netFormulary NHS
Bedfordshire and Luton Joint Formulary
Bedford Hospital NHS Trust
Bedfordshire CCG
Luton & Dunstable University Hospital NHS Foundation Trust
Luton CCG
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 Formulary Chapter 2: Cardiovascular system - Full Chapter
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing

 Details...
02.12  Expand sub section  Lipid-regulating drugs
Alirocumab 75mg/mL, 150mg/mL (Praluent)
(Pre-filled pen or syringe)
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Restricted Drug Restricted
Red
High Cost Medicine
FOR ALL PRESCRIBING - a completed and approved HIGH COST DRUG compliance form is required. Complete on Blueteq (link on front page).

Prescribing initiation and continuation by Consultant Chemical Pathologist only.

For treatment of primary hypercholesterolaemia (heterozygous familial and non-familial) and mixed dyslipidaemia in accordance with NICE TA393 (alirocumab). 
Link  NICE TA393: Alirocumab for treating primary hypercholesterolaemia and mixed dyslipidaemia
   
Evolocumab 140mg/mL (Repatha )
(Pre-filled pen or syringe)
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Restricted Drug Restricted
Red
High Cost Medicine
FOR ALL PRESCRIBING - a completed and approved HIGH COST DRUG compliance form is required. Complete on Blueteq (link on front page).

Prescribing initiation and continuation by Consultant Chemical Pathologist only.

For treatment of primary hypercholesterolaemia (heterozygous familial and non-familial) and mixed dyslipidaemia in accordance with NICE TA394 (evolocumab). 
Link  NICE TA 394: Evolocumab for treating primary hypercholesterolaemia and mixed dyslipidaemia
   
02.12  Expand sub section  Bile acid sequestrants
Colestyramine  (Questran)
(Sachet)
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Formulary
Green
4g sachet
4g low-sugar sachet (contains aspartame) 
   
02.12  Expand sub section  Ezetimibe
Ezetimibe 10mg (Ezetrol)
(Tablets )
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Restricted Drug Restricted
Green
In accordance with NICE TA385  
Link  NICE TA385: Ezetimibe for treating primary heterozygous-familial and non-familial hypercholesterolaemia
Link  NICE CG71: Familial hypercholesterolaemia: identification and management
   
02.12  Expand sub section  Fibrates
Bezafibrate
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Formulary
Green
200mg Tablets
400mg Modified Release Tablets  
   
Fenofibrate 200mg, 267mg
(Capsules)
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Formulary
Green
 
   
02.12  Expand sub section  Statins to top
Atorvastatin
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First Choice
Green
10mg, 20mg, 40mg & 80mg Tablets 
Simvastatin
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First Choice
Green
10mg, 20mg & 40mg Tablets  
Rosuvastatin
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Restricted Drug Restricted
Amber
Restricted to 4th-line use in familial hypercholesterolaemia and secondary prevention where target levels have not been met with other statins. 
   
Pravastatin
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Formulary
Green
 
   
02.12  Expand sub section  Nicotinic acid group
02.12  Expand sub section  Omega-3 fatty acid compounds
 ....
 Non Formulary Items
Acipimox  (Olbetam®)

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Non Formulary
 
Atorvastatin and Ezetemibe  (Atozet)

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Non Formulary
 
Atorvastatin and Ezetemibe  (Atozet)

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Non Formulary
 
Bezafibrate  (Bezalip® Mono)

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Non Formulary
 
Ciprofibrate  (Modalim®)

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Non Formulary
 
Colesevelam  (Cholestagel)

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Non Formulary
 
Colestipol  (Colestid)

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Non Formulary
 
Fenofibrate  (Lipantil®)

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Non Formulary
 
Fenofibrate  (Supralip® 160)

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Non Formulary
 
Fluvastatin  (Lescol®)

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Non Formulary
 
Fluvastatin  (Lescol® XL)

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Non Formulary
 
Gemifibrozil

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Non Formulary
 
Gemifibrozil  (Lopid®)

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Non Formulary
 
Lomitapide  (Lojuxta▼)

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Non Formulary
High Cost Medicine
 
Nicotinic Acid  (Niaspan)

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Non Formulary
 
Nicotinic acid/ laropiprant  (Tredaptive )

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Non Formulary
 
Omega-3-Acid Ethyl Esters  (Omacor)
(Capsules)

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Non Formulary
Black
GP's not to prescribe this. On the CCG drop-list since no good evidence to support it. See JPC bulletin on GP-ref website (link below).
Patients to be encouraged to get omega 3 from their diet. Review patients who come in on this.
Link  JPC Advice & Guidance
 
Omega-3-Marine Triglycerides  (Maxepa)

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Non Formulary
 
Simvastatin and Ezetimibe  (Inegy)

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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
SMC
Scottish Medicines Consortium
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

RED - Hospital only to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment  

Amber

Amber medicines are considered suitable for GP prescribing following specialist initiation.  

Green

These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations   

Amber SCG

Shared Care - these medicines require specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.   

Black

A decision has been made by either or both the local or national NHS not to routinely commission this preparation for its licensed indications. Do not prescribe.   

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