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Herefordshire & Worcestershire
Medicines and Prescribing Committee
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 Formulary Chapter 9: Nutrition and blood - Full Chapter
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09.01  Anaemias and some other blood disorders
09.01.01  Iron-deficiency anaemias
09.01.01.01  Oral iron
Ferrous Sulphate
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Formulary
Green
 
 
Ferrous Fumarate
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Formulary
Green
 
 
Ferrous Gluconate
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Formulary
Green

Second line to ferrous fumarate and ferrous sulphate.

 
 
Sodium Feredetate (Sytron®)
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Formulary
Green

April 2020: There is currently a supply problem with Sytron oral solution.


Worcestershire Acute Hospitals NHS Trust and Birmingham Children’s Hospital are therefore prescribing SodiFer oral solution instead for premature babies who need to be prescribed an iron preparation.


Note : SodiFer does not appear on the Emis picking list so it will need to be prescribed as “Sodium feredetate (iron 27.5mg/5ml) oral solution sugar free” and, if necessary, the dispenser advised SodiFer could be supplied.

 
 
09.01.01.01  Compound iron preparations
09.01.01.02  Parenteral iron to top
Ferric Carboxymaltose (Ferinject®)
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Formulary
Red
 
 
Iron Dextran (CosmoFer®)
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Formulary
Red
 
 
Iron Sucrose (Venofer)
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Formulary
Red
 
 
09.01.02  Drugs used in megaloblastic anaemias
Folic Acid
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Formulary
Green

400 microgram tablets considered to be self care.

 
 
Hydroxocobalamin injection
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Formulary
Green
 
 
09.01.03  Drugs used in hypoplastic, haemolytic, and renal anaemias
Hydroxycarbamide
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Formulary
Amber with Shared Care
 
 
09.01.03  Erythropoietin
Darbepoetin Alfa (Aranesp®)
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Formulary
Amber with Shared Care

Commissioned by NHS England

 
Link  NICE TA323: Erythropoiesis‑stimulating agents during chemotherapy
 
Epoetin alfa
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Formulary
Amber with Shared Care

Commissioned by NHS England

 
Link  NICE TA323: Erythropoiesis‑stimulating agents during chemotherapy
 
Epoetin beta (NeoRecormon®)
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Formulary
Amber with Shared Care

Commissioned by NHS England

 
Link  NICE TA323: Erythropoiesis‑stimulating agents during chemotherapy
 
Epoetin Theta (Eporatio®)
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Formulary
Red

Commissioned by NHS England

 
 
Methoxy Polyethylene Glycol-Epoetin Beta (Mircera®)
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Formulary
Red

Commissioned by NHS England

 

 

 
 
09.01.03  Iron overload
Deferasirox (Exjade®)
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Formulary
Red

For the treatment of iron overload for transfused and non transfused patients with chronic inherited anaemias as per NHSE Policy 1670/P. Funded by specialised commissioning 

 
Link  Clinical Commissioning Policy: Treatment of iron overload for transfused and non transfused patients with chronic inherited anaemias
 
Desferrioxamine Mesilate (Desferal®)
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Formulary
Red
 
 
09.01.04  Drugs used in autoimmune thrombocytopenic purpura to top
 note 

On consultant request only.

Anagrelide (Xagrid®)
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Formulary
Red

In tariff (previously CDF) for 2nd line treatment of high-risk essential thrombocytopenia where first line therapy is not effective.

 
 
Eltrombopag (Revolade®)
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Restricted Drug Restricted
Red

In line with NICE TA293 or the Interim NHS Clinical Commissioning Policy (Thrombopoietin receptor agonists as first line therapy for new or relapsed immune thrombocytopenia during the COVID-19 pandemic); commissioned by the CCG.

 
Link  NICE TA293 Eltrombopag for treating chronic immune (idiopathic) thrombocytopenic purpura
 
Romiplostim (Nplate®)
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Restricted Drug Restricted
Red

In line with NICE TA221 or the Interim NHS Clinical Commissioning Policy (Thrombopoietin receptor agonists as first line therapy for new or relapsed immune thrombocytopenia during the COVID-19 pandemic); commissioned by the CCG.

 
Link  NICE TA221 Romiplostim for the treatment of chronic immune (idiopathic) thrombocytopenic purpura
 
09.01.05  G6PD deficiency
09.01.06  Drugs used in neutropenia
Filgrastim
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Formulary
Red
 
 
Lenograstim
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Formulary
Red
 
 
Pegfilgrastim
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Formulary
Red
 
 
09.01.07  Drugs used to mobilise stem cells
09.02  Fluids and electrolytes
09.02.01  Oral preparations for fluid and electrolyte imbalance to top
09.02.01.01  Oral potassium
Potasium Chloride (Kay-Cee-L®)
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Formulary
Green
 
 
Potasium Chloride (Sando-K®)
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Formulary
Green
 
 
09.02.01.01  Potassium removal
Calcium polystyrene sulfonate (Calcium Resonium®)
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Formulary
Amber
 
 
Patiromer calcium
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Formulary
Red
 
Link  NICE TA 623: Patiromer for treating hyperkalaemia
 
Sodium zirconium cyclosilicate
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Formulary
Red
 
Link  NICE TA599: Sodium zirconium cyclosilicate for treating hyperkalaemia
 
09.02.01.02  Oral sodium and water
Sodium Chloride (Slow Sodium®)
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Formulary
Green
 
 
09.02.01.02  Oral rehydration therapy (ORT)
Oral Rehydration Salts (Dioralyte®)
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Formulary
Green

Subject to contract

 
 
09.02.01.03  Oral bicarbonate to top
Sodium Bicarbonate (oral)
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Formulary
Green

Capsules most cost effective form.

 
 
09.02.02  Parenteral preparations for fluid and electrolyte imbalance
09.02.02.01  Electrolytes and water
09.02.02.01  Intravenous sodium
Sodium Chloride (Ringer's Solution for Injection)
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Formulary
Red
 
 
Sodium Chloride (Sodium Lactate Intravenous Infusion (Compound))
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Formulary
Red
 
 
Sodium Chloride 0.9% Intravenous
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Formulary
Green
 
 
Sodium Chloride and Glucose Intravenous Infusion
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Formulary
Red
 
 
09.02.02.01  Intravenous glucose
Glucose Intravenous
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Formulary
Red
 
 
09.02.02.01  Intravenous potassium to top
Potassium Chloride, Sodium Chloride and Glucose Intravenous Infusion
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Formulary
Red
 
 
Potassium Chloride and Glucose Intravenous Infusion
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Formulary
Red
 
 
Potassium Chloride and Sodium Chloride Intravenous Infusion
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Formulary
Red
 
 
Potassium Chloride Concentrate (Sterile)
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Restricted Drug Restricted
Red

Only to be used by specialist staff in crtitical care areas in line with trust policy.

 
 
09.02.02.01  Bicarbonate and lactate
Sodium Bicarbonate (Injection / Intravenous Infusion)
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Formulary
Red
 
 
Sodium Bicarbonate (Min-I-Jet® Sodium Bicarbonate)
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Formulary
Red
 
 
Sodium Lactate Intravenous Infusion, Compound
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Formulary
Red
 
 
09.02.02.01  Water
Water for Injection
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Formulary
Green
 
 
09.02.02.02  Plasma and plasma substitutes
Albumin Solution (Isotonic solutions)
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Restricted Drug Restricted
Red

From blood bank - contact for information about supply and administration

 
 
09.02.02.02  Plasma substitutes
Dextran 40®
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Formulary
Red
 
 
Dextran 70®
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Formulary
Red
 
 
Gelatin
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Formulary
Red
 
 
09.03  Intravenous nutrition to top
Supplementary Preparations (Additrace®)
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Formulary
Red
 
 
Supplementary Preparations (Cernevit®)
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Formulary
Red
 
 
Supplementary Preparations (Dipeptiven®)
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Formulary
Red
 
 
Supplementary Preparations (Peditrace®)
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Formulary
Red
 
 
Supplementary Preparations (Solivito N®)
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Formulary
Red
 
 
Supplementary Preparations (Vitlipid N®)
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Formulary
Red
 
 
09.03  Supplementary preparations
09.04  Oral nutrition
Aymes® Shake powder
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First Choice
Green

 

Mix with 200mls of whole milk. ACBS requirements.

 
Ensure® Shake powder
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First Choice
Green

Mix with 200mls of whole milk. ACBS requirements

 
Foodlink CompleteTM powder
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First Choice
Green

Mix with 200mls of whole milk. ACBS requirements

 
Complan TM Shake
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Formulary
Green

Mix with 200mls whole milk. ACBS requirements.

 
 
Foodlink CompleteTM with Fibre powder
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Formulary
Green

Mix with 200mls of whole milk. ACBS requirements

 
 
Aymes® Shake Compact powder
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Restricted Drug Restricted
Green

Compact product - Only for patients who cannot consume large volumes.

Mix with 100mls of whole milk. ACBS requirements.

 
 
Foodlink CompleteTM Compact powder
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Restricted Drug Restricted
Green

Compact product - Only for patients who cannot consume large volumes.

Mix with 100mls of whole milk. ACBS requirements

 
 
Aymes® ActaSolve Smoothie powder
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Restricted Drug Restricted
Green

Juice style - Only for patients who dislike milky drinks.

Mix with 150mls water. ACBS requirements.

 
 
Aymes® ActaGain 2.4 Complete
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Restricted Drug Restricted
Green

Ready to drink - Only for patients who will have difficulty preparing powdered ONS.

200mls. One a day supplement. ACBS requirements.

 
 
Aymes® Complete
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Restricted Drug Restricted
Green

Ready to drink. 1.5kcal/ml - 2nd line option for Prescribing in Primary Care - ONLY consider if first line supplements are not suitable.

200mls.  ACBS requirements.

 
 
Ensure ® Plus Milkshake style
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Restricted Drug Restricted
Green

Ready to drink. 1.5kcal/ml - 2nd line option for Prescribing in Primary Care - ONLY consider if first line supplements are not suitable.

200mls. ACBS requirements.

 
 
Fortisip ® Drink
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Restricted Drug Restricted
Green

Ready to drink. 1.5kcal/ml - 2nd line option for Prescribing in Primary Care - ONLY consider if first line supplements are not suitable.

200mls. ACBS requirements.

 
 
Altraplen Compact ®
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Restricted Drug Restricted
Amber

COMPACT READY TO DRINK PRODUCT

First line compact products are Foodlink Complete Compact and Aymes Shake Compact Powder.

Ready to drink products should ONLY to be prescribed on the advice of a dietitian where a patient is unable to make up a powdered drink.

ACBS requirements.

 
 
Ensure ® Compact
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Restricted Drug Restricted
Amber

COMPACT READY TO DRINK PRODUCT.

First line compact products are Foodlink Complete Compact and Aymes Shake Compact Powder.

Ready to drink products should ONLY to be prescribed on the advice of a dietitian where a patient is unable to make up a powdered drink.

ACBS requirements.

 
 
Fortisip ® Compact
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Restricted Drug Restricted
Amber

COMPACT READY TO DRINK PRODUCT.

First line compact products are Foodlink Complete Compact and Aymes Shake Compact Powder.

Ready to drink products should ONLY to be prescribed on the advice of a dietitian where a patient is unable to make up a powdered drink.

ACBS requirements.

 
 
Fresubin ® Jucy
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Restricted Drug Restricted
Amber

JUICE STYLE READY TO DRINK PRODUCT

ONLY to be prescribed where a milk-based product is not suitable   

First line juice-based product is Aymes ActaSolve Smoothie.

Ready to drink option juice style products ONLY to be prescribed where a patient is unable to make up a powdered drink. They should not routinely be prescribed for patients with diabetes because they have a higher glycaemic index. 

ACBS requirements.

 
 
Ensure Plus® Juce
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Restricted Drug Restricted
Amber

JUICE STYLE READY TO DRINK PRODUCT

ONLY to be prescribed where a milk-based product is not suitable   

First line juice-based product is Aymes ActaSolve Smoothie.

Ready to drink option juice style products ONLY to be prescribed where a patient is unable to make up a powdered drink. They should not routinely be prescribed for patients with diabetes because they have a higher glycaemic index. 

ACBS requirements.

 
 
Fortijuce ®
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Restricted Drug Restricted
Amber

JUICE STYLE READY TO DRINK PRODUCT

ONLY to be prescribed where a milk-based product is not suitable   

First line juice-based product is Aymes ActaSolve Smoothie.

Ready to drink option juice style products ONLY to be prescribed where a patient is unable to make up a powdered drink. They should not routinely be prescribed for patients with diabetes because they have a higher glycaemic index. 

ACBS requirements.

 
 
Altrajuce®
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Restricted Drug Restricted
Amber

JUICE STYLE READY TO DRINK PRODUCT

ONLY to be prescribed where a milk-based product is not suitable   

First line juice-based product is Aymes ActaSolve Smoothie.

Ready to drink option juice style products ONLY to be prescribed where a patient is unable to make up a powdered drink. They should not routinely be prescribed for patients with diabetes because they have a higher glycaemic index. 

ACBS requirements.

 
 
Aymes® ActaSolve Delight
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Restricted Drug Restricted
Amber

 POWDERED DESSERT STYLE  IDDSI Level 4

ONLY to be prescribed on the advice of a Speech and Language Therapist or a dietitian for patients with swallowing difficulties and must be in line with their management plan.

Add 75mls of whole milk to a bowl then add the contents of one sachet. Whisk for at least 30 seconds. Stand for 15 minutes allow to set.

ACBS requirements.

 
 
Nutricrem®
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Restricted Drug Restricted
Amber

READY TO EAT DESSERT STYLE IDDSI LEVEL 4

ONLY to be prescribed on the advice of a Speech and Language Therapist or a dietitian for patients with swallowing difficulties and must be in line with their management plan. 

ACBS requirements.

 
 
Aymes® ActaCal Creme
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Restricted Drug Restricted
Amber

READY TO EAT DESSERT STYLE  IDDSI Level 4

ONLY to be prescribed on the advice of a Speech and Language Therapist or a dietitian for patients with swallowing difficulties and must be in line with their management plan.

ACBS requirements.

 
 
Slo ® Milkshake+ IDDSI Level 1,2,3,4
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Restricted Drug Restricted
Amber

Thickened ONS Preparation.

ONLY to be prescribed on the advice of a speech and language therapist or a dietitian for patients with dysphagia and must be in line with their management plan. 

  • LEVEL 1 Slightly thick
  • LEVEL 2 Syrup Mildly Thick
  • LEVEL 3 Custard Moderately Thick
  • LEVEL 4 Pudding Extremely Thick 

Mix the contents of one sachet with whole milk. Volume of whole milk:

  • 300ml level 1
  • 200ml Level 2
  • 200ml level 3
  • 100ml level 4


Mix for 30 seconds. Leave to stand for 10 minutes. Mix again then serve.

ACBS requirements.

 
 
Calogen ® Extra 40ml
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Restricted Drug Restricted
Amber

SHOT / SMALL VOLUME PRODUCT

ONLY to be prescribed on the advice of a dietician.

ACBS requirements.

 
 
Calogen ® Extra 200ml
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Restricted Drug Restricted
Amber

SHOT / SMALL VOLUME PRODUCT

ONLY to be prescribed on the advice of a dietician.

ACBS requirements.

 
 
Altrashot®
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

SHOT / SMALL VOLUME PRODUCT

ONLY to be prescribed on the advice of a dietician.

ACBS requirements.

 
 
Pro-Cal ® Shot
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Restricted Drug Restricted
Amber

SHOT / SMALL VOLUME PRODUCT

ONLY to be prescribed on the advice of a dietician.

ACBS requirements.

 
 
ProSource ® Plus 30ml
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Restricted Drug Restricted
Amber

SHOT / SMALL VOLUME HIGH PROTEIN PRODUCT

ONLY to be prescribed on the advice of a dietician.

ACBS requirements.

 
 
Renapro ® Shot 60ml
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Restricted Drug Restricted
Amber

SHOT / SMALL VOLUME HIGH PROTEIN PRODUCT

ONLY to be prescribed on the advice of a dietician.

ACBS requirements.

 
 
Scandishake ® powder
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Restricted Drug Restricted
Amber

HIGH ENERGY POWDER PRODUCT

ONLY to be prescribed on the advice of a dietitian. 

Mix with 240mls of whole milk.

ACBS requirements.

 
 
Aymes® Shake Extra powder
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Restricted Drug Restricted
Amber

HIGH ENERGY POWDER PRODUCT

ONLY to be prescribed on the advice of a dietitian. 

Mix with 240mls of whole milk.

ACBS requirements.

 
 
Calshake ® powder
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Restricted Drug Restricted
Amber

HIGH ENERGY POWDER PRODUCT

ONLY to be prescribed on the advice of a dietitian. 

Mix with 240mls of whole milk.

ACBS requirements.

 
 
Enshake ® powder
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Restricted Drug Restricted
Amber

HIGH ENERGY POWDER PRODUCT

ONLY to be prescribed on the advice of a dietitian. 

Mix with 240mls of whole milk.

ACBS requirements.

 
 
09.04.01  Specialist Infant Formulae for Cow's Milk Protein Allergy
Aptamil®Pepti 1
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Formulary
Green

Suitable from birth to 6 months

 
 
Aptamil®Pepti 2
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Formulary
Green

Suitable from 6 months onwards

 
 
Similac® Alimentum®
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Formulary
Green

Suitable from birth onwards

 
 
SMA®Althera®
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Formulary
Green

Suitable from birth to 6 months

 
 
SMA® Alfamino®
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Formulary
Amber

Suitable from birth

 
 
Nutramigen® PurAmino(Previously Nutramigen®AA)
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Formulary
Amber

Suitable from birth to 6 months then as part of a mixed diet from 6 months onwards.

 
 
Neocate®LCP
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Formulary
Amber

Suitable from birth

 
 
Neocate®Syneo
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Formulary
Amber

Suitable from birth. See Prescribing Guidelines.

 
 
Neocate®Junior
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Formulary
Amber

Suitable from 1 year onwards. (Flavoured & Unflavoured). See Prescribing Guidelines.

 
 
Infatrini®Peptisorb
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Formulary
Amber

Suitable from birth. See Prescribing Guidleines.

 
 
09.04.02  Enteral nutrition
09.05  Minerals to top
09.05.01  Calcium and magnesium
09.05.01.01 
Calcium Salts (Adcal®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Calcium Salts (Calcichew®)
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Formulary
Green
 
 
Calcium Salts (Calcium Gluconate)
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Formulary
Green
 
 
09.05.01.02  Hypercalcaemia and hypercalciuria
Cinacalcet (Mimpara®)
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Restricted Drug Restricted
Amber with Shared Care

NHS England commission use in line with NICE TA117(secondary hyperparathyroidism in patients with end-stage renal disease on maintenance dialysis therapy).
Note also commissioned in primary hyperparathyroidism where cinacalcet is not excluded from tariff.

Maintenance prescribing for either indication may be requested from GPs whilst giving any supportive monitoring guidance.

 
Link  NICE TA117 Cinacalcet for the treatment of secondary hyperparathyroidism in patients with end-stage renal disease on maintenance dialysis therapy
 
Etelcalcetide
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Formulary
Red

In line with NICE TA448.


Commissioned by NHS England 

 
Link  Technology appraisal guidance [TA448] Etelcalcetide for treating secondary hyperparathyroidism
 
09.05.01.03  Magnesium
Magnesium aspartate (Magnaspartate 243 mg powder for oral solution )
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Formulary
Amber

Each 6.5g sachet of powder contains magnesium aspartate dihydrate equivilent to 243mg (10mmol) of magnesium.

 
 
Magnesium Sulphate Injection
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Formulary
Red
 
Link  MHRA Drug Safety Update (May 19) - Magnesium sulfate: risk of skeletal adverse effects in the neonate following prolonged or repeated use in pregnancy
 
09.05.02  Phosphorus to top
09.05.02.01  Phosphate supplements
Phosphate supplements (Phosphate-Sandoz®)
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Formulary
Green
 
 
Phosphates Polyfusor
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Formulary
Red
 
 
09.05.02.02  Phosphate-binding agents
Calcium acetate (Renacet®)
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Formulary
Amber
 
 
Calcium Salts (Phosex®)
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Formulary
Red
 
 
Sevelamer
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Formulary
Amber with Shared Care

In line with NICE Clinical Guideline CG157 'Hyperphosphataemia in Chronic Kidney Disease' following initiation by a Renal Consultant.

Commissioned by NHS England. Maintenance prescribing may be requested from GPs whilst giving any supportive monitoring guidance.

 
 
Lanthanum
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Formulary
Amber with Shared Care

In line with NICE Clinical Guideline CG157 'Hyperphosphataemia in Chronic Kidney Disease' following initiation by a Renal Consultant.

Commissioned by NHS England. Maintenance prescribing may be requested from GPs whilst giving any supportive monitoring guidance.

 
 
09.05.03  Fluoride
09.05.04  Zinc
Zinc Sulphate (Solvazinc®)
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Formulary
Green

To treat deficiency only

 
 
09.05.05  Selenium to top
09.06  Vitamins
09.06.01  Vitamin A
09.06.02  Vitamin B group
Thiamine
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
Link  RMOC Oral vitamin B supplementation in alcoholism 11/19
 
Pyridoxine Hydrochloride
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Formulary
Green
 
 
High Potency Vitamin B & C Injection (Pabrinex®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
09.06.02  Oral vitamin B complex preparations
Vitamin B Tablets (Compound Strong)
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Formulary
Green

• Oral thiamine is recommended by both NICE and the Scottish Intercollegiate Guidelines Network (SIGN) for patients who have a chronic alcohol problem and whose diet may be deficient.
• NICE recommends prescribing prophylactic oral thiamine for harmful or dependent drinkers if they are malnourished, at risk of malnourishment, they have decompensated liver disease, are in acute withdrawal or before and during a planned medically assisted alcohol withdrawal.
• The guidelines recommend prescribing thiamine in doses toward the upper end of the BNF dosage (for mild deficiency 25–100 mg daily and for severe deficiency, 200–300 mg daily in divided doses).
• They DO NOT RECOMMEND the prescribing of vitamin B complex preparations.
If it is considered that the prescribing of a vitamin B complex preparation is justifiable the vitamin B compound strong tablets represent a more cost effective option that vitamin B compound tablets.

 
Link  (RMOC) Position Statement Oral Vitamin B supplementation in alcoholism Nov 19
 
09.06.02  Other compounds to top
09.06.03  Vitamin C
Ascorbic Acid (500mg tablets)
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Formulary
Green

Treatment of deficiency only (i.e scurvy).

 
 
09.06.04  Vitamin D and analogues (systemic)
Colecalciferol and calcium carbonate (Calci-D®)
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First Choice
Green

ONCE DAILY formulary preparation option.
(Most affordable Vitamin D and calcium option overall and could facilitate compliance with a once daily regimen)

 
Colecalciferol 10,000 units/ml drops
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Formulary
Green

Brand: Thorens®



  • 200 units per drop

 
 
Colecalciferol 1000 units tablets
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Formulary
Green

Brand: Stexerol-D3®

 
 
Colecalciferol 25,000 units/ml oral solution
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Formulary
Green

Brand: InVita D3®


Available as:



  • 25,000 units in 1ml ampoules.

  • 50,000 units in 2ml ampoules.

 
 
Colecalciferol 400 units and Calcium Carbonate 1.25g
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Formulary
Green

Brand: Calcichew-D3® Forte

 
 
Colecalciferol and Calcium Carbonate
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Formulary
Green

Brand: Adcal-D3®


Forms available:



  • Caplets (Most cost effective form)

  • Chewable tablets

  • Effervescent tablets

 
 
Colecalciferol capsules 20,000units
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Formulary
Green

Brands include:



  • Fultium D3® 

  • Plenachol®

 
 
Colecalciferol capsules 40,000 units
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Formulary
Green

Brand: Plenachol®

 
 
Colecalciferol capsules 50,000 units
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Formulary
Green

Brand : InVita-D3®



  • available as soft capsules

 
 
Colecalciferol tablets 800 units
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Formulary
Green

Brand: Desunin®

 
 
Ergocalciferol Injection
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Formulary
Red

Hospital use only for patients with high stoma output/ severe malabsorption.

 
 
Alfacalcidol
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Formulary
Green

Brand: One-Alpha®



  • available as capsules, drops & injection

 
 
Colecalciferol capsules 3,200 units
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Formulary
Green

Brand : Fultium-D3®

 
 
09.06.05  Vitamin E
Alpha Tocopheryl Acetate (Vitamin E)
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Formulary
Green
 
 
09.06.06  Vitamin K
Menadiol Sodium Phosphate
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Formulary
Amber
 
 
Phytomenadione (Konakion® MM)
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Formulary
Green

Secondary care staff: For intravenous or oral use. Follow the guidance on the reverse of warfarin charts.


Not licensed for oral use but widely used

 
 
Phytomenadione (Konakion® MM Paediatric)
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Formulary
Green

Licensed for intramuscular, intravenous or oral use

 
 
09.06.07  Multivitamin preparations to top
Forceval® soluble tablets
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Restricted Drug Restricted
Amber

Dietitian recommendation only for tube-fed patients.

 
 
Multivitamin preparations (Abidec®)
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Restricted Drug Restricted
Green

For use in premature babies up to 6 months of age only and patients with cystic fibrosis where there is malabsorption

 
 
Renavit
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Formulary
Amber with Shared Care

On-going prescribing in dialysis patients on the recommendation of a Renal Dietician or Physician.

 
 
09.06.07  Vitamin and mineral supplements and adjuncts to synthetic diets
09.07  Bitters and tonics
09.08  Metabolic disorders
09.08.01  Drugs used in metabolic disorders
 note 

Consultant request only.

Betaine
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Restricted Drug Restricted
Red

Commissioned by NHS England when used for homocystinuria. Prescribed at Specialist Centres Only.

 
 
09.08.01  Carnitine deficiency to top
09.08.01  Nephropathic cystinosis
09.08.01  Urea cycle disorders
Sodium Phenybutyrate (Ammonaps®)
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Formulary
Red
 
 
09.08.02  Acute porphyrias
09.08.02  Drugs unsafe for use in acute porphyrias
 ....
 Non Formulary Items
Calcium Salts  (Calcium-Sandoz®)

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Non Formulary
Green
Colecalciferol and Calcium Carbonate  (Calcichew-D3®)

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Non Formulary Not stocked in Acute Trust
Does not contain the recommended amount of Vitamin D
Cyanocobalamin

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Non Formulary
Green
Link  Management of Vitamin B12 Deficiency - Prescribing Guideline
Flurides  (Duraphat® (Mouthwash))

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Non Formulary
Flurides  (Duraphat® (Toothpaste))

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

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

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

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

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Non Formulary
Flurides  (FlouriGard® (Gel))

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Non Formulary
Flurides  (FlouriGard® (Mouthwash))

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Non Formulary
Flurides  (FluoriGard® (Tablet))

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Non Formulary
Gluten Free Products

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Non Formulary

Herefordshire & Worcestershire CCG do not fund the prescribing of gluten free food.


GF foods are available in supermarkets and other retail outlets with a wide variety of choice. Alternatively, coeliac patients can alter their diet to replace bread with naturally gluten free foods; e.g. rice, potato.


See HWCCG Prescribing of Gluten Free (GF) Foods Position Statement

Link  HW CCG Prescribing of Gluten Free (GF) Foods Position Statement
Magnesium Glycerophosphate

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Non Formulary
Multivitamin preparations  (Dalivit®)

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Non Formulary
Nicotinamide

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Non Formulary
Vitamin and mineral supplements  (Forceval®)

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Non Formulary

Following bariatric surgery patients should purchase Forceval ® capsules and take one a day or choose an alternative A-Z multivitamin and mineral preparation in order to get all the vitamins and minerals needed.


The following preparations are also suitable but the dietitian's advice is to take two tablets per day of any of these:





      • Sanatogen A-Z complete







      • Superdrug A-Z multivitamins and minerals







      • Tesco A-Z multivitamins and minerals







      • Lloyds Pharmacy A-Z multivitamins and minerals.




These preparations have been recommended by: The British Obesity and Metabolic Surgery Society (BOMSS).

Link  Click on the link - see page 24 - BOMSS guidelines
Vitamin and mineral suppliments  (Ketovite®)

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Non Formulary
Vitamin B Tablets (Compound)

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Non Formulary
Vitamins A and D

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

Traffic Light Status Information

Status Description

Red

Secondary care only, not to be prescribed in primary care.   

Amber with Shared Care

Specialist initiation with shared care guidance Medicines which should be initiated in secondary care by the specialist with follow-on prescription and monitoring according to a specific Shared Care (SC) Guideline. Prescribing may be continued in primary care in line with a shared care guideline   

Amber

Considered suitable for primary care prescribing following specialist initiation/recommendation.  

Green

Considered appropriate for prescribing in both secondary and primary care. Suitable for initiation in primary care.   

netFormulary