used in the intervening period.Rationale-continuous use of potent or very potent corticosteroids (such as betamethasone dipropionate) may cause irreversible skin atrophy and striae, unstable psoriasis and systemic side effects when applied to extensive psoriasis.

Calcipotriol / Betamethasone (Dovobet) £37.21 60 gm 50 mcg & 0.5mg / g gel Pack of 1 Please note: There should be a break of 4 weeks between courses of treatment with potent/very potent corticosteroids, with non-steroid-based treatments such as vitamin D, vitamin D analogues or coal tar used in the intervening period.Rationale-continuous use of potent or very potent corticosteroids (such as betamethasone dipropionate) may cause irreversible skin atrophy and striae, unstable psoriasis and systemic side effects when applied to extensive psoriasis.

Calcipotriol / Betamethasone (Enstilar) £39.68 60 gm 50 mcg & 0.5mg / g foam Pack of 60 Please note: There should be a break of 4 weeks between courses of treatment with potent/very potent corticosteroids, with non-steroid-based treatments such as vitamin D, vitamin D analogues or coal tar used in the intervening period.Rationale-continuous use of potent or very potent corticosteroids (such as betamethasone dipropionate) may cause irreversible skin atrophy and striae, unstable psoriasis and systemic side effects when applied to extensive psoriasis.

Calcipotriol Cream (Dovonex / Calcipotriol) £11.55 50 mcg/g cream (60g tube) Pack of 60

Calcipotriol Scalp Lotion (Dovonex / Calcipotriol) £12.29 50 mcg / ml lotion Pack of 60

Coal Tar / Hydrocortisone Cream (Alphosyl HC) £3.10 100 g Cream Pack of 100

Coal Tar Cream (Carbo-Dome) £16.38 10 % cream (100g unit) Pack of 100

Coal Tar Cream (Psoriderm) £9.42 225 ml Cream Pack of 1

Coal Tar Lotion (Exorex) £8.11 5 % Lotion in emollient Pack of 100

Coal Tar Scalp Ointment (Sebco) £6.20 12 % solution Pack of 40

Cocois Scalp Ointment £6.22 40 g Unit Pack of 40

Dithranol (Dithrocream) £3.77 0.1 % cream Pack of 50

Dithranol (Dithrocream) £4.04 0.25 % cream Pack of 50

Dithranol (Dithrocream) £4.66 0.5 % forte cream Pack of 50

Dithranol (Dithrocream) £3.77 1 % HP cream Pack of 50

22 January 2020 343/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Dithranol (Dithrocream) £6.79 2 % cream Pack of 50

Pragmatar £3.04 25 g tube cream Pack of 1

Pragmatar £9.82 100 g tube cream Pack of 1

Tacalcitol (Curatoderm) £13.40 4 mcg/g Ointment Pack of 30

Tazarotene Gel (Zorac) £14.09 0.05 % Gel (30g Unit) Pack of 30

Tazarotene Gel (Zorac) £14.80 0.1 % Gel (30g Unit) Pack of 30

Acitretin Capsule (Neotigason) £17.30 10 mg cap Pack of 60

Acitretin Capsule (Neotigason) £43.00 25 mg cap Pack of 60 13.5.3 - Skin | Preparations For Eczema And Psoriasis | Drugs Affecting The Immune Response

Current Status Drug Tariff

Tacrolimus Ointment (Protopic) £23.33 0.03 % 30g Unit Pack of 30 Should be initiated by physicians with experience in the diagnosis and treatment of atopic dermatitis. (Updated: Jan 15)

Tacrolimus Ointment (Protopic) £25.92 0.1 % 30g Unit Pack of 30 Should be initiated by physicians with experience in the diagnosis and treatment of atopic dermatitis. (Updated: Jan 15)

Ixekizumab (Taltz) £1125.00 80 mg/1ml solution for injection pre-filled pen Pack of 1 Not recommended in primary care, but approved use under NICE TA - hospital only.See here: https://www.nice.org.uk/guidance/ta537

Ixekizumab (Taltz) £1125.00 80 mg/1ml solution for injection pre-filled syringes Pack of 1 Not recommended in primary care, but approved use under NICE TA - hospital only.See here: https://www.nice.org.uk/guidance/ta537

13.6.1 - Skin | Acne and Rosacea | Topical Preparations For Acne

Current Status Drug Tariff

Adapalene (Differin) £6.86 0.1 % cream Pack of 30 Better tolerated than Isotrex

22 January 2020 344/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Adapalene (Differin) £6.86 0.1 % gel Pack of 30 Better tolerated than Isotrex

Adapalene / Benzoyl Peroxide (Epiduo) £17.91 0.1 % / 2.5% gel Pack of 45 No issue with antibiotic resistance. Irritation can be a problem. Pack size is 3 months treatment.

Azelaic Acid Cream (Skinoren) £4.49 20 % cream Pack of 30 May be beneficial in patients with darker skin where acne can lead to hyperpigmentation.

Azelaic Acid Topical Gel (Finacea) £7.48 15 % Gel (30g Unit) Pack of 30 Primary use for Finacea is rosaceaMay be beneficial in patients with darker skin where acne can lead to hyperpigmentation.

Benzoyl peroxide (Acnecide) £5.44 5 % gel Pack of 30

Benzoyl peroxide (Acnecide Wash) £5.44 5 % gel Pack of 50

Benzoyl Peroxide (Brevoxyl) £3.30 4 % in aqueous base 40g Pack of 40

Benzoyl Peroxide (Panoxyl) £1.89 5 % Cream in 40g tube Pack of 40

Benzoyl Peroxide (Panoxyl) £1.89 5 % Gel Panoxyl-5 Pack of 40

Benzoyl Peroxide (Panoxyl) £1.99 10 % Gel 40g tube Panoxyl-10 Pack of 40

Benzoyl Peroxide / Clindamycin (Duac Once Daily Gel) £10.95 1 % & 5% Gel Pack of 25

Benzoyl Peroxide / Clindamycin (Duac Once Daily Gel) £13.14 1 % & 3% Gel Pack of 30

Benzoyl Peroxide Acne Wash (Panoxyl) £4.00 10 % Acne Wash (150 ml unit) Pack of 1

Benzoyl Peroxide Aqueous Gel (Panoxyl Aquagel) £1.76 2.5 % in 40g tube Pack of 40

Benzoyl Peroxide Aqueous Gel (Panoxyl Aquagel) £1.92 5 % in 40g tube Pack of 40

Benzoyl Peroxide Aqueous Gel (Panoxyl Aquagel) £2.13 10 % in 40g tube Pack of 40

Benzoyl Peroxide Cream (Quinoderm Cream) £2.43 5 % cream Pack of 50

22 January 2020 345/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Benzoyl Peroxide Cream (Quinoderm Cream) £1.58 10 % cream Pack of 25

Clindamycin / Tretinoin (Treclin) £11.94 1 %/0.025% gel 30 gms Pack of 30 Resistance may limit the duration of treatment. Consider discontinuing if no response in 8-12 weeks.Topical isotretinoin is contraindicated during pregnancy and in women of childbearing potential unless an effective method of contraception is used during treatment.Please note: oral progesterone only contraceptives are NOT considered sufficiently effective.

Erythromycin / Tretinoin (Aknemycin Plus Solution) £7.05 25 ml unit Pack of 25 Resistance may limit the duration of treatment. Consider discontinuing if no response in 8-12 weeks.

Isotretinoin Gel (Isotrex) £5.94 0.05 % gel Pack of 30

Isotretinoin/ Erythromycin (Isotrexin Gel) £7.47 30 g tube Pack of 30 Resistance may limit the duration of treatment. Consider discontinuing if no response in 8-12 weeks.

Ivermectin (Soolantra) £18.29 10 mg/g cream Pack of 30 Approved as second line for inflammatory lesions of rosacea (papulopustular) in adult patients following use of metronidazole (cream or gel) 0.75%. Duration of use is until condition is controlled then stop and reintroduce if recurrence. Do not use as prophylactic but save for active episodes.Ivermectin 1% cream is applied once daily

Clindamycin (Dalacin T Topical Lotion) £5.08 1 % (10mg/ ml) Pack of 30 Monotherapy with topical antibiotics is strongly discouraged. Information on alternatives is available on http://tinyurl.com/hmw536u

Clindamycin Gel (Zindaclin) £8.66 1 % gel (30g unit) Pack of 30 Monotherapy with topical antibiotics is strongly discouraged. Information on alternatives is available on http://tinyurl.com/hmw536u

Clindamycin Solution (Dalacin T Solution) £4.34 1 % (10mg/ ml) Pack of 30 Monotherapy with topical antibiotics is strongly discouraged. Information on alternatives is available on http://tinyurl.com/hmw536u

Erythromycin 4% gel (Eryacne 4 ) £4.97 30 g Pack of 30 Monotherapy with topical antibiotics is strongly discouraged

Erythromycin Solution (Stiemycin) £7.69 2 % in alcohol (50ml Unit) Pack of 50 Monotherapy with topical antibiotics is strongly discouraged. Information on alternatives is available on http://tinyurl.com/hmw536u

Erythromycin Solution (Zineryt) £9.25 40 mg / ml (30ml Unit Powder & Alcohol Solvent) Pack of 30 Monotherapy with topical antibiotics is strongly discouraged. Little evidence to confirm inhibitory effect of zinc. Information on alternatives is available on http://tinyurl.com/hmw536u

22 January 2020 346/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Tetracycline Solution (Topicycline) £6.15 2.2 mg / ml (70ml powder & alcoholic solvent) Pack of 70 Monotherapy with topical antibiotics is strongly discouraged

Nicotinamide Gel (Nicam) £7.10 4 % Pack of 60 Limited therapeutic value

13.6.2 - Skin | Acne and Rosacea | Oral Preparations For Acne

Current Status Drug Tariff

Co-Cyprindiol £10.78 2000 /35 mcg tab Pack of 63

Isotretinoin £16.66 20 mg cap Pack of 30 Hospital only

Isotretinoin Capsule (Roaccutane) £18.15 5 mg Cap Pack of 60

Isotretinoin Capsule (Roaccutane) £50.03 20 mg Cap Pack of 60

Doxycycline MR (Efracea) £21.71 40 mg MR cap Pack of 56 • Long half-life of doxycycline does NOT support the additional cost of using a modified release (MR) preparation

13.7 - Skin | Preparations For Warts And Calluses

Current Status Drug Tariff

Imiquimod Cream (Aldara Cream) £48.60 5 % in sachets Pack of 12

Podophyllotoxin Solution (Condyline) £14.49 0.5 % Alcohol Solution (3.5ml Unit) Pack of 1

Salactol Wart Paint £1.71 16.7 % Pack of 10

Salicylic Acid (Verrugon) £4.44 50 % complete pack (6g with plasters) Pack of 1

salicylic acid 26% w/w (Occlusal ) £3.56 10 ml cutaneous solution Pack of 10

Salicylic Acid Gel (Cuplex Gel) £2.88 11 % with lactic acid 4% (5g unit) Pack of 1

Salicylic Acid Gel (Salatac Gel) £2.98 12 % gel (8g tube+emery board) Pack of 8

22 January 2020 347/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Salicylic Acid Paint (Duofilm) £2.78 16.7 % paint (15ml with applicator) Pack of 15

Imiquimod (Zyclara ) £54.75 3.75 % cream 250mg sachets Pack of 28 Do not prescribe. Zyclara has not been assessed through the local process for position in therapy or cost effectiveness.

13.8.1 - Skin | Sunscreens And Camouflagers | Sunscreening Preparations

Current Status Drug Tariff

Diclofenac gel 3% (Solaraze) £38.30 3 % gel (50g unit) Pack of 50

Fluorourcil / Salicylic Acid Solution (Actikerall) £38.30 5 mg / 100mg (25ml) Pack of 1

Ingenol Mebutate Gel (Picato) £65.00 150 mcg Gel (0.47g tube) Pack of 3 (1)Do not to place on repeat status as only licensed for one course. (2) only licensed for one treatment area of 25 cm2. (3) A patient leaflet is available on http://www.pcds.org.uk/ee/images/uploads/general/140404_Picato_Patient_Information_Leaflet.pdf

Ingenol Mebutate Gel (Picato) £65.00 500 mcg Gel (0.47g tube) Pack of 2 (1)Do not to place on repeat status as only licensed for one course. (2) only licensed for one treatment area of 25 cm2. (3) A patient leaflet is available on http://www.pcds.org.uk/ee/images/uploads/general/140404_Picato_Patient_Information_Leaflet.pdf

SPF 50 Lipscreen (Uvistat) £2.99 5 g unit Pack of 5 Only approved for indications as set out in ACBS. See East Kent information on the recommendation here: http://tinyurl.com/hcdnujy. A patient letter is also available here: http://tinyurl.com/jmtlxny.

Sunscreen (Sunsense Ultra) £8.26 50 factor Lotion Pack of 125 Only approved for indications as set out in ACBS. See East Kent information on the recommendation here: http://tinyurl.com/hcdnujy. A patient letter is also available here: http://tinyurl.com/jmtlxny.

Sunscreen (Uvistat) £7.45 30 factor Water-resistant Cream Pack of 125 Only approved for indications as set out in ACBS. See East Kent information on the recommendation here: http://tinyurl.com/hcdnujy. A patient letter is also available here: http://tinyurl.com/jmtlxny.

Sunscreen (Uvistat) £8.45 50 factor Water-resistant Cream Pack of 125 Only approved for indications as set out in ACBS. See East Kent information on the recommendation here: http://tinyurl.com/hcdnujy. A patient letter is also available here: http://tinyurl.com/jmtlxny.

XL SPF 50+ Melt-in cream (Anthelios) £3.63 50 ml unit Pack of 50 Only approved for indications as set out in ACBS. See East Kent information on the recommendation here: http://tinyurl.com/hcdnujy. A patient letter is also available here: http://tinyurl.com/jmtlxny.

Sunscreen (Delph) £2.72 15 factor Lotion Pack of 200 Do NOT prescribe. Not ACBS approved. See East Kent information on http://tinyurl.com/jmtlxny . A patient letter is also available here: http://tinyurl.com/jmtlxny.

22 January 2020 348/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Sunscreen (Delph) £3.57 30 factor Lotion Pack of 200 Do NOT prescribe. Not ACBS approved. See East Kent information on http://tinyurl.com/jmtlxny . A patient letter is also available here: http://tinyurl.com/jmtlxny.

Potassium Hydroxide 5% solution (Molludab) £13.50 5 % solution 2ml Pack of 1 Do not prescribe- Not assessed for position in therapy and care pathways and therefore not recommended

13.8.2 - Skin | Sunscreens And Camouflagers | Camouflagers

Current Status Drug Tariff

Dermacolor Covering Agent £10.52 25 ml Cream (66 shades) Pack of 25

Dermacolor Covering Agent £9.85 60 g Fixing Powder (7 shades) Pack of 60 13.9 - Skin | Shampoo&Other Preps For Scalp&Hair Cond | Shampoos And Some Other Scalp Prep's

Current Status Drug Tariff

Capasal £4.69 250 ml unit Pack of 250

Ceanel Concentrate Shampoo £3.40 150 ml shampoo Pack of 150

Coal Tar Shampoo (Alphosyl 2 in 1) £1.89 5 % Shampoo Pack of 125

Coal Tar Shampoo (Polytar Plus) £3.91 500 ml unit Pack of 500

Ketoconazole Shampoo £3.90 2 % shampoo (120ml) Pack of 120

Scalp Lotion Shampoo (Psoriderm) £4.74 250 ml Scalp Lotion Shampoo Pack of 1

Selenium Sulphide Shampoo (Selsun) £1.61 2.5 % Shampoo Pack of 50 13.10.1.1 - Skin | Anti-Infective Skin Preparations | Antibacterial Preps Only Used Topically

Current Status Drug Tariff

Mupirocin 2% Cream (Bactroban) £5.26 2 % cream (15g tube) Pack of 1

Mupirocin 2% Ointment (Bactroban Ointment) £5.26 2 % (15g tube) Pack of 1

Silver Sulphadiazine Cream (Flamazine) £3.85 1 % cream (Tube) Pack of 50 13.10.1.2 - Skin | Anti-Infective Skin Preparations | Antibac'ial Preps Also Used Systemically

22 January 2020 349/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Fusidic Acid Cream (Fucidin Cream) £3.59 2 % 30g Tube Pack of 30

Fusidic Acid Ointment (Fucidin Ointment) £2.68 2 % 15g Tube Pack of 15

Fusidic Acid Ointment (Fucidin Ointment) £4.55 2 % 30g Tube Pack of 30

Metronidazole Cream (Rozex) £6.60 0.75 % cream Pack of 30

Metronidazole Gel (Anabact) £7.89 0.75 % gel Pack of 30

Metronidazole Gel (Metrogel) £22.63 0.75 % gel Pack of 40

Metronidazole Gel (Metronidazole Gel Unspecified) £22.63 0.75 % Gel Pack of 40

Metronidazole Gel (Metrosa) £19.90 0.75 % gel Pack of 40

Metronidazole Gel (Rozex) £6.60 0.75 % gel Pack of 30 13.10.2 - Skin | Anti-Infective Skin Preparations | Antifungal Preparations

Current Status Drug Tariff

Amorolfine Hydrochloride Nail Lacquer £8.21 5 % 5ml pack Pack of 1

Amorolfine Hydrochloride Nail Lacquer (Loceryl Nail Lacq.) £9.08 5 % 5ml pack Pack of 1

Clotrimazole Cream £1.21 1 % cream (20g tube) Pack of 20

Clotrimazole Cream (Canesten) £2.20 1 % cream (20g tube) Pack of 20

Clotrimazole Cream (Canesten) £3.64 1 % cream (50g tube) Pack of 50

Clotrimazole Cream (Canesten) £4.76 2 % thrush cream (20g tube) Pack of 20

Clotrimazole Solution (Canesten) £2.53 1 % solution (20ml unit) Pack of 20

Clotrimazole Spray (Canesten Spray) £4.72 1 % spray (40ml unit in isopropanol) Pack of 1

Ketoconazole Cream (Nizoral) £4.24 2 % Cream (30g Unit) Pack of 30

22 January 2020 350/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Miconazole Cream (Daktarin Cream) £1.82 2 % cream Pack of 30

Terbinafine (Lamisil AT) £3.28 1 % spray (15ml unit) Pack of 1

Terbinafine (Lamisil AT) £3.58 1 % gel (15g unit) Pack of 1

Terbinafine (Lamisil AT) £3.60 1 % cream (15g unit) Pack of 1

Terbinafine (Lamisil Once) £5.70 1 % cutaneous soln (4g unit) Pack of 1

Tioconazole Nail Soln (Trosyl Nail Solution) £27.38 283 mg/ml Pack of 12

Terbinafine Cream (Lamisil Cream) £4.13 1 % cream Pack of 15 Prescribe generically

13.10.3 - Skin | Anti-Infective Skin Preparations | Antiviral Preparations

Current Status Drug Tariff

Aciclovir Cream £1.24 5 % (2g) Pack of 2

Aciclovir Cream (Zovirax Cream) £4.63 5 % (2g unit) Pack of 1

Penciclovir Cream (Vectavir) £4.20 1 % cream (2g tube) Pack of 1 13.10.4 - Skin | Anti-Infective Skin Preparations | Parasiticidal Preparations

Current Status Drug Tariff

Malathion (Derbac-M) £4.26 0.5 % aqueous liquid Pack of 50

Permethrin (Lyclear Creme Rinse) £4.20 1 % in 20% alcohol Pack of 59

Permethrin Cream (Lyclear Dermal Cream) £7.11 5 % cream Pack of 30 13.10.5 - Skin | Anti-Infective Skin Preparations | Prep's For Minor Cuts & Abrasions

Current Status Drug Tariff

Hydrogen Peroxide Cream (Crystacide) £4.82 1 % cream (10g unit) Pack of 10

Magnesium Sulphate Paste £0.96 25 g tub Pack of 25

22 January 2020 351/403 Formulary Book [13: Skin] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Acriflex Cream (Acriflex) £1.90 30 g tube Pack of 30 13.11.3 - Skin | Skin Cleansers And Antiseptics | Skin cleansers, antiseptics, and desloughing agents

Current Status Drug Tariff

Dimethyl fumarate (Skilarence) £89.04 30 mg gastro-resistant tablets Pack of 42

Dimethyl fumarate (Skilarence) £381.60 120 mg gastro-resistant tablets Pack of 180 13.11.6 - Skin | Skin Cleansers And Antiseptics | Oxidisers & Dyes

Current Status Drug Tariff

potassium permanganate (Permitabs) £19.25 400 mg tab Pack of 30 13.12 - Skin | Antiperspirants

Current Status Drug Tariff

Aluminium Chloride Hexahydrate (Anhydrol Forte) £2.51 20 % soln (roll on) Pack of 60

Aluminium Chloride Hexahydrate (Driclor) £3.51 20 % soln (roll on) (20ml unit) Pack of 1 13.13.1 - Skin | Wound Management Products | Medicated Stockings

Current Status Drug Tariff

Zinc Oxide Stocking (Zipzoc) £3.33 1 pack Pack of 1 13.13.8 - Skin | Wound Management Products | Gel And Colloid Dressings

Current Status Drug Tariff

Iodosorb Ointment £16.17 0.9 % ointment (20g) Pack of 2

Iodosorb Ointment £16.17 0.9 % ointment (10g) Pack of 4

Iodosorb Powder £1.84 0.9 % powder (3g/sachet) Pack of 1 13.15 - Skin | Miscellaneous Topical Preparations

Current Status Drug Tariff

Eflornithine Cream (Vaniqa) £26.04 11.5 % cream (30g unit) Pack of 30 For use when other treatment options have failed or are inappropriate. Clinical Knowledge Summaries provide information on management of hirsutism http://cks.nice.org.uk/hirsutism#!prescribinginfosub

22 January 2020 352/403 Formulary Book [14: Immunological products & vaccines] NHS Canterbury And Coastal CCG 14.4 - Immunological products & vaccines | Vaccines And Antisera

Current Status Drug Tariff

Diptheria / Tetanus Vaccine (Diftavax) £2.48 0.5 ml pre-filled syringe Pack of 1 Available as part of national immunisation schedule through ImmForm

Hepatitis A / Typhoid Vaccine (Hepatyrix) £32.08 1 ml prefilled syringe Pack of 1

Hepatitis A / Typhoid Vaccine (ViATIM) £35.76 1 ml prefilled syringe Pack of 1

Hepatitis A inactivated Vaccine (Avaxim) £21.72 160 units/0.5 ml pre-filled syringe Pack of 1

Hepatitis B Vaccine (Engerix B) £9.67 10 mcg injection 0.5ml prefilled syringe (Paed) Pack of 1 Not recommended for travel use on the NHS. See the East Kent Position Statement http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?categoryesctl7925247=9819

Hepatitis B Vaccine (Engerix B) £9.16 10 mcg injection 0.5ml vial Pack of 1 Not recommended for travel use on the NHS. See the East Kent Position Statement http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?categoryesctl7925247=9819

Hepatitis B Vaccine (Engerix B) £12.99 20 mcg injection 1ml prefilled syringe Pack of 1 Not recommended for travel use on the NHS. See the East Kent Position Statement http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?categoryesctl7925247=9819

Hepatitis B Vaccine (Engerix B) £12.99 20 mcg injection 1ml vial (Adult) Pack of 1 Not recommended for travel use on the NHS. See the East Kent Position Statement http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?categoryesctl7925247=9819

Hepatitis B Vaccine (Hbvaxpro ) £9.02 5 mcg / 0.5ml vial Pack of 1 If for occupational health-should be provided by the employer

Hepatitis B Vaccine (Hbvaxpro ) £12.20 10 mcg / 1ml vial Pack of 1 If for occupational health-should be provided by the employer

Hepatitis B Vaccine (Hbvaxpro ) £12.20 10 mcg / 1 ml Pre-Filled Syringe Pack of 1 If for occupational health-should be provided by the employer

Hepatitis B Vaccine (Hbvaxpro ) £27.60 40 mcg / 1ml vial Pack of 1 If for occupational health-should be provided by the employer

Inactivated Hepatitis A Vaccine (Epaxal) £23.81 0.5 ml prefilled syringe (48 units/ml) Pack of 1

22 January 2020 353/403 Formulary Book [14: Immunological products & vaccines] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Inactivated Hepatitis A Vaccine (Havrix Monodose) £16.77 0.5 ml Junior pre-filled syringe Pack of 1

Inactivated Hepatitis A Vaccine (Havrix Monodose) £22.14 1 ml pre-filled syringe Pack of 1

Inactivated Hepatitis A Vaccine (Vaqta Paediatric) £14.55 25 antigen units per 0.5 mL Pack of 1

Influenza Vaccine (Imuvac) £6.59 1 Pre-filled Syringe Pack of 1

Influenza Vaccine (Viroflu) £65.90 0.5 ml pre-filled syringe Pack of 10

Influenza Vaccine (split virion) (Begrivac) £5.85 0.5 ml prefilled syringe Pack of 1

Influenza Vaccine (split virion) (Enzira) £5.25 1 prefilled syringe Pack of 1

Influenza Vaccine (Split virion) £6.59 0.5 ml pre-filled syringe Pack of 1

Influenza Vaccine (surface antigen) (Agrippal) £6.59 0.5 ml prefilled syringe Pack of 1

Influenza Vaccine (surface antigen) (Inflexal V) £6.13 0.5 ml prefilled syringe Pack of 1

Influenza Vaccine (surface antigen) (Invivac) £6.59 0.5 ml prefilled syringe Pack of 1

Influenza Vaccine (surface antigen) (Mastaflu) £6.50 0.5 ml prefilled syringe Pack of 1

Influenza Vaccine (Surface Antigen) (Fluarix) £5.39 0.5 ml pre-filled syringe Pack of 1

Influenza Vaccine (Surface Antigen) (Fluvirin) £5.55 0.5 ml pre-filled syringe Pack of 1

Influenza Vaccine (Surface Antigen) (Influvac) £5.22 0.5 ml pre-filled syringe Pack of 1

Meningococcal polysaccharide A, C, W135 and Y vaccine powder (ACWY Vax ) £16.73 0.5 vaccine powder and solvent for solution for injection Pack of 1 Not recommended for travel use on the NHS. See the East Kent Position Statement http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?categoryesctl7925247=9819

Pneumovax II £8.32 0.5 ml single dose vial Pack of 1 Available as part of national immunisation schedule through ImmForm

Typhoid Vaccine (Polysaccharide) (Typherix) £9.93 1 unit (Prefilled syringe) Pack of 1

22 January 2020 354/403 Formulary Book [14: Immunological products & vaccines] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Typhoid Vaccine (Polysaccharide) (Typhim) £11.16 1 unit (Prefilled syringe) Pack of 1

Varicella Vaccine (Live attenuated) (Varivax) £30.28 1 unit (0.5ml PFS) Pack of 1 Not part of the routine vaccination schedule, currently only offered to people who are particularly vulnerable to chickenpox. (Jan 2013)

Cholera Vaccine (Dukoral) £26.35 2 Dose Pack Pack of 2 The cholera vaccination is not recommended for all travellers. For most people, following normal food and water hygiene precautions will be enough to prevent infection. The cholera vaccination is recommended for:• aid workers helping in disaster areas or refugee camps • backpackers heading to remote areas where cholera is a risk, and where they will not have access to medical care • to an area, as defined by NaTHNaC, where they may risk exposure to infections as a consequence of being in that area or • to a country where it is a condition of entry to that country that persons have been immunised.

Diphtheria (low dose) / Tetanus / Pertussis (acellular component) / Poliomyelitis (inactivated) vaccine (adsorbed) £22.74 (Boostrix-IPV) 0.5 ml suspension for injection pfs Pack of 1 This vaccine is supplied through ImmForm and should NOT usually be supplied on FP10. Vaccines required for the national immunisation programme for the NHS are centrally purchased via ImmForm and this is substantially more cost effective than providing on prescription. The evidence base for supplying to patients outside the national program is usually limited.

Diphtheria / Tetanus / Pertussis (acellular component) / Poliomyelitis (inactivated) / Haemophilus type b conjugate £32.00 vaccine (Pediacel vaccine suspension ) 0.5 ml injection vials Pack of 1 This vaccine is supplied through ImmForm and should NOT usually be supplied on FP10. Vaccines required for the national immunisation programme for the NHS are centrally purchased via ImmForm and this is substantially more cost effective than providing on prescription. The evidence base for supplying to patients outside the national program is usually limited.

Diphtheria / Tetanus / Pertussis (acellular component) / Poliomyelitis (inactivated) vaccine (Infanrix-IPV ) £17.56 0.5 pre-filled syringes Pack of 1 This vaccine is supplied through ImmForm and should NOT usually be supplied on FP10. Vaccines required for the national immunisation programme for the NHS are centrally purchased via ImmForm and this is substantially more cost effective than providing on prescription. The evidence base for supplying to patients outside the national program is usually limited.

Diphtheria / Tetanus / Pertussis (acellular component) / Poliomyelitis (inactivated) vaccine (Repevax ) £20.00 0.5 ml pre-filled syringes Pack of 1 This vaccine is supplied through ImmForm and should NOT usually be supplied on FP10. Vaccines required for the national immunisation programme for the NHS are centrally purchased via ImmForm and this is substantially more cost effective than providing on prescription. The evidence base for supplying to patients outside the national program is usually limited.

Diptheria /Tetanus /Inactivated Polio Vaccine (Revaxis) £7.80 0.5 ml prefilled syringe (Children over 10yrs / Adults) Pack of 1 This vaccine is supplied for the childhood immunisation program through ImmForm and should NOT usually be supplied on FP10 for this purposes but MAY BE supplied when required for tetanus booster for travel. Vaccines required for the national immunisation programme for the NHS are centrally purchased via ImmForm and this is substantially more cost effective than providing on prescription. The evidence base for supplying to patients outside the national program is usually limited (Updated: Jan 2016)

Haemophilus (Menitorix) £37.76 0.5 ml vaccine powder and solvent for solution for injection vials Pack of 1 This vaccine is supplied through ImmForm and should NOT usually be supplied on FP10. Vaccines required for the national immunisation programme for the NHS are centrally purchased via ImmForm and this is substantially more cost effective than providing on prescription. The evidence base for supplying to patients outside the national program is usually limited.

Human papilloma virus HPV (types 16, 18) vaccine (Cervarix) £80.50 0.5 ml Prefilled syringe Pack of 1 HPV (human papillomavirus vaccination) for the national immunisation scheme is supplied through ImmForm and should not usually be provided through FP10Information on exceptional circumstances is provided here: http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?assetdet7576137=290310&categoryesctl10344807=9819The vaccine is available through private providers

22 January 2020 355/403 Formulary Book [14: Immunological products & vaccines] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Human papilloma virus HPV vaccine (Gardasil) £88.50 0.5 ml Prefilled Syringe Pack of 1 HPV (human papillomavirus vaccination) for the national immunisation scheme is supplied through ImmForm and should not usually be provided through FP10Information on exceptional circumstances is provided here: http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?assetdet7576137=290310&categoryesctl10344807=9819The vaccine is available through private providers

Influenza Vaccine (Fluenz) £14.00 0.2 mL Nasal Applicator Pack of 1 These vaccines are provided through ImmForm to primary care. Providing to groups outside of the national vaccination program and at higher cost through FP10 is unlikely to be cost effective.

Influenza Vaccine (Intanza) £9.05 1 prefilled syringe (15mcg intradermal) Pack of 1 Significantly higher cost than other seasonal influenza vaccines

Measles, Mumps and Rubella vaccine (live) (MMRVAXPRO) £11.00 0.5 vaccine powder and solvent for suspension for injection pfs Pack of 1 This vaccine is supplied through ImmForm and should NOT usually be supplied on FP10. Vaccines required for the national immunisation programme for the NHS are centrally purchased via ImmForm and this is substantially more cost effective than providing on prescription. The evidence base for supplying to patients outside the national program is usually limited.

Measles, Mumps and Rubella vaccine (live) (Priorix) £7.64 0.5 ml vaccine powder and solvent for solution for injection vials Pack of 1 This vaccine is supplied through ImmForm and should NOT usually be supplied on FP10. Vaccines required for the national immunisation programme for the NHS are centrally purchased via ImmForm and this is substantially more cost effective than providing on prescription. The evidence base for supplying to patients outside the national program is usually limited.

Meningitis A & C Vaccine (Mengivac (A+C)) £6.39 0.5 ml Vial Pack of 1 on formulary if prescribed in line with Green Book requirements Except for travel where supply on the NHS is not recommended

Meningococcal (Nimenrix) £30.00 0.5 ml vaccine powder and solvent for solution for injection pfs Pack of 1 This vaccine is supplied through ImmForm and should NOT usually be supplied on FP10. Vaccines required for the national immunisation programme for the NHS are centrally purchased via ImmForm and this is substantially more cost effective than providing on prescription. The evidence base for supplying to patients outside the national program is usually limited.

Meningococcal C (NeisVac-C) £187.50 0.5 vaccine suspension for injection pfs Pack of 10 This vaccine is supplied through ImmForm and should NOT usually be supplied on FP10. Vaccines required for the national immunisation programme for the NHS are centrally purchased via ImmForm and this is substantially more cost effective than providing on prescription. The evidence base for supplying to patients outside the national program is usually limited.

Meningococcal group B vaccine (Bexsero) £75.00 0.5 ml pre-filled syringes Vaccine suspension Pack of 1 This vaccine is supplied through ImmForm and should NOT usually be supplied on FP10. Vaccines required for the national immunisation programme for the NHS are centrally purchased via ImmForm and this is substantially more cost effective than providing on prescription. The evidence base for supplying to patients outside the national program is usually limited.

Meningococcal Vaccine (Menveo) £30.00 0.5 ml powder & solution for injection Pack of 1 This vaccine is supplied through ImmForm and should NOT usually be supplied on FP10. Vaccines required for the national immunisation programme for the NHS are centrally purchased via ImmForm and this is substantially more cost effective than providing on prescription. The evidence base for supplying to patients outside the national program is usually limited.

22 January 2020 356/403 Formulary Book [14: Immunological products & vaccines] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pneumococcal Vaccine (Prevenar 13) £49.10 1 prefilled syringe (0.5ml) Pack of 1 This vaccine is supplied through ImmForm and should NOT usually be supplied on FP10. Vaccines required for the national immunisation programme for the NHS are centrally purchased via ImmForm and this is substantially more cost effective than providing on prescription. The evidence base for supplying to patients outside the national program is usually limited.

Pneumococcal Vaccine (Prevenar 13) £491.00 1 Injection (0.5ml) Pack of 10 This vaccine is supplied through ImmForm and should NOT usually be supplied on FP10. Vaccines required for the national immunisation programme for the NHS are centrally purchased via ImmForm and this is substantially more cost effective than providing on prescription. The evidence base for supplying to patients outside the national program is usually limited.

Poliomyelitis Inactivated Vaccine £10.35 0.5 ml prefilled syringe Pack of 1 Available as part of national immunisation schedule through ImmForm

Rotavirus Vaccine (Rotarix) £34.76 1.5 mL prefilled oral syringe Pack of 1 This vaccine is supplied through ImmForm and should NOT usually be supplied on FP10. Vaccines required for the national immunisation programme for the NHS are centrally purchased via ImmForm and this is substantially more cost effective than providing on prescription. The evidence base for supplying to patients outside the national program is usually limited.

Shingles vaccine (Zostavax) £99.96 1 vial (0.65ml) Pack of 1 These vaccines are provided through IMMform to primary care. Providing to groups outside of the national vaccination program and at higher cost through FP10 is unlikely to be cost effective.

Varicella Vaccine (Live attenuated) (Varilrix) £27.31 1 vial (0.5ml vial with dilutent) Pack of 1 Not part of the routine vaccination schedule, currently only offered to people who are particularly vulnerable to chickenpox. (Jan 2013)

hepatitis Vaccine (Ambirix) £31.18 1 ml prefilled syringe Pack of 1 Not recommended for travel use on the NHS. See the East Kent Position Statement http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?categoryesctl7925247=9819

Inactivated Hepatitis A and B Vaccine (Twinrix Adult) £33.31 1 ml prefilled syringe (adult) Pack of 1 Not recommended for travel use on the NHS. See the East Kent Position Statement http://www.canterburycoastalccg.nhs.uk/about-us/prescribing- advice/?categoryesctl7925247=9819

Inactivated Hepatitis A and B Vaccine (Twinrix Paediatric) £20.79 0.5 ml prefilled syringe (Paediactric) Pack of 1

Japanese encephalitis (Ixiaro vaccine) £59.50 0.5 ml suspension for injection pf syringes disposable injection Pack of 1

Rabies Vaccine £33.90 1 vial (Inactivated HDC) Pack of 1 Not available on the NHS for travel and should be provided by the employer through occupational health if required for this purpose

Rabies Vaccine (Rabipur) £28.80 1 vial (Inactivated CEE) Pack of 1

Tick-borne encephalitis (TicoVac Junior) £28.00 0.25 ml vaccine suspension for injection pf syringes disposable injection Pack of 1

22 January 2020 357/403 Formulary Book [14: Immunological products & vaccines] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Tick-borne encephalitis (TicoVac vaccine) £32.00 0.5 ml suspension for injection pf syringes disposable injection Pack of 1 14.5.2 - Immunological products & vaccines | Immunoglobulins | Disease-specific immunoglobulins

Current Status Drug Tariff

Rabies immunoglobulin £412.13 500 unit solution for injection vials ( Human ) Pack of 1 14.5.3 - Immunological products & vaccines | Immunoglobulins | Anti-D (Rh0) immunoglobulin

Current Status Drug Tariff

Anti-D (RHO) immunoglobulin (Rhophylac) £46.50 1500 units / 2ml PFS Pack of 1 15.2.1 - Anaesthesia | Local Anaesthesia | Local Anaesthetics

Current Status Drug Tariff

Lidocaine Cream (Emla Cream) £1.73 5 g tube Pack of 1 19.2.7 - Other drugs and preparations | Selective Preparations | Poisoning Antidotes

Current Status Drug Tariff

Desferrioxamine Mesylate (Desferal) £18.66 2 g vial 50ml Pack of 1 Desferal is reimbursed separately from NHS England tariff (PbR excluded. It should be supplied by the acute trust and is NOT suitable for primary care prescribing. Refer back to specialist for supply 19.14.1 - Other drugs and preparations | Waters | Sterile Water

Current Status Drug Tariff

Sterile Water (Nutrison) £1.74 1000 ml unit Pack of 1 No drug tariff price so uncontrolled costs. Not usually required for enterally fed patients. Please check with HEN team

20.2.2 - Dressings | Arm Sling/Bandages

Current Status Drug Tariff

Bandage (Profore) £0.66 10 cm x 3.5m #1 Pack of 1

Bandage (Profore) £1.39 10 cm x 4.5m #2 Pack of 1

Bandage (Profore) £4.03 10 cm x 8.7m #3 Pack of 1

Bandage (Profore) £3.33 10 cm x 2.5m #4 Pack of 1

22 January 2020 358/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ichthopaste £3.78 7.5 cm x 6m (2%) Pack of 1

Ko-Flex Bandage (K-Four) £3.07 10 cm x 6m Pack of 1

Multi-Layer Compression Bandaging (Coban Self-Adherent Bandage) £2.95 10 cm x 6m (stretched) Pack of 1

Polyamide & Cellulose Contour Bandage (knitted) (K-Band / K Band) £2.00 5 cm x 4m (pack of 10) Pack of 10

Polyamide & Cellulose Contour Bandage (knitted) (K-Band / K Band) £2.50 7 cm x 4m (pack of 10) Pack of 10

Polyamide & Cellulose Contour Bandage (knitted) (K-Band / K Band) £0.29 10 cm x 4m Pack of 1

Polyamide & Cellulose Contour Bandage (knitted) (K-Band / K Band) £0.50 15 cm x 4m Pack of 1

Short Stretch Compression Bandage (Actico (Cohesive) Bandage) £3.31 8 cm x 6m Pack of 1

Short Stretch Compression Bandage (Actico (Cohesive) Bandage) £3.43 10 cm x 6m Pack of 1

Sub-Compression Wadding Bandage (K-Soft / K Soft) £0.46 10 cm x 3.5m (unstretched) Pack of 1

Sub-Compression Wadding Bandage (K-Soft Long) £0.58 10 cm x 4.5m (unstretched) Pack of 1

Support bandage (K-Lite) £0.78 7 cm x 4.5m Pack of 1

Support bandage (K-Lite) £0.97 10 cm x 4.5m Pack of 1

Support bandage (K-Lite Long) £1.16 10 cm x 5.25m (long) Pack of 1

SUPPORT BANDAGE (k-Plus Elastomer & Viscose knitted type 3a) £1.53 10 cm x 6 m Pack of 1

SUPPORT BANDAGE (k-Plus Elastomer & Viscose knitted type 3a) £2.31 10 cm x 8.7 m Pack of 1

Viscopaste £3.74 7.5 cm x 6m Pack of 1 As approved by First Choice dressing review group Oct 2015.

Cotton Conforming Bandage BP 1988 (Crinx) £1.02 10 cm x 3.5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 359/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Cotton, Polyamide and Elastane Bandage (Setocrepe) £1.21 10 cm x 4.5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Easifix Bandage £0.44 7.5 cm x 4m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

High Compression Bandage (Profore Plus) £3.44 10 cm x 3m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

High Compression Bandage (Surepress) £3.71 10 cm x 3m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

High Compression Bandage (Spec 52) (Setopress (P.E.C.)) £3.58 10 cm x 3.5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

High Compression Bandage (Spec 52) (Tensopress (V.E.C.)) £2.75 7.5 cm x 3 m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

High Compression Bandage (Spec 52) (Tensopress (V.E.C.)) £3.54 10 cm x 3 m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Multi-layer Compression Bandaging (Velband) £0.75 10 cm x 4.5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyamide and Cellulose Contour Bandage, BP 1988 (Acti-Wrap) £0.68 10 cm x 4m (cohesive/latex free) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyamide and Cellulose Contour Bandage, BP 1988 (Easifix) £0.52 10 cm x 4m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyamide and Cellulose Contour Bandage, BP 1988 (Slinky) £0.41 5 cm x 4m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyamide and Cellulose Contour Bandage, BP 1988 (Slinky) £0.60 7.5 cm x 4m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 360/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Polyamide and Cellulose Contour Bandage, BP 1988 (Slinky) £0.72 10 cm x 4m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyamide and Cellulose Contour Bandage, BP 1988 (Slinky) £11.40 15 cm x 4m Pack of 12 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyamide and Cellulose Contour Bandage, BP 1988 (Stayform) £0.40 10 cm x 4m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Short Stretch Compression Bandage (Actiban) £3.46 10 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Short Stretch Compression Bandage (Comprilan Bandage) £3.22 8 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Short Stretch Compression Bandage (Comprilan Bandage) £3.46 10 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Short Stretch Compression Bandage (Comprilan Bandage) £4.22 12 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Short Stretch Compression Bandage (Rosidal K Bandage) £3.55 10 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Short Stretch Compression Bandage (Rosidal K Bandage) £4.30 12 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Sub-Compression Wadding Bandage (Cellona Undercast Padding) £5.04 10 cm x 2.75m (unstretched) Pack of 12 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Sub-Compression Wadding Bandage (Flexi-ban / Flexiban) £0.51 10 cm x 3.5m (unstretched) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Sub-Compression Wadding Bandage (Softexe) £0.62 10 cm x 3.5m (unstretched) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 361/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

SUPPORT BANDAGE (Elset/ElsetS Elastomer & Viscose knitted type3a rayon) £2.39 10 cm X 6m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

SUPPORT BANDAGE (Elset/ElsetS Elastomer & Viscose knitted type3a rayon) £3.06 10 cm x 8m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

SUPPORT BANDAGE (Elset/ElsetS Elastomer & Viscose knitted type3a rayon) £5.13 15 cm x 12m (Elset S) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Surepress Bandage £0.58 10 cm x 3m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Ultra Four £0.39 10 cm x 3.5m (#1, Ultra Soft) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

20.3.1 - Dressings | Wound Management & other Dressings

Current Status Drug Tariff

+PHMB Hydrobalance Dressing (Suprasorb X) £34.75 2 cm x 21cm rope Pack of 5

+PHMB Hydrobalance Dressing (Suprasorb X) £12.30 5 cm x 5cm square Pack of 5

+PHMB Hydrobalance Dressing (Suprasorb X) £24.55 9 cm x 9cm square Pack of 5

+PHMB Hydrobalance Dressing (Suprasorb X) £55.80 14 cm x 20cm rectangular Pack of 5

Absorbent Cellulose Dressing (Zetuvit E) £1.50 10 cm x 10cm non-sterile Pack of 25

Absorbent Cellulose Dressing (Zetuvit E) £2.00 10 cm x 20cm non-sterile Pack of 25

Absorbent Cellulose Dressing (Zetuvit E) £5.50 10 cm x 20cm sterile Pack of 25

Absorbent Cellulose Dressing (Zetuvit E) £4.75 10 cm x 10cm sterile Pack of 25

Absorbent Cellulose Dressing (Zetuvit E) £2.50 20 cm x 40cm non-sterile Pack of 10

Absorbent Cellulose Dressing (Zetuvit E) £10.00 20 cm x 40cm sterile Pack of 10

22 January 2020 362/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Absorbent Cellulose Dressing (Zetuvit E) £1.95 20 cm x 20cm non-sterile Pack of 15

Absorbent Cellulose Dressing (Zetuvit E) £5.40 20 cm x 20cm sterile Pack of 15

Absorbent Cellulose Dressing (Zetuvit Plus) £6.10 10 cm x 10cm pad Pack of 10

Absorbent Cellulose Dressing (Zetuvit Plus) £8.50 10 cm x 20cm pad Pack of 10

Absorbent Cellulose Dressing (Zetuvit Plus) £9.70 15 cm x 20cm pad Pack of 10

Absorbent Cellulose Dressing (Zetuvit Plus) £10.20 20 cm x 40cm pad Pack of 5

Absorbent Cellulose Dressing (Zetuvit Plus) £13.30 20 cm x 25cm pad Pack of 10

Absorbent Clear Dressing (Tegaderm) £15.40 7.6 cm x 9.5cm clear acrylic Pack of 5

Absorbent Clear Dressing (Tegaderm) £19.95 11.1 cm x 12.7cm clear acrylic Pack of 5

Absorbent Clear Dressing (Tegaderm) £28.10 14.2 cm x 15.8cm clear acrylic Pack of 5

Absorbent Clear Dressing (Tegaderm) £42.10 14.9 cm x 15.2cm clear acrylic Pack of 5

Absorbent Clear Dressing (Tegaderm) £50.40 16.8 cm x 19cm clear acrylic Pack of 5

Absorbent Clear Dressing (Tegaderm) £67.60 20 cm x 20.3cm clear acrylic Pack of 5

Foam dressing (Tegaderm) £16.60 6.9 cm x 6.9cm Soft Cloth Border Pack of 10 This product is a silicone foam dressing which is included on the First Choice dressing list.Updated March 2019

Foam dressing (Tegaderm) £14.20 6.9 cm x 7.6cm adhesive oval Pack of 10 This product is a silicone foam dressing which is included on the First Choice dressing list.Updated March 2019

Foam dressing (Tegaderm) £21.70 8.8 cm x 8.8cm non-adhesive Pack of 10

Foam dressing (Tegaderm) £12.64 10 cm x 60cm non-adhesive Pack of 1

Foam dressing (Tegaderm) £18.05 10 cm x 20cm non-adhesive Pack of 5

22 January 2020 363/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Foam dressing (Tegaderm) £23.30 10 cm x 11cm adhesive oval Pack of 10 This product is a silicone foam dressing which is included on the First Choice dressing list.Updated March 2019

Foam dressing (Tegaderm) £21.30 10 cm x 10cm non-adhesive Pack of 10

Foam dressing (Tegaderm) £20.60 14.3 cm x 15.6cm adhesive oval Pack of 5 This product is a silicone foam dressing which is included on the First Choice dressing list.Updated March 2019

Foam dressing (Tegaderm) £34.40 14.3 cm x 14.3cm adhesive square Pack of 10

Foam dressing (Tegaderm) £33.80 19 cm x 22.2cm adhesive oval Pack of 5 This product is a silicone foam dressing which is included on the First Choice dressing list.Updated March 2019

Foam dressing (Tegaderm) £28.80 20 cm x 20cm non-adhesive Pack of 5

N-A Ultra Dressing £12.80 9.5 cm x 9.5cm Pack of 40

N-A Ultra Dressing £0.64 19 cm x 9.5cm Pack of 1

Non-Adherent Dressing (Atrauman) £15.70 20 cm x 30cm Pack of 10

Povidone Iodine Dressing (Inadine) £7.50 5 x 5cm Pack of 25 only to be used for: Bites; Vascular issues; necrotic areas which are to remain dry and when directed by a consultant DO NOT USE TO DRY UP SKIN LACERATIONS

Povidone Iodine Dressing (Inadine) £11.25 9.5 x 9.5cm Pack of 25 only to be used for: Bites; Vascular issues; necrotic areas which are to remain dry and when directed by a consultant DO NOT USE TO DRY UP SKIN LACERATIONS

Sterile Dressing (Softpore) £3.60 6 cm x 7cm adhesive border Pack of 60

Sterile Dressing (Softpore) £6.50 10 cm x 10cm adhesive border Pack of 50

Sterile Dressing (Softpore) £10.00 15 cm x 10cm adhesive border Pack of 50

Sterile Dressing (Softpore) £10.50 20 cm x 10cm adhesive border Pack of 30

Sterile Dressing (Softpore) £12.00 25 cm x 10cm adhesive border Pack of 30

22 January 2020 364/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Sterile Dressing (Softpore) £14.70 30 cm x 10cm adhesive border Pack of 30

Sterile Dressing (Softpore) £17.40 35 cm x 10cm adhesive border Pack of 30

Sterile Dressing (Versiva XC) £14.40 7.5 cm x 7.5cm non-adhesive Pack of 10

Sterile Dressing (Versiva XC) £34.50 10 cm x 10cm adhesive Pack of 10

Sterile Dressing (Versiva XC) £23.90 11 cm x 11cm non-adhesive Pack of 10

Sterile Dressing (Versiva XC) £33.10 14 cm x 14cm adhesive Pack of 10

Sterile Dressing (Versiva XC) £22.10 15 cm x 15cm non-adhesive Pack of 5

Sterile Dressing (Versiva XC) £26.35 19 cm x 19cm adhesive Pack of 5

Sterile Dressing (Versiva XC) £33.00 20 cm x 20cm non-adhesive Pack of 5

Sterile Dressing (Versiva XC) £29.25 22 cm x 22cm adhesive Pack of 5

Tulle Dressing (Atrauman) £17.10 10 cm x 20cm Pack of 30

Absorbant Dressing (Mepore) £5.50 7 cm x 8cm Pack of 55 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Absorbant Dressing (Mepore) £17.40 9 cm x 25cm Pack of 30 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Absorbant Dressing (Mepore) £20.10 9 cm x 30cm Pack of 30 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Absorbant Dressing (Mepore) £21.90 9 cm x 35cm Pack of 30 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Absorbant Dressing (Mepore) £8.40 10 cm x 11cm Pack of 40 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 365/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Absorbant Dressing (Mepore) £13.60 11 cm x 15cm Pack of 40 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Absorbent Dressing (Melolin) £16.00 5 cm x 5cm sterile Pack of 100 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Absorbent Dressing (Melolin) £26.00 10 cm x 10cm sterile Pack of 100 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Absorbent Dressing (Melolin) £50.00 20 cm x 10cm sterile Pack of 100 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Adhesive film dressing (OpSite Flexigrid) £37.00 6 cm x 7cm Pack of 100 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Adhesive film dressing (OpSite Flexigrid) £26.70 15 cm x 20cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Adhesive film dressing (OpSite Plus) £7.50 5 cm x 5cm Pack of 25

Adhesive film dressing (OpSite Plus) £16.60 8.5 cm x 9.5cm Pack of 20 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Adhesive film dressing (OpSite Plus) £11.20 10 cm x 12cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Adhesive film dressing (OpSite Plus) £37.80 20 cm x 10cm Pack of 20 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Adhesive film dressing (OpSite Plus) £62.60 35 cm x 10cm Pack of 20 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Alldress Dressing £18.50 15 cm x 15cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Bio-Cellulose Dressing (Suprasorb X) £31.55 2 cm x 21cm rope Pack of 5

22 January 2020 366/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Bio-Cellulose Dressing (Suprasorb X) £9.85 5 cm x 5cm square Pack of 5

Bio-Cellulose Dressing (Suprasorb X) £20.50 9 cm x 9cm square Pack of 5

Bio-Cellulose Dressing (Suprasorb X) £40.60 14 cm x 20cm rectangular Pack of 5

Debridement pad (DebriSoft) £6.35 10 cm x 10cm pad Pack of 1 This is not a first choice dressing preparation. Requests must be accompanied by a rational on the first choice dressing form.

Drisorb £4.25 10 cm x 20 cm Pack of 25 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Foam dressing (Tegaderm) £20.50 13.9 cm x 13.9cm adhesive heel Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Mesorb £5.60 10 cm x 10cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Mesorb £7.20 10 cm x 15cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Mesorb £8.90 10 cm x 20cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Mesorb £12.70 15 cm x 20cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Mesorb £22.70 20 cm x 30cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Mesorb £20.00 20 cm x 25cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

NA Dressing (standard) £13.20 9.5 cm x 9.5cm Pack of 40 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 367/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

NA Dressing (standard) £15.75 19 cm x 9.5cm Pack of 25 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Primapore £8.00 6 cm x 8.3cm Pack of 50 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Primapore £3.40 8 cm x 10cm Pack of 20 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Primapore £5.80 8 cm x 15cm Pack of 20 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Primapore £7.60 10 cm x 20cm Pack of 20 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Release Dressing £14.00 5 cm x 5cm Pack of 100 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Release Dressing £21.00 10 cm x 20cm Pack of 50 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Release Dressing £22.00 10 cm x 10cm Pack of 100 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Sterile Dressing (Versiva XC) £29.25 18.5 cm x 20.5cm heal adhesive Pack of 5 Shaped dressing. Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Sterile Dressing (Versiva XC) £31.40 21 cm x 25cm sacral adhesive Pack of 5 Shaped dressing. Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Tegaderm Dressing £3.80 6 cm x 7cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Tegaderm Dressing £12.30 12 cm x 12cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 368/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Tegaderm Dressing £23.40 15 cm x 20cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Transparent film dressing (Tegaderm Film) £12.30 12 cm x 12cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Tricotex £15.00 9.5 cm x 9.5 cm Pack of 50 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Vapour permeable adhesive film dressing (Hydrofilm) £13.20 10 cm x 15cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Vapour-permeable Adhesive Film Dressing, BP 1993 (Alldress ) £0.97 10 cm x 10cm Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Vapour-permeable Adhesive Film Dressing, BP 1993 (Alldress ) £2.61 15 cm x 20cm Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Vapour-permeable Adhesive Film Dressing, BP 1993 (Bioclusive ) £14.50 10.2 cm x 12.7 cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Vapour-permeable Adhesive Film Dressing, BP 1993 (C-View ) £3.70 6 cm x 7cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Vapour-permeable Adhesive Film Dressing, BP 1993 (C-View ) £10.40 10 cm x 12cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Vapour-permeable Adhesive Film Dressing, BP 1993 (C-View ) £23.80 15 cm x 20cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Wound Dressing (Mepore Ultra) £37.92 9 cm x 25cm Pack of 24 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Wound Dressing (Mepore Ultra) £62.64 9 cm x 30cm Pack of 24 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 369/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Wound Dressing (Mepore Ultra) £34.32 9 cm x 20cm Pack of 24 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Adhesive Foam Dressing (Aquacel Foam Dressing (Adhesive)) £13.90 8 cm x 8cm Pack of 10 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam,Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Adhesive Foam Dressing (Aquacel Foam Dressing (Adhesive)) £21.60 10 cm x 10cm Pack of 10 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Adhesive Foam Dressing (Aquacel Foam Dressing (Adhesive)) £26.80 12.5 cm x 12.5cm Pack of 10 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Adhesive Foam Dressing (Aquacel Foam Dressing (Adhesive)) £53.60 17.5 cm x 17.5cm Pack of 10 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Adhesive Foam Dressing (Aquacel Foam Dressing (Adhesive)) £7.84 21 cm x 21cm Pack of 1 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Soft polymer wound contact dressing (Aquacel Foam dressing (non-adhesive)) £1.35 5 cm x 5cm Pack of 1 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Soft polymer wound contact dressing (Aquacel Foam dressing (non-adhesive)) £2.56 10 cm x 10cm Pack of 1 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Soft polymer wound contact dressing (Aquacel Foam dressing (non-adhesive)) £3.54 10 cm x 20cm Pack of 1 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Soft polymer wound contact dressing (Aquacel Foam dressing (non-adhesive)) £4.30 15 cm x 15cm Pack of 1 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Soft polymer wound contact dressing (Aquacel Foam dressing (non-adhesive)) £12.60 15 cm x 20cm Pack of 1 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Soft polymer wound contact dressing (Aquacel Foam dressing (non-adhesive)) £7.01 20 cm x 20cm Pack of 1 This product is no longer on the First Choice dressing listAlternatives are:Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

22 January 2020 370/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG 20.3.2 - Dressings | Wound Management & other Dressings

Current Status Drug Tariff

Alginate Dressing with Absorbent Backing - Carbon (Sorbsan Plus) £4.96 10 cm x 15cm Pack of 1

Alginate Dressing with Absorbent Backing - Carbon (Sorbsan Plus) £6.84 15 cm x 20cm Pack of 1

Alginate Dressing with Absorbent Backing - Sterile (Sorbsan Plus ) £1.77 7.5 cm x 10cm Pack of 1

Alginate Dressing with Absorbent Backing - Sterile (Sorbsan Plus ) £3.98 10 cm x 20cm Pack of 1

Absorbent Alginate Dressing (SeaSorb AG) £41.20 3 cm x 44cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Absorbent Alginate Dressing (SeaSorb AG) £46.50 5 cm x 5cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Absorbent Alginate Dressing (SeaSorb AG) £38.10 10 cm x 10cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Absorbent Alginate Dressing (SeaSorb AG) £62.30 15 cm x 15cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Alginate Dressing [Sterile] (Algisite M) £16.90 10 cm x 10cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Alginate Dressing [Sterile] (Algisite M) £45.30 15 cm x 20cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Alginate Dressing [Sterile] (Kaltostat) £8.40 5 cm x 5cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Alginate Dressing [Sterile] (Kaltostat) £18.30 7.5 cm x 12cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Alginate Dressing [Sterile] (Kaltostat) £18.15 10 cm x 20cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 371/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Alginate Dressing [Sterile] (Kaltostat) £31.15 15 cm x 25cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Alginate Dressing [Sterile] (Melgisorb) £16.80 10 cm x 10cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Alginate Hydrocolloid Dressing - Sterile (SeaSorb Soft ) £27.90 5 cm x 5cm Pack of 30 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Alginate Hydrocolloid Dressing - Sterile (SeaSorb Soft ) £22.10 10 cm x 10cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Alginate Hydrocolloid Dressing - Sterile (SeaSorb Soft ) £42.00 15 cm x 15cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Alginate Hydrocolloid Dressing - Sterile (Urgosorb Pad) £2.17 10 cm x 10cm Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Alginate Hydrocolloid Dressing - Sterile (Urgosorb Pad) £3.97 10 cm x 20cm Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

20.3.4 - Dressings | Wound Management & other Dressings

Current Status Drug Tariff

Duoderm Extra Thin £7.30 5 cm x 10cm (S163) Pack of 10

Duoderm Extra Thin £3.80 7.5 cm x 7.5cm (S160) Pack of 5

Duoderm Extra Thin £12.70 10 cm x 10cm (S161) Pack of 10

Duoderm Extra Thin £27.30 15 cm x 15cm (S162) Pack of 10

Granuflex Bordered Dressing £1.81 6 cm x 6cm (S155) Pack of 1

Granuflex Bordered Dressing £37.70 10 cm x 13cm (S158) Pack of 1

Granuflex Bordered Dressing £32.00 10 cm x 10cm (S156) Pack of 10

22 January 2020 372/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Granuflex Bordered Dressing £28.30 15 cm x 15cm (S157) Pack of 5

Granuflex Bordered Dressing £29.40 15 cm x 18cm (S159) Pack of 5

Granuflex Dressing £55.10 15 cm x 20cm (S153) Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Granuflex Dressing £38.30 20 cm x 20cm (S152) Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Silvercel Dressing (Silvercel) £4.49 2.5 cm x 30.5cm Pack of 1

Silvercel Dressing (Silvercel) £1.69 5 cm x 5cm Pack of 1

Silvercel Dressing (Silvercel) £4.17 11 cm x 11cm Pack of 1

Wound Dressing (Protease Matrix) (Aquacel) £12.50 4 cm x 10cm (s7510) Pack of 10

Wound Dressing (Protease Matrix) (Aquacel) £18.40 4 cm x 20cm (s7511) Pack of 10

Wound Dressing (Protease Matrix) (Aquacel) £27.70 4 cm x 30cm (s7512) Pack of 10

Wound Dressing (Protease Matrix) (Aquacel) £9.80 5 cm x 5cm (s7500) Pack of 10

Wound Dressing (Protease Matrix) (Aquacel) £21.90 15 cm x 15cm (s7502) Pack of 5

Alione Non Adhesive £28.40 10 cm x 10cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Alione Non Adhesive £51.40 12 cm x 20cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Alione Non Adhesive £49.50 15 cm x 15cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Alione Non Adhesive £73.80 20 cm x 20cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 373/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Comfeel Plus Contour Dressing £19.60 6 x 8cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Comfeel Plus Contour Dressing £34.00 9 x 11cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Comfeel Plus Ulcer Dressing £25.50 4 cm x 6cm Pack of 30 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Comfeel Plus Ulcer Dressing £21.60 10 cm x 10cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Comfeel Plus Ulcer Dressing £46.40 15 cm x 15cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Comfeel Plus Ulcer Dressing £33.40 20 cm x 20cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Hydrocolloid Dressing [Adhesive Border] (Alione) £28.40 10 cm x 10cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Hydrocolloid Dressing [Adhesive Border] (Alione) £51.40 12 cm x 20cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Hydrocolloid Dressing [Adhesive Border] (Alione) £39.10 12.5 cm x 12.5cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Hydrocolloid Dressing [Adhesive Border] (Alione) £49.50 15 cm x 15cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Hydrocolloid Dressing [Adhesive Border] (Alione) £73.80 20 cm x 20cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Hydrocolloid Dressing [Adhesive Border] (Combiderm Dressing) £1.47 10 cm x 10cm (S190) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 374/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Hydrocolloid Dressing [Adhesive Border] (Combiderm Dressing) £20.40 14 x 14cm (S191) Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Hydrocolloid Dressing [Adhesive Border] (Combiderm Dressing) £35.20 15 x 18cm (S192) Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Hydrocolloid Dressing [Adhesive Border] (Combiderm Dressing) £19.25 20 x 20cm (S193) Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Versiva Dressing £2.30 9 cm x 9cm Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Versiva Dressing £4.38 14 cm x 14cm Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Versiva Dressing £34.05 19 cm x 19cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Versiva Dressing £41.15 19 cm x 24cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Versiva Dressing £34.95 19.5 cm x 18.5cm (heel) Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Versiva Dressing £41.15 21 cm x 22.5cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Versiva Sacral Dressing (Versiva) £29.00 19 cm x 17.7cm Pack of 5 Shaped dressing. Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

20.3.5 - Dressings | Wound Management & other Dressings

Current Status Drug Tariff

Aquaform Hydrogel Dressing (Aquaform) £1.67 8 g dressing Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 375/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Aquaform Hydrogel Dressing (Aquaform) £2.04 15 g dressing Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Granugel Gel £22.30 15 g sachet (S129) Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Hydrogel Dressing (Nu-Gel Gel) £19.70 15 g Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Intrasite Conformable Dressing £15.90 10 x 10cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Intrasite Conformable Dressing £21.50 10 x 20cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Intrasite Conformable Dressing £38.40 10 x 40cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Intrasite Gel £15.90 8 g (10 units) Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Intrasite Gel £2.48 15 g (1 unit) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Intrasite Gel £31.60 25 g(10 units) Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Purilon Gel £1.79 8 g Tube Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Purilon Gel £2.31 15 g Tube Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

20.3.6 - Dressings | Wound Management & other Dressings

Current Status Drug Tariff

Adhesive Dressing (Biatain Adhesive) £23.80 12.5 cm x 12.5cm foam Pack of 10

22 January 2020 376/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Adhesive Dressing (Biatain Adhesive) £24.00 18 cm x 18cm foam Pack of 5

Adhesive Dressing (Biatain Adhesive) £24.00 19 cm x 20cm heel Pack of 5

Adhesive Dressing (Biatain Adhesive) £43.20 23 cm x 23cm sacral Pack of 5

Soft silicone wound contact dressing (Biatain Silicone) £3.36 7.5 cm x 7.5cm Ag dressing Pack of 1 This product is a silicone foam dressing which is included on the First Choice dressing list.Updated March 2019

Soft silicone wound contact dressing (Biatain Silicone) £5.30 10 cm x 10cm Ag dressing Pack of 1 This product is a silicone foam dressing which is included on the First Choice dressing list.Updated March 2019

Soft silicone wound contact dressing (Biatain Silicone) £6.93 12.5 cm x 12.5cm Ag dressing Pack of 1 This product is a silicone foam dressing which is included on the First Choice dressing list.Updated March 2019

Soft silicone wound contact dressing (Biatain Silicone) £12.63 17.5 cm x 17.5cm Ag dressing Pack of 1 This product is a silicone foam dressing which is included on the First Choice dressing list.Updated March 2019

Wound Dressing (Biatain Non Adhesive) £11.40 5 cm circular Pack of 10

Wound Dressing (Biatain Non Adhesive) £16.00 8 cm circular Pack of 10

Wound Dressing (Biatain Non Adhesive) £22.20 10 cm x 10cm foam Pack of 10

Wound Dressing (Biatain Non Adhesive) £20.40 15 cm x 15cm foam Pack of 5

Wound Dressing (Biatain Non Adhesive) £30.30 20 cm x 20cm foam Pack of 5

Adhesive wound dressing (Allevyn Plus Adhesive) £32.70 12.5 cm x 12.5cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Adhesive wound dressing (Allevyn Plus Adhesive) £58.00 12.5 cm x 22.5cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Adhesive wound dressing (Allevyn Plus Adhesive) £63.10 17.5 cm x 17.5cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 377/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Alginate Dressing [Sterile] (Activheal) £11.10 10 cm x 10cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Avance Dressing £26.40 10 x 10cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Avance Dressing £42.10 10 x 17.5cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Avance Dressing £58.20 20 x 15cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Avance-A Dressing £22.20 9 cm x 9cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Avance-A Dressing £36.80 12 cm x 12cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Avance-A Dressing £45.10 15 cm x 15cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Contreet Foam Adhesive Dressing £8.22 12.5 cm x 12.5cm Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Contreet Foam Adhesive Dressing £82.45 18 cm x 18cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Contreet Foam Adhesive Dressing £15.95 19 cm x 20cm (Heel) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Contreet Foam Adhesive Dressing £17.28 23 cm x 23cm (sacral) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Foam film dressing - borderless (Allevyn lite) £22.00 5 cm x 5cm Pack of 20 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 378/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Foam film dressing - borderless (Allevyn lite) £34.30 10 x 20cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Foam film dressing - borderless (Allevyn lite) £40.00 10 cm x 10cm Pack of 20 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Foam film dressing - borderless (Allevyn lite) £42.70 15 x 20cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Foam film dressing - borderless (Allevyn thin) £10.40 5 cm x 6cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Foam film dressing - borderless (Allevyn thin) £10.50 10 cm x 10cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Foam film dressing - borderless (Allevyn thin) £10.41 15 cm x 15cm Pack of 3 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Heel Dressing (Allevyn Heel) £24.90 10.5 x 13.5cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Hydrocellular wound dressing (Allevyn Adhesive) £14.30 7.5 x 7.5cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Hydrocellular wound dressing (Allevyn Adhesive) £21.00 10 cm x 10cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Hydrocellular wound dressing (Allevyn Adhesive) £25.70 12.5 x 12.5cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Hydrocellular wound dressing (Allevyn Adhesive) £40.00 12.5 x 22.5cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Hydrocellular wound dressing (Allevyn Adhesive) £50.70 17.5 x 17.5cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 379/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Hydrocellular wound dressing (Allevyn Adhesive) £73.80 22.5 x 22.5 Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyuethane Foam Film Borderless Non-Adhesive (Lyofoam Extra) £19.50 10 cm x 10cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyuethane Foam Film Borderless Non-Adhesive (Lyofoam Extra) £32.90 10 cm x 17.5cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyuethane Foam Film Borderless Non-Adhesive (Lyofoam Extra) £42.70 15 cm x 20cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyurethane Foam Dressing (Lyofoam) £9.80 7.5 cm x 7.5cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyurethane Foam Dressing (Lyofoam) £11.40 10 cm x 10cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyurethane Foam Dressing (Lyofoam) £18.10 17.5 cm x 10cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyurethane Foam Dressing (Lyofoam) £12.25 20 cm x 15cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyurethane foam film dressing - borderless (Tielle Borderless Dressing) £3.92 15 cm x 15cm Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyurethane foam film dressing - borderless (Transorbent (adhesive)) £2.02 10 cm x 10cm Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyurethane foam film dressing - borderless (Transorbent (adhesive)) £3.71 15 cm x 15cm Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyurethane Foam Film Dressing Adhesive (Lyofoam Extra) £12.20 9 cm x 9cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 380/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Polyurethane Foam Film Dressing Adhesive (Lyofoam Extra) £22.90 15 cm x 15cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyurethane Foam Film Dressing Adhesive (Lyofoam Extra) £18.80 15 cm x 13cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyurethane Foam Film Dressing Adhesive (Lyofoam Extra) £45.20 22 cm x 22cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyurethane Foam Film Dressing with adh border (Tielle) £22.40 11 cm x 11cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyurethane Foam Film Dressing with adh border (Tielle) £4.90 15 cm x 20cm Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyurethane Foam Film Dressing with adh border (Tielle) £4.99 18 cm x 18cm Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Tielle Lite £11.40 7 cm x 9cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Tielle Lite £26.50 8 cm x 15cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Tielle Lite £28.00 8 cm x 20cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Tielle Lite £21.50 11 cm x 11cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Tielle Plus Borderless £29.80 11 cm x 11cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Tielle Plus Borderless £27.00 15 cm x 20cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 381/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Tielle Plus Dressing £2.63 11 cm x 11cm Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Tielle Plus Dressing £5.39 15 cm x 20cm Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Tielle Sacrum Dressing (Tielle Sacrum Dressing) £16.95 18 cm x 18cm Pack of 5 Shaped dressing. Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Trufoam NA Dressing £19.70 10 cm x 10cm (Non-adhesive) Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Trufoam NA Dressing £18.15 15 cm x 15cm (Non-adhesive) Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Trufoam SA Dressing £10.90 7 x 9cm (with adhesive border) Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Trufoam SA Dressing £20.80 11 x 11cm (with adhesive border) Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Wound dressing (Allevyn Compression) £12.55 10 cm x 10cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Wound dressing (Allevyn Compression) £12.81 15 cm x 15cm Pack of 3 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Wound dressing (Allevyn Compression) £14.34 15 cm x 20cm Pack of 3 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Wound Dressing (Allevyn Non Adhesive) £12.10 5 x 5cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Wound Dressing (Allevyn Non Adhesive) £38.60 10 x 20cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 382/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Wound Dressing (Allevyn Non Adhesive) £64.40 20 x 20cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyurethane foam film (ActivHeal Foam Adhesive) £1.18 7.5 cm x 7.5cm square dressing Pack of 1 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Soft polymer (UrgoTul) £1.21 6 cm x 6cm dressing Pack of 1 This product is not a recommended productAlternatives are as below:Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019.

Soft polymer (UrgoTul) £2.38 10 cm x 10cm dressing Pack of 1 This product is not a recommended productAlternatives are as below:Silicone adhesive Foam,Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019.

Soft polymer (UrgoTul) £4.80 12 cm x 19cm dressing Pack of 1 This product is not a recommended productAlternatives are as belowSilicone adhesive Foam: Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive,Updated March 2019.

Soft polymer (UrgoTul) £4.20 15 cm x 20cm dressing Pack of 1 This product is not a recommended productAlternatives are as below:Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Urgotul SSD £3.20 10 cm x 12cm Pack of 1 This product is not a recommended productAlternatives are as belowSilicone adhesive Foam,Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019.

Urgotul SSD £9.06 15 cm x 20cm Pack of 1 This product is not a recommended productAlternatives are as below:Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019 20.3.7 - Dressings | Wound Management & other Dressings

Current Status Drug Tariff

Actisorb Silver 220 £15.50 6.5 x 9.5 cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Actisorb Silver 220 £24.40 10.5 x 10.5 cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Actisorb Silver 220 £44.30 10.5 x 19 cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

20.3.8 - Dressings | Wound Management & other Dressings

22 January 2020 383/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Cavity Dressing (Aquacel AG Ribbon) £14.85 1 cm x 45cm Pack of 5

Cavity Dressing (Aquacel AG Ribbon) £22.70 2 cm x 45cm (s7509) Pack of 5

Cavity Dressing (Aquacel ribbon) £9.30 1 cm x 45cm Pack of 5

Cavity Dressing (Sorbsan Packing) £3.50 30 cm x 2g Pack of 1

Cavity Dressing (Sorbsan Ribbon (with probe)) £9.55 40 cm x 1g Pack of 5

Cavity Dressing (Algosteril Rope) £20.04 30 cm (2g) Pack of 6 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Cavity Dressing (Allevyn Cavity) £41.10 5 cm circular Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Cavity Dressing (Allevyn Cavity) £39.80 9 cm x 2.5cm tubular Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Cavity Dressing (Allevyn Cavity) £49.00 10 cm circular Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Cavity Dressing (Allevyn Cavity) £35.10 12 cm x 4cm tubular Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Cavity Dressing (Kaltostat ) £3.93 2 g Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Cavity Dressing (Urgosorb Rope) £12.40 30 cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

20.3.9 - Dressings | Wound Management & other Dressings

Current Status Drug Tariff

Mepitel (Non-adherent silicone dressing) £7.33 5 x 7cm Pack of 5

Mepitel (Non-adherent silicone dressing) £14.65 8 x 10cm Pack of 5

22 January 2020 384/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Mepitel (Non-adherent silicone dressing) £29.65 12 x 15cm Pack of 5

Mepitel (Non-adherent silicone dressing) £76.40 20 x 30cm Pack of 5

Soft silicone dressing (Mepilex) £13.05 10 cm x 11cm (safetac) Pack of 5 Recommended for use in burns and palliative wounds only

Soft silicone dressing (Mepilex) £21.60 11 cm x 20cm (safetac) Pack of 5 Recommended for use in burns and palliative wounds only

Soft silicone dressing (Mepilex) £23.70 15 cm x 16cm (safetac) Pack of 5 Recommended for use in burns and palliative wounds only

Soft silicone dressing (Mepilex) £29.27 20 cm x 50cm (safetac) Pack of 1 Recommended for use in burns and palliative wounds only

Soft silicone dressing (Mepilex) £35.80 20 cm x 21cm (safetac) Pack of 5 Recommended for use in burns and palliative wounds only

Soft silicone dressing (Mepilex Border) £6.75 7 cm x 7.5cm (safetac) Pack of 5 This product is a silicone foam dressing which is included on the First Choice dressing list.Updated March 2019

Soft silicone dressing (Mepilex Border) £13.40 10 cm x 12.5cm (safetac) Pack of 5 This product is a silicone foam dressing which is included on the First Choice dressing list.Updated March 2019

Soft silicone dressing (Mepilex Border) £26.80 10 cm x 30cm (absorbent & self-adh) Pack of 5 This product is a silicone foam dressing which is included on the First Choice dressing list.Updated March 2019

Soft silicone dressing (Mepilex Border) £17.80 10 cm x 20cm (absorbent & self-adh) Pack of 5 This product is a silicone foam dressing which is included on the First Choice dressing list.Updated March 2019

Soft silicone dressing (Mepilex Border) £23.05 15 cm x 17.5cm (safetac) Pack of 5 This product is a silicone foam dressing which is included on the First Choice dressing list.Updated March 2019

Soft silicone dressing (Mepilex Border) £29.85 17 cm x 20cm (safetac) Pack of 5 This product is a silicone foam dressing which is included on the First Choice dressing list.Updated March 2019

22 January 2020 385/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Wound Dressing (Protease Matrix) (Aquacel Ag) £27.50 4 cm x 10cm (s7513) Pack of 10

Wound Dressing (Protease Matrix) (Aquacel Ag) £35.80 4 cm x 20cm (s7514) Pack of 10

Wound Dressing (Protease Matrix) (Aquacel Ag) £53.60 4 cm x 30cm (s7515) Pack of 10

Wound Dressing (Protease Matrix) (Aquacel Ag) £19.00 5 cm x 5cm (s7505) Pack of 10

Wound Dressing (Protease Matrix) (Aquacel Ag) £45.20 10 cm x 10cm (s7506) Pack of 10

Wound Dressing (Protease Matrix) (Aquacel Ag) £42.50 15 cm x 15cm (s7507) Pack of 5

Wound Dressing (Protease Matrix) (Aquacel Ag) £105.45 20 cm x 30cm (s7508) Pack of 5

Adhesive foam border dressing (Allevyn Gentle Border) £51.60 17.5 cm x 17.5cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Adhesive foam heel dressing (Allevyn Gentle Border Heel) £47.00 23 cm x 23.2cm Pack of 5 Shaped dressing. Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Adhesive Sacral Dressing (Allevyn Gentle Border Sacrum) £38.70 16.8 cm x 17.1cm hydrocellular Pack of 10 Shaped dressing Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Border dressing (Allevyn AG Gentle Border) £41.30 7.5 cm x 7.5cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Soft silicone dressing (Mepilex AG) £48.75 10 cm x 20cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Soft silicone dressing (Mepilex AG) £29.55 10 cm x 10cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Soft silicone dressing (Mepilex AG) £54.90 15 cm x 15cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Soft silicone dressing (Mepilex AG) £81.35 20 cm x 20cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 386/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Soft silicone dressing (Mepilex Heel) £26.60 13 cm x 20cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Soft silicone dressing (Mepilex Heel) £5.94 15 cm x 22cm Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Soft silicone dressing (Mepilex Sacrum) £23.45 18 cm x 18cm (self adhesive) Pack of 5 Shaped dressing. Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Soft silicone dressing (Mepilex Sacrum) £38.20 23 cm x 23cm (self adhesive) Pack of 5 Shaped dressing. Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Wound dressing (Allevyn AG Gentle) £60.30 10 cm x 10cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Soft silicone dressing (Mepilex Lite) £8.70 6 cm x 8.5cm Pack of 5 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Soft silicone dressing (Mepilex Lite) £10.40 10 cm x 10cm Pack of 5 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Soft silicone dressing (Mepilex Lite) £20.15 15 cm x 15cm Pack of 5 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Soft silicone dressing (Mepilex Lite) £50.92 20 cm x 50cm Pack of 2 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Soft silicone foam dressing (Mepilex Border Lite) £9.10 4 cm x 5cm (self-adhesive) Pack of 10 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Soft silicone foam dressing (Mepilex Border Lite) £9.90 5 cm x 12.5cm (self-adhesive) Pack of 5 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Soft silicone foam dressing (Mepilex Border Lite) £9.65 7.5 cm x 7.5cm (self-adhesive) Pack of 5 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

22 January 2020 387/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Soft silicone foam dressing (Mepilex Border Lite) £12.45 10 cm x 10cm (self-adhesive) Pack of 5 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019

Soft silicone foam dressing (Mepilex Border Lite) £20.30 15 cm x 15cm (self-adhesive) Pack of 5 This product is no longer on the First Choice dressing listAlternatives are: Silicone adhesive Foam, Biatain Silicone,Mepilex Border,Adhesive Foam,Tegaderm Foam Adhesive.Updated March 2019 20.3.10 - Dressings | Wound Management & other Dressings

Current Status Drug Tariff

Alginate Dressing with Absorbent Backing - Sterile (Sorbsan Plus ) £3.12 10 cm x 15cm Pack of 1

Alginate Dressing with Absorbent Backing - Sterile (Sorbsan Plus ) £5.53 15 cm x 20cm Pack of 1

Carboflex £18.40 8 cm x 15cm (S7661) Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Carboflex £3.30 10 cm x 10cm (S7660) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Carboflex £7.50 15 cm x 20cm (S7662) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyurethane foam dressing with Activated Charcoal (Lyofoam C) £27.40 10 cm x 10cm (C155) Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Polyurethane foam dressing with Activated Charcoal (Lyofoam C) £62.30 15 cm x 20cm (C163) Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

20.3.11 - Dressings | Wound Management & other Dressings

Current Status Drug Tariff

Cavi-Care £19.67 20 g Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

20.3.12 - Dressings | Wound Management & other Dressings

Current Status Drug Tariff

Border Dressing (Mesitran) £25.60 10 cm x 10cm Pack of 10

22 January 2020 388/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Mesh Dressing (Mesitran) £23.70 10 cm x 10cm Pack of 10

Wound Dressing (Mesitran) £24.60 10 cm x 10cm Pack of 10

Wound Dressing (Mesitran) £51.20 20 cm x 15cm Pack of 10

Hydrogel Dressing (Actiform Cool) £10.47 10 cm x 15cm Pack of 3

Hydrogel Dressing (Actiform Cool) £12.15 10 cm x 10cm Pack of 5 20.3.13 - Dressings | Wound Management & other Dressings

Current Status Drug Tariff

Cica-Care £15.03 6 cm x 12cm Pack of 1 No evidence yet supplied to justify prescribing on the NHS

Cica-Care £29.30 15 cm x 12cm Pack of 1 Insufficient evidence to warrant prescribing on the NHS

20.3.14 - Dressings | Wound Management & other Dressings

Current Status Drug Tariff

Dermatix Gel £16.66 15 g tube Pack of 15 No evidence yet supplied to justify prescribing on the NHS

Dermatix Gel £60.53 60 g tube Pack of 60 No evidence yet supplied to justify prescribing on the NHS

20.3.16 - Dressings | Wound Management & other Dressings

Current Status Drug Tariff

Adhesive foam dressing (Allevyn Gentle) £24.40 10 cm x 10 cm Pack of 10 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Lipido Colloid Dressing (Urgocell) £4.27 10 cm x 12cm non-adhesive Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 389/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Lipido Colloid Dressing (Urgocell) £4.27 13 cm x 13cm adhesive Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Lipido Colloid Dressing (Urgocell) £8.65 15 cm x 20cm adhesive Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

20.3.17 - Dressings | Wound Management & other Dressings

Current Status Drug Tariff

Wound Dressing (Protease Matrix) (Aquacel) £23.30 10 cm x 10cm (s7501) Pack of 10 20.3.19 - Dressings | Wound Management & other Dressings

Current Status Drug Tariff

Silver Antimicrobial Barrier Dressing (Acticoat) £242.40 20 cm x 40cm Pack of 6 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Silver Antimicrobial Barrier Dressing (Acticoat 7) £26.85 5 cm x 5cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Silver Antimicrobial Barrier Dressing (Acticoat 7) £80.05 10 cm x 12.5cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Silver Antimicrobial Barrier Dressing (Acticoat 7) £143.90 15 cm x 15cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Silver Antimicrobial Barrier Dressing (Acticoat Absorbent) £56.65 10 cm x 12.5cm Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

20.4.2 - Dressings | Gauzes & Gauze Tissue

Current Status Drug Tariff

Paraffin Gauze Dressing, BP 1993 (Jelonet) £0.42 10 cm x 10cm Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Primary wound dressing with active honey (Activon Tulle) £8.75 5 cm x 5cm (CR3761) Pack of 5 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

20.8 - Dressings | Plasters 22 January 2020 390/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal 20.8 - Dressings | Plasters CCG

Current Status Drug Tariff

Belladonna Adhesive Plaster £2.58 28 cm x 17.5cm Pack of 1 20.9 - Dressings | Stockinette

Current Status Drug Tariff

elasticated viscose stockinette (Clinifast) £3.74 7.5 cm 5m (blue line) Pack of 1

elasticated viscose stockinette (Clinifast) £6.04 10.75 cm 5m (yellow line) Pack of 1

Elasticated Viscose Stockinette (Actifast) £2.13 7.5 cm x 3m (blue) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Actifast) £3.74 7.5 cm x 5m (blue) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Actifast) £6.04 10.75 cm x 5m (yellow) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Comfifast ) £2.30 7.5 cm x 3m (blue) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Comfifast ) £3.95 7.5 cm x 5m (blue) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Comfifast ) £3.49 10.75 cm x 3m (yellow) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Comfifast ) £6.04 10.75 cm x 5m (yellow) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Coverflex) £5.72 7.5 cm x 5m (blue) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Coverflex) £2.89 7.5 cm x 3m (blue) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 391/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Elasticated Viscose Stockinette (Coverflex) £5.49 10.75 cm x 3m (yellow) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Coverflex) £9.65 10.75 cm x 5m (yellow) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Coverflex) £1.91 10.75 cm x 1m (yellow) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Tubifast ) £0.61 3.5 cm x 1m (red) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Tubifast ) £0.63 5 cm x 1m (green) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Tubifast ) £1.76 5 cm x 3m (green) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Tubifast ) £2.81 5 cm x 5m (green) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Tubifast ) £0.77 7.5 cm x 1m (blue) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Tubifast ) £2.13 7.5 cm x 3m (blue) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Tubifast ) £3.55 7.5 cm x 5m (blue) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Tubifast ) £1.20 10.75 cm x 1m (yellow) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Elasticated Viscose Stockinette (Tubifast ) £3.49 10.75 cm x 3m (yellow) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 392/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Elasticated Viscose Stockinette (Tubifast ) £5.74 10.75 cm x 5m (yellow) Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

20.10 - Dressings | Surgical Adhesive Tape

Current Status Drug Tariff

Permeable Apertured Synthetic Adhesive Tape (Hypafix ) £2.49 5 cm x 10m Pack of 1

Permeable Apertured Synthetic Adhesive Tape (Hypafix ) £4.80 10 cm x 10m Pack of 1

Impermeable Plastic Synthetic Adhesive Tape (Blenderm Tape) £1.78 2.5 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Impermeable Plastic Synthetic Adhesive Tape (Blenderm Tape) £3.39 5 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Micropore (2.5cm) £0.92 2.5 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Micropore (5cm) £1.63 5 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Permeable Apertured Synthetic Adhesive Tape (Mefix ) £1.03 2.5 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Permeable Apertured Synthetic Adhesive Tape (Mefix ) £1.83 5 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Permeable Apertured Synthetic Adhesive Tape (Mefix ) £2.92 10 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Permeable Apertured Synthetic Adhesive Tape (Mefix ) £3.98 15 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Permeable Apertured Synthetic Adhesive Tape (Mefix ) £5.10 20 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

22 January 2020 393/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Permeable Non-Woven Synthetic Adhesive Tape 1988 (Leukopore) £0.79 2.5 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Permeable Non-Woven Synthetic Adhesive Tape 1988 (Leukopore) £1.39 5 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Permeable Non-Woven Synthetic Adhesive Tape 1988 (Micropore) £0.62 1.25 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Permeable Non-Woven Synthetic Adhesive Tape 1988 (Scanpor ) £0.43 1.25 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Permeable Non-Woven Synthetic Adhesive Tape 1988 (Scanpor ) £0.69 2.5 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

Permeable Non-Woven Synthetic Adhesive Tape 1988 (Scanpor ) £1.19 5 cm x 5m Pack of 1 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

20.11 - Dressings | Surgical Sutures

Current Status Drug Tariff

Sterile Polyamide 6 Suture, Monofilament (Ethilon W320 3/0) £14.50 2 g x 45cm suture Pack of 12 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

20.12 - Dressings | Swabs

Current Status Drug Tariff

Regal Filmated Non Woven Fabric Swabs £5.92 10 cm x 10cm Pack of 100 Not included on 'First Choice' list. Rationale must be provided for use by requesting Healthcare Professional

20.13 - Dressings | Unspecified Dressing

Current Status Drug Tariff

Topical negative pressure system accessories 1 kit (Pico) £123.50 1 10cm x 20cm dressing kit Pack of 1 Use of PICO dressings has NOT been agreed in East Kent and the evidence base appears weak. PICO dressings are for superficial wounds where vac therapy is not normally indicated. KCHFT staff can contact their TVN team to discuss alternatives. PICO dressings are not on the EKHUFT formulary. If these are requested from EKHUFT, super absorbent dressings may be an option and the requesting clincian should be asked to consider an alternative The service to provide vacuum dressings is provided by KCHFT and this includes provision of all supplies (updated: July 2015).

22 January 2020 394/403 Formulary Book [20: Dressings] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Topical negative pressure system accessories 1 kit (Pico) £123.50 1 10cm x 30cm dressing kit Pack of 1 Use of PICO dressings has NOT been agreed in East Kent and the evidence base appears weak. PICO dressings are for superficial wounds where vac therapy is not normally indicated. KCHFT staff can contact their TVN team to discuss alternatives. PICO dressings are not on the EKHUFT formulary. If these are requested from EKHUFT, super absorbent dressings may be an option and the requesting clincian should be asked to consider an alternative The service to provide vacuum dressings is provided by KCHFT and this includes provision of all supplies (updated: July 2015).

Topical negative pressure system accessories 1 kit (Pico) £141.61 1 10cm x 40cm dressing kit Pack of 1 Use of PICO dressings has NOT been agreed in East Kent and the evidence base appears weak. PICO dressings are for superficial wounds where vac therapy is not normally indicated. KCHFT staff can contact their TVN team to discuss alternatives. PICO dressings are not on the EKHUFT formulary. If these are requested from EKHUFT, super absorbent dressings may be an option and the requesting clincian should be asked to consider an alternative The service to provide vacuum dressings is provided by KCHFT and this includes provision of all supplies (updated: July 2015).

Topical negative pressure system accessories 1 kit (Pico) £123.50 1 15cm x 15cm dressing kit Pack of 1 Use of PICO dressings has NOT been agreed in East Kent and the evidence base appears weak. PICO dressings are for superficial wounds where vac therapy is not normally indicated. KCHFT staff can contact their TVN team to discuss alternatives. PICO dressings are not on the EKHUFT formulary. If these are requested from EKHUFT, super absorbent dressings may be an option and the requesting clincian should be asked to consider an alternative The service to provide vacuum dressings is provided by KCHFT and this includes provision of all supplies (updated: July 2015).

Topical negative pressure system accessories 1 kit (Pico) £123.50 1 15cm x 20cm dressing kit Pack of 1 Use of PICO dressings has NOT been agreed in East Kent and the evidence base appears weak. PICO dressings are for superficial wounds where vac therapy is not normally indicated. KCHFT staff can contact their TVN team to discuss alternatives. PICO dressings are not on the EKHUFT formulary. If these are requested from EKHUFT, super absorbent dressings may be an option and the requesting clincian should be asked to consider an alternative The service to provide vacuum dressings is provided by KCHFT and this includes provision of all supplies (updated: July 2015).

Topical negative pressure system accessories 1 kit (Pico) £141.61 1 15cm x 30cm dressing kit Pack of 1 Use of PICO dressings has NOT been agreed in East Kent and the evidence base appears weak. PICO dressings are for superficial wounds where vac therapy is not normally indicated. KCHFT staff can contact their TVN team to discuss alternatives. PICO dressings are not on the EKHUFT formulary. If these are requested from EKHUFT, super absorbent dressings may be an option and the requesting clincian should be asked to consider an alternative The service to provide vacuum dressings is provided by KCHFT and this includes provision of all supplies (updated: July 2015).

Topical negative pressure system accessories 1 kit (Pico) £141.61 1 20cm x 20cm dressing kit Pack of 1 Use of PICO dressings has NOT been agreed in East Kent and the evidence base appears weak. PICO dressings are for superficial wounds where vac therapy is not normally indicated. KCHFT staff can contact their TVN team to discuss alternatives. PICO dressings are not on the EKHUFT formulary. If these are requested from EKHUFT, super absorbent dressings may be an option and the requesting clincian should be asked to consider an alternative The service to provide vacuum dressings is provided by KCHFT and this includes provision of all supplies (updated: July 2015).

Topical negative pressure system accessories 1 kit (Pico) £141.61 1 25cm x 25cm dressing kit Pack of 1 Use of PICO dressings has NOT been agreed in East Kent and the evidence base appears weak. PICO dressings are for superficial wounds where vac therapy is not normally indicated. KCHFT staff can contact their TVN team to discuss alternatives. PICO dressings are not on the EKHUFT formulary. If these are requested from EKHUFT, super absorbent dressings may be an option and the requesting clincian should be asked to consider an alternative The service to provide vacuum dressings is provided by KCHFT and this includes provision of all supplies (updated: July 2015). 21.1.1 - Appliances | Other Appliances

Current Status Drug Tariff

INR Test Strips (Coaguchek Xs) £70.63 1 pack strips Pack of 24 21.1.2.3 - Appliances | Other Appliances

Current Status Drug Tariff

22 January 2020 395/403 Formulary Book [21: Appliances] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Able Spacer £4.20 1 Unit - small volume Standard device with mouthpiece Pack of 1

Aerochamber Plus Spacer (AeroChamber Plus ) £4.69 1 standard/ mouthpiece Pack of 1

Aerochamber Plus Spacer (AeroChamber Plus ) £7.83 1 standard/ adult mask/blue Pack of 1

Volumatic Spacer (Volumatic) £3.85 1 device Pack of 1

Volumatic Spacer (Volumatic) £6.77 1 device with paed mask Pack of 1 21.1.9 - Appliances | Other Appliances

Current Status Drug Tariff

Fastclix Lancets (Fastclix) £5.90 30 G/0.3mm lancets Pack of 204

Glucoject lancets PLUS £3.71 0.2 mm/33gauge lancet Pack of 100

Lancets sterile single use (GlucoRX Lancets) £4.50 0.31 mm / 30G Lancet Pack of 200

Pen Needles (GlucoRX FinePoint) £4.50 4 mm 32G Ultra Pack of 100

Blood Glucose Lancets (BD Microfine +) £3.16 0.2 mm / 33G Pack of 100

Blood Glucose Lancets (BD Microfine +) £6.13 0.3 mm / 30G Pack of 200

Blood Glucose Lancets (Caresens) £2.95 28 G/0.36mm lancets Pack of 100

Blood Glucose Lancets (Caresens) £2.95 30 G/0.31mm lancets Pack of 100

Blood Glucose Lancets (Mylife) £5.50 0.3 mm / 30G multicoloured Pack of 200

Blood Glucose Lancets (Mylife) £5.50 0.3 mm / 30G standard Pack of 200

Blood Glucose Lancets (Mylife) £12.00 0.36 mm / 28G safety Pack of 200

Blood Glucose Lancets (Softclix) £7.93 28 G/0.4mm lancets Pack of 200

Blood Glucose Lancets (Softclix XL) £1.70 21 G/0.8mm lancets Pack of 50

22 January 2020 396/403 Formulary Book [21: Appliances] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Blood Glucose Needles (BD Autoshield) £30.08 5 mm / 29G Pack of 100 Only for use when insulin is administered by community nursing team

Blood Glucose Needles (BD Autoshield Duo) £30.08 5 mm / 30G Pack of 100 Only for use when insulin is administered by community nursing team.

Blood Glucose Needles (Mylife Clickfine Autoprotect) £19.00 5 mm / 31G Pack of 100

Blood Glucose Needles (Mylife Clickfine Autoprotect) £19.00 8 mm / 29G Pack of 100

Blood Lancets (Ascensia Microlet) £3.55 28 G lancets Pack of 100

Blood Lancets (Freestyle) £3.97 25 G lancets Pack of 100

Blood Lancets (Freestyle) £7.56 28 G / 0.5mm Lancet Pack of 200

Diabetic Lancet (Glucomen Lancets Fine) £3.55 1 lancet pack (100 units) Pack of 100

Hypodermic insulin needles (Glucoject) £5.95 10 mm/29gauge needles for pre-filled / reusable pen injectors screw on Pack of 100

Hypodermic insulin needles (Nanopass) £7.60 6 mm/32.5 gauge Pack of 100

IME-Fine (Pen Needles) £11.20 6 mm / 31G Pack of 100

IME-Fine (Pen Needles) £8.20 8 mm / 31G Pack of 100

Lancets sterile (Omnican Lance Soft) £5.45 0.3 mm/30 gauge Pack of 200

Lancets sterile single use (GlucoRx Safety lancets) £5.50 1.6 mm/30 gauge lancet Pack of 100

Lancets sterile single use (GlucoRx Safety lancets) £5.50 1.8 mm/26 gauge lancet Pack of 100

Lancets sterile single use (GlucoRx Safety lancets) £5.50 1.8 mm/28 gauge lancet Pack of 100

Lancets sterile single use (GlucoRx Safety lancets) £5.50 2.2 mm/23 gauge lancet Pack of 100

Lancets sterile single use (Medlance Plus) £4.81 1.2 mm/30 gauge lancet Pack of 100

22 January 2020 397/403 Formulary Book [21: Appliances] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Lancets sterile single use (Medlance Plus) £4.81 1.5 mm/25 gauge lancet Pack of 100

Lancets sterile single use (Medlance Plus) £4.81 1.8 mm/21 gauge lancet Pack of 100

Lancets sterile single use (Medlance Plus) £4.81 2.4 mm/21 gauge lancet Pack of 100

Lancets sterile single use (Mylife Safety Comfort) £12.00 0.32 mm/30 gauge lancet Pack of 200

Lancets sterile single use (Unistik Touch lancets) £4.80 1.5 mm/30gauge lancet Pack of 100

Lancets sterile single use (Unistik Touch lancets) £4.80 1.8 mm/28gauge lancet Pack of 100

Lancets sterile single use (Unistik Touch lancets) £4.80 2 mm/21gauge lancet Pack of 100

Lancets sterile single use (Unistik Touch lancets) £4.80 2 mm/23 gauge lancet Pack of 100

Lancets sterile single use (VivaChek) £2.99 0.37 mm/28gauge Pack of 100

Novofine Autocover Needles (Novofine Autocover) £22.28 8 mm 30G Pack of 100

Novotwist needles (Novotwist) £12.99 32 G/5mm Pack of 100

Pen Needles (Mylife Clickfine) £9.11 4.5 mm / 31G Pack of 100

Pen Needles (Mylife Clickfine) £9.11 6 mm / 31G Pack of 100

Pen Needles (Mylife Clickfine) £9.11 8 mm / 31G Pack of 100

Pen Needles (Mylife Clickfine) £9.11 10 mm / 29G Pack of 100

Pen Needles (Mylife Clickfine) £9.11 12 mm / 29G Pack of 100

Pen Needles (Unifine Pentips) £12.00 5 mm mini (31G) Pack of 100

Pen Needles (Unifine Pentips) £11.75 6 mm ultrashort (31G) Pack of 100

Pen Needles (Unifine Pentips) £8.25 8 mm short (31G) Pack of 100

Pen Needles (Unifine Pentips) £8.25 12 mm original (29G) Pack of 100

22 January 2020 398/403 Formulary Book [21: Appliances] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Pen Needles and Remover (Unifine Pentips Plus) £5.95 5 mm All in One 31G Pack of 100

Pen Needles and Remover (Unifine Pentips Plus) £5.95 6 mm All in One 31G Pack of 100

Pen Needles and Remover (Unifine Pentips Plus) £5.95 8 mm All in One 31G Pack of 100

Pen Needles and Remover (Unifine Pentips Plus) £5.95 12 mm All in One 29G Pack of 100

Penfine Needles £12.84 6 mm 31G Pack of 100

Penfine Needles £9.11 8 mm 31G Pack of 100

Single use Lancets type A (Unilet General Purpose Lancets) £3.40 0.81 mm/21 gauge Pack of 100

Single use Lancets type A &B (Unilet ComferTouch) £3.78 0.375 mm/28 gauge Pack of 100

Single use Lancets type B (Unilet Superlite) £3.46 0.66 mm/23 gauge Pack of 100

Sterile Lancets (AgaMatrix Ultra Thin) £5.43 0.2 mm / 33G Pack of 200

Sterile Lancets (AgaMatrix Ultra Thin) £5.43 0.35 mm / 28G Pack of 200

Sterile Lancets (Apollo Pressure Activated Safety Lancets) £5.99 1.8 mm / 26G Pack of 100

Sterile Lancets (Apollo Pressure Activated Safety Lancets) £5.99 1.8 mm / 28G Pack of 100

Sterile Lancets (Apollo Pressure Activated Safety Lancets) £5.99 2.4 mm / 21G Pack of 100

Sterile Lancets (Apollo Pressure Activated Safety Lancets) £5.99 2.4 mm / 23G Pack of 100

Sterile Lancets (Apollo Twist) £4.50 0.36 mm / 28G Pack of 200

Sterile Lancets (BGStar Ultra Thin) £3.65 0.2 mm / 33G Pack of 100

Sterile Lancets (FineTouch) £4.08 0.3 mm / 31G - 1.8mm / 25G Pack of 100

Sterile Lancets (Glucodock) £3.60 0.35 mm / 28G Pack of 100

Sterile Lancets (Glucoject No-dol) £7.19 0.315 mm / 30G Pack of 200

22 January 2020 399/403 Formulary Book [21: Appliances] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Sterile Lancets (Greenlan) £6.00 0.35 mm / 28G Pack of 200

Sterile Lancets (iCare Advanced) £4.45 0.38 mm / 30G Pack of 200

Sterile Lancets (IME-DC) £3.00 0.3 mm / 30G Pack of 100

Sterile Lancets (Medisafe Solo) £10.75 0.5 mm / 29G Pack of 200

Sterile Lancets (MediTouch) £3.60 0.34 mm / 28G Pack of 100

Sterile Lancets (Mendor Discreet) £3.61 0.32 mm / 28G Pack of 100

Sterile Lancets (Milward Steri-Let) £5.70 0.36 mm / 28G Pack of 200

Sterile Lancets (Milward Steri-Let) £5.70 0.66 mm / 23G Pack of 200

Sterile Lancets (MPD Ultra Thin) £6.50 0.46 mm / 26G Pack of 200

Sterile Lancets (One Touch Comfort) £7.63 0.2 mm / 33G Pack of 200

Sterile Lancets (One Touch Ultra Soft) £3.49 0.4 mm / 28G Pack of 100

Sterile Lancets (SimpLance) £9.02 0.4 mm / 28G Pack of 200

Sterile Lancets (TRUEplus) £2.90 0.36 mm / 28G Pack of 100

Sterile Lancets (Unilet Eco) £5.55 0.375 mm / 28G Pack of 200

Vitrex Lancets (Vitrex) £3.00 23 G/0.65mm (Vitrex soft) Pack of 100

Vitrex Lancets (Vitrex) £3.19 28 G/0.36mm (Vitrex Gentle) Pack of 100 21.1.11 - Appliances | Other Appliances

Current Status Drug Tariff

Perineal massage appliances (Elastolabo gel) £14.58 40 ml gel Pack of 1 21.12 - Appliances | Peak Flow Meters

Current Status Drug Tariff

22 January 2020 400/403 Formulary Book [21: Appliances] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Peak Flow Meter £6.53 1 adult Pack of 1

Peak Flow Meter (Clement Clarke Mini-Wright) £7.14 30 -400 l/min (low) range Pack of 1

Peak Flow Meter (Clement Clarke Mini-Wright) £7.08 60 -800 l/min (standard) range Pack of 1 21.23 - Appliances | Vaginal Moisturisers

Current Status Drug Tariff

Vaginal Moisturiser (Replens MD) £6.06 35 g Pack of 1 22.30.58.5 - Incontinence appliances | Incontinence Sheaths

Current Status Drug Tariff

Anal irrigation systems (Qufora Irrigation System bed system) £49.90 1 device 53001-055 Pack of 1 May be prescribed on the recommendation of the Specialist Bladder and Bowel nurses. (Updated: Jan 15)

Anal irrigation systems (Qufora Irrigation System bed system) £49.90 1 device 53101-055 Pack of 1 May be prescribed on the recommendation of the Specialist Bladder and Bowel nurses. (Updated: Jan 15)

Anal irrigation systems (Qufora Irrigation System bed system) £49.90 1 device 53201-055 Pack of 1 May be prescribed on the recommendation of the Specialist Bladder and Bowel nurses. (Updated: Jan 15)

Anal irrigation systems (Qufora Irrigation System mini set) £59.00 1 device 53601-015 Pack of 1 May be prescribed on the recommendation of the Specialist Bladder and Bowel nurses. (Updated: Jan 15)

22.50.5 - Incontinence appliances | Leg Bags

Current Status Drug Tariff

Bard Uriplan Leg Bags £28.50 350 ml Direct inlet (D3S) Pack of 10

Bard Uriplan Leg Bags £28.20 350 ml [12inch tube] (D3L) Pack of 10

Bard Uriplan Leg Bags £28.70 500 ml Direct inlet (D5S) Pack of 10

Bard Uriplan Leg Bags £28.80 500 ml [12inch tube] (D5L) Pack of 10

Bard Uriplan Leg Bags £28.80 500 ml [4inch tube] (D5M) Pack of 10

22 January 2020 401/403 Formulary Book [22: Incontinence appliances] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Bard Uriplan Leg Bags £28.90 750 ml Adjustable tube (D7LX) Pack of 10

Bard Uriplan Leg Bags £28.90 750 ml Direct inlet (D7S) Pack of 10

Bard Uriplan Leg Bags £28.90 750 ml [12inch tube] (D7L) Pack of 10

Bard Uriplan Leg Bags £28.84 750 ml [4inch tube] (D7M) Pack of 10 23.80.1 - Stoma appliances | Skin Fillers And Protectives

Current Status Drug Tariff

Ostomy skin protectives (Proshield ) £9.94 115 gm Plus skin protective Pack of 1 Barrier properties should only be prescribed when the areas need to be protected from moisture. Information to support use should be supplied.If there is no need to protect from moisture, a simple moisturiser should be sufficient such as ZeroAQS emollient Guidance on use is provided here: https://tinyurl.com/yd7cm8uv

Ostomy skin protectives (Proshield ) £6.51 235 ml Foam & Spray skin cleanser Pack of 1 Do not put Proshield Foam & Spray skin cleanser on repeat, Proshield Plus skin protective will wash off and this cleanser is only required in cases of acute diarrhoea. Guidance on use is provided here: https://tinyurl.com/yd7cm8uv

Ostomy skin protectives (Sorbaderm) £4.00 1 ml foam applicator No-Sting barrier film foam Pack of 5 (1) Only use where need to protect skin from moisture(2) Used on broken skin and to protect wound edges(3) Can be used under dressings(4) Sorbaderm foam is an applicator with Sorbaderm non sting film impregnated

Ostomy skin protectives (Sorbaderm) £5.94 2 g sachets 3026 barrier cream Pack of 1 Sachets are for use in an acute trust- rarely necessary in primary care

Ostomy skin protectives (Sorbaderm) £6.48 3 ml foam applicator No-Sting barrier film foam Pack of 5 This product is included in the East Kent First Choice list but should only be prescribed where the request provides information on the need to protect skin from moisture. Can be used on broken skin.

Ostomy skin protectives (Sorbaderm) £5.39 28 ml spray No-Sting barrier film spray 3020 Pack of 1 This product is included in the East Kent First Choice list but should only be prescribed where the request provides information on the need to protect skin from moisture. Can be used on broken skin.

Ostomy skin protectives (Sorbaderm) £3.20 28 g unit barrier cream 3027 Pack of 1

Ostomy skin protectives (Sorbaderm) £6.48 92 g unit barrier cream 3028 Pack of 1 This product is included in the East Kent First Choice list but should only be prescribed where the request provides information on the need to protect skin from moisture. Should only be used on unbroken skin. 23.80.29.5 - Stoma appliances | Skin Fillers And Protectives

Current Status Drug Tariff

22 January 2020 402/403 Formulary Book [23: Stoma appliances] NHS Canterbury And Coastal CCG Current Status Drug Tariff

Ostomy skin protectives (Medi Derma-S barrier cream ) £5.85 20 cream sachets 60338 Pack of 20 23.80.31 - Stoma appliances | Skin Fillers And Protectives

Current Status Drug Tariff

3M Cavilon Barrier Film Foam Applicator £5.00 1 ml Pack of 5

3M Cavilon Barrier Film Foam Applicator £8.03 3 ml Pack of 5

3M Cavilon Barrier Film Pump Spray (3346P) £5.79 28 ml Pack of 1

3M Cavilon Durable Barrier Cream £3.28 28 gram (3391G) Pack of 1

3M Cavilon Durable Barrier Cream £6.55 92 gram (3392G) Pack of 1

3M Cavilon Stoma Wipes £23.50 1 ml x 30 (3344E) Pack of 30

3M Cavilon Durable Barrier Cream £7.47 2 g sachet (3392GS) Pack of 20

Ostomy skin protectives (Medi Derma-Pro) £5.95 250 ml Foam & Spray incontinence cleanser 63582 Pack of 1 Not recommended.Proshield is the recommended product please see guidance:A.Moisture Associated Skin Damage (MASD) Pathway (https://tinyurl.com/y8fe8twh)B.Incontinence skin care pathway (https://tinyurl.com/ybb5ab65)

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