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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 20: Unlicensed Medicines / Significant off-label use - Full Chapter
Notes:

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

 Details...
20  Expand sub section  Unlicensed Medicines
St Marks solution
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Formulary
Green

Please refer to attached sheet for information on how to make up.

On discharge patients will be given a patient information leaflet and will purchase the ingredients for this solution.

 
Link  St Mark’s Solution Protocol, May 2018
   
TROMETAMOL (THAM)
(Injection)
Formulary
Red

3.6% or 7.2% depending on availability.

 

L&D: stocked on NICU

BHT: stocked on Meadowbank

 
   
Sodium Hyaluronate 800mg/50mL (1.6%), Sodium Chondroitin Sulfate 1g/50mL (2%) (iAluRil®)
Restricted Drug Restricted
Red

Restricted to Consultant Urologist use only, once all other treatments have failed.

 
   
DEPIGMENTING CREAM (Pigmanorm®)
Restricted Drug Restricted
Red

Prescribing only by Bedford Hospital Dermatology Consultants

BHT - Must not be prescribed on FP10 prescriptions

 
   
 ....
 Non Formulary Items
Acetic Acid Solution 3%

Non Formulary
 
Acetylcarnitine

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Non Formulary
 
ACID CITRATE DEXTROSE

Non Formulary
 
Adcon gel

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Non Formulary
 
ADRENALINE 1:200,000 inj

Non Formulary
 
ADRENALINE TOPICAL SOLUTION

Non Formulary
 
Ajmaline

Non Formulary
 
Cytotoxic Drug  ALTRETAMINE (HEXAMETHYLMELAMINE) Capsules 50 mg

Non Formulary
 
ALUM Bladder Irrigation 1%

Non Formulary
 
Benzbromarone

Non Formulary
 
BENZOCAINE 150mg/5ml susp

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Non Formulary
 
Benzoin Tincture, Compound, BP

Non Formulary
 
BEVACIZUMAB 2.5mg/0.1ml syringe

Non Formulary
 
Bicaflac®

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Non Formulary
 
Biclinocillin

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Non Formulary
 
Biloptin

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Non Formulary
 
BISOCODYL 0.274% rectal soln

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Non Formulary
 
Boric acid in IMS ear solution

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Non Formulary
 
BRILLIANT GREEN 1:500 soln

Non Formulary
 
Controlled Drug  Bupivacaine 0.1% ,fentanyl 2mcg/ml 50ml

Non Formulary
 
BUPIVACAINE Injection 0.25 % with Adrenaline 1 in 200,000

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Non Formulary
 
BUPIVACAINE Injection 0.5 % with Adrenaline 1 in 200,000

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Non Formulary
 
CALCIUM CHLORIDE 14.7% 50ml,100ml

Non Formulary
 
CALCIUM GLUCONATE 10% 50ml,100ml

Non Formulary
 
Calcium sulfate  (Stimulan® Rapid Cure)

Non Formulary
 
CAPTOPRIL Oral Solution 5 mg in 1mL

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Non Formulary
 
CAPTOPRIL Tablets 2 mg

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Non Formulary
 
Carbex granules

Non Formulary
 
CARNOY'S soln 100ml

Non Formulary
 
CELESTINS ENDO-OESOPHAGEAL TUBE powder

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Non Formulary
 
CHLORAL HYDRATE mix 1g/5ml

Non Formulary
 
CHLOROTHIAZIDE Tablets 500 mg

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Non Formulary
 
Chondroitin

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Non Formulary
 
Cidofovir ointment

Non Formulary
 
Cisapride

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Non Formulary
 
Clevidipine

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Non Formulary
 
CLOtest

Non Formulary
 
CoaguChek test strips

Non Formulary
 
COAL TAR BP 20% in YSP

Non Formulary
 
CODEINE PHOSPHATE Suppositories 15 mg,2mg,3mg,6mg

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Non Formulary
 
Collatamp EG sponge

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Non Formulary
 
Constrictor rings for erectile dysfunction

Non Formulary
 
Crystal Violet

Non Formulary
 
Cytotoxic Drug  CYCLOPHOSPHAMIDE

Non Formulary
 
Cytotoxic Drug  DAUNORUBICIN saline pre-filled syringe

Non Formulary
High Cost Medicine
 
DEFIBROTIDE Capsules 400 mg

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Non Formulary
High Cost Medicine
 
DEFIBROTIDE Injection 200 mg

Non Formulary
High Cost Medicine
 
Dexamethasone eye injection

Non Formulary
 
Dexmedetomidine Paediatric

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Non Formulary
 
DHEA

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Non Formulary
 
Dialyvit®

Non Formulary
 
DIAZEPAM Suspension 2.5 mg in 5mL

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Non Formulary
 
Dibotermin Alfa, rhBMP-2  (Inductos®)

Non Formulary
 
DIDANOSINE Liquid 10mg in 1ml (after double dilution)

Non Formulary
 
DIHYDROERGOTAMINE Injection 1 mg in 1mL

Non Formulary
 
DILUENT A (XANTHAN GUM 1%) Suspension 1%

Non Formulary
 
DILUENT C susp CAROB BEAN GUM 1% 500ml

Non Formulary
 
DIMETHYL SULFOXIDE

Non Formulary
 
Diphenylcyclopropenone in acetone

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Non Formulary
 
DITHRANOL BP 100g

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Non Formulary
 
DOXYCYCLINE Injection 100 mg in 5mL

Non Formulary
 
Echinacea

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Non Formulary
 
Elastolabo®

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Non Formulary
 
Eprodisate disodium

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Non Formulary
 
Eptotermin Alfa  (Osigraft®)

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Non Formulary
High Cost Medicine
 
ETHIONAMIDE Tablets 250 mg

Non Formulary
 
EVEROLIMUS Tablets 250 micrograms,750 micrograms

Non Formulary
 
Factor Eight Inhibitor Bypassing Activity  (FEIBA)

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Non Formulary
 
Controlled Drug  Fentanyl  (Ionsys®)

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Non Formulary
 
Controlled Drug  Fentanyl and Suxamethonium pre drawn up kits

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Non Formulary
 
FERRIC SUBSULPHATE (monsel's soln) 50ml

Non Formulary
 
Fibrin Sealant  (Evicel®)

Non Formulary
 
Fibrin Sealant  (Tisseel®)

Non Formulary
 
FLUCYTOSINE Tablets 500 mg

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Non Formulary
 
FLUNARIZINE 5mg capsules

Non Formulary
 
GABAPENTIN 6% topical

Non Formulary
 
Gas Gangrene Antitoxin

Non Formulary
 
GLIADEL wafer Carmustine 7.6mg

Non Formulary
Link  NICE TA121: Glioma (newly diagnosed and high grade) - carmustine implants and temozolomide
 
Glycerin

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Non Formulary
 
Glycerin and Ichthammol paste

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Non Formulary
 
Glycerol dioleate  (Episil®)

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Non Formulary
 
GLYCEROL STERILE 30ml

Non Formulary
 
GLYCERYL TRINITRATE Ointment 0.05%

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Non Formulary
 
GLYCERYL TRINITRATE Ointment 0.2%

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Non Formulary
 
Glycopyrronium tablets  (Hyperhidrosis)

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Non Formulary
 
Haemostatic Agent

Non Formulary
 
Haemostatic Agent  (Floseal®)

Non Formulary
 
Haemostatic Agent  (Surgiflo® with thrombin)

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Non Formulary
 
Haemostatic Agent  (Tachosil®)

Non Formulary
 
Haemostatic Agent  (Willospon®)

Non Formulary
 
human coagulation factor VIII  (Wilate®)

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Non Formulary
 
HYDROCHLOROTHIAZIDE

Non Formulary
 
Hydroxyamphetamine 1% eye drops

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Non Formulary
 
HYDROXYPROGESTERONE 260mg/ml inj

Non Formulary
 
Hylo-Care eye drops

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Non Formulary
 
Ibritumomab tiuxetan

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Non Formulary
 
Icodextrin solution

Non Formulary
 
Indigo carmine

Non Formulary
 
INDIGO CARMINE Injection 0.8 %

Non Formulary
 
Indigo carmine solution

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Non Formulary
 
INDOCYANINE GREEN Injection 25 mg,50mg

Non Formulary
 
Injex needle free administration device

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Non Formulary
 
Insujet needle free administration device

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Non Formulary
 
Insulin devices - Needle free

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Non Formulary
 
IOPANOIC ACID Tablets 500 mg

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Non Formulary
 
Ixabepilone

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Non Formulary
 
KETANSERIN Injection 10 mg in 2mL

Non Formulary
 
Lactose powder

Non Formulary
 
LAT gel

Non Formulary
 
Leicarbon A

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Non Formulary
 
LEVAMISOLE Tablets 50 mg

Non Formulary
 
Lipiodol

Non Formulary
 
LIQUID PARAFFIN sterile light (25ml)

Non Formulary
 
LITHIUM CHLORIDE

Non Formulary
 
LITMUS PAPER

Non Formulary
 
Lorcaserin

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Non Formulary
 
Lubricating gel

Non Formulary
 
LUMINITY®

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Non Formulary
 
MAGNESIUM GLYCEROPHOSPHATE powder 350g

Non Formulary
 
MAGNESIUM SULPHATE 10% INFUSION

Non Formulary
 
Mannitol  (Osmohale®)

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Non Formulary
 
Melagatran

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Non Formulary
 
Methacholine solutions various strengths  (Methylcholine, Acetyl-β-methylcholine)

Non Formulary
 
METHOCEL 2% eye drops

Non Formulary
 
Methylthioninium chloride  (methylene blue (Aguettant®))

Non Formulary
 
Mibefradil

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Non Formulary
 
MIDAZOLAM buccal

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Non Formulary
 
MIDODRINE Tablets 2.5 mg, 5mg

Non Formulary
 
Miglustat

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Non Formulary
 
Miltefosine

Non Formulary
 
MONOCHLOROACETIC ACID SATURATED soln (5ml)

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Non Formulary
 
Controlled Drug  MORPHINE 40mg/ml inj pfs

Non Formulary
 
Controlled Drug  MORPHINE 50mg/50ml syringe

Non Formulary
 
Controlled Drug  Morphine epidural 2mg in 10ml

Non Formulary
 
Mucaine

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Non Formulary
 
Mydricaine

Non Formulary
 
NeilMed Sinus Rinse

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Non Formulary
 
Nitazoxanide

Non Formulary
High Cost Medicine
 
Optison

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Non Formulary
 
ORA-PLUS ORAL SUSPENDING VEHICLE

Non Formulary
 
Orascreen

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Otovent®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
OXANDROLONE Tablets 2.5 mg

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Non Formulary
 
Oxepa

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Non Formulary
 
Oxitriptan

Non Formulary
 
PAPAVERINE HYDROCHLORIDE (2ML AMPOULE) Inj 40 mg in 1mL

Non Formulary
 
PAROMOMYCIN Tablets 250 mg

Non Formulary
 
PATENT BLUE Injection 2.5%

Non Formulary
 
PEGASPARAGINASE Injection 3750 units in 5mL

Non Formulary
 
Pegloticase  (Krystexxa)

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  NICE TA291: Pegloticase not recommended for severe chronic gout
 
PENICILLIN SKIN TEST KIT

Non Formulary
 
PENTOSAN POLYSULPHATE Capsules 50 mg  (Elmiron® )

Non Formulary
Link  MHRA Drug Safety Update (Sept 2019): rare risk of pigmentary maculopathy
 
pH indicator paper

Non Formulary
 
PHENOL (AQUEOUS) 5ML Injection 6%

Non Formulary
 
Phenol liquified BP 80%

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Non Formulary
 
Phoxilium

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Non Formulary
 
PICIBANIL 100mcg inj

Non Formulary
 
Piperaquine with artenimol  (Eurartesim®)

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Non Formulary
 
PIRENZEPINE 50mg tabs

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Non Formulary
 
Placebo

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Non Formulary
 
Pollinex Quattro®

Non Formulary
 
Polydimethylsiloxane

Non Formulary
 
POTASSIUM ACETATE injs

Non Formulary
 
POTASSIUM CANRENOATE Injection 200 mg in 10mL

Non Formulary
 
Potassium hydroxide

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Non Formulary
 
POTASSIUM IODIDE eye drops 5%

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Non Formulary
 
Potassium Iodide solution

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Non Formulary
 
Povidone-iodine 10 `/. in Boric acid insufflation

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Non Formulary
 
Powerbreathe

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Non Formulary
 
Pregnancy tests

Non Formulary
 
PreOp ®

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Non Formulary
 
PRILOCAINE (50ML) Injection 0.5%

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Non Formulary
 
Prismocitrate

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Non Formulary
 
Probiotic  (Actimel®)

Non Formulary
 
PROCAINAMIDE Capsules 250 mg

Non Formulary
 
PROCHLORPERAZINE PR 25mg,5mg

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Non Formulary
 
PYRIDOXAL 5 PHOSPHATE Tablets 50 mg

Non Formulary
 
RC cornet ®

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Non Formulary
 
Regadenoson

Non Formulary
 
RESPeRATE®

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Non Formulary
 
Resuscitation trollies

Non Formulary
 
Retapamulin ointment

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Non Formulary
 
RIBOFLAVIN 50mg tabs

Non Formulary
 
RIFAMPICIN 300mg inj

Non Formulary
 
ROBINUL-NEOSTIGMINE inj (1ml)

Non Formulary
 
SACCHAROMYCES BOULARDII 250mg caps

View adult BNF View SPC online View childrens BNF
Non Formulary
 
SCHILLERS IODINE SOLN 200ml

Non Formulary
 
Secretin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shaker

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sinurinse®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sipuleucel- T

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
Link  NICE TA332: Sipuleucel-T for treating asymptomatic or minimally symptomatic metastatic hormone-relapsed prostate cancer
 
SODIUM ACETATE 30% INJ 50ml

Non Formulary
 
SODIUM ACETATE 40mmol/10ml inj

Non Formulary
 
SODIUM CHLORIDE 600mg caps

Non Formulary
 
SODIUM CHLORIDE neb soln 5% 100ml

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Non Formulary
 
SODIUM CHLORIDE nebuliser soln 4% 100ml

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Non Formulary
 
SODIUM CHLORIDE Solution 7 % Nebules  (Nebusal® - see section3 now)

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Non Formulary
 
SODIUM GLYCEROPHOSPHATE (10ML) Injection 21.6%

Non Formulary
 
Sodium hyaluronate  (Cystistat®)

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Non Formulary
 
Sodium Hyaluronate  (Hyacyst®)

Non Formulary
 
Sodium hyaluronate injection  (SportVis®)

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Non Formulary
 
SODIUM PROPYL HYDROXYBENZOATE

Non Formulary
 
SODIUM THIOSULPHATE Injection

Non Formulary
 
SPECTINOMYCIN Injection 2 g

Non Formulary
 
SPIRONOLACTONE Liquid

Non Formulary
 
St Johns Wort

View adult BNF View SPC online View childrens BNF
Non Formulary
 
STANOZOLOL 2mg tabs

Non Formulary
 
SUCRALFATE 2g/50ml enema

Non Formulary
Black
Do not prescribe. The oral suspension can be administered rectally. See protocol on the suspension.
 
Sucrose 24%  (Sweat-Ease®)

Non Formulary
 
Sulfapyridine

View adult BNF View SPC online View childrens BNF
Non Formulary
 
SULPHAMETHOXYPYRIDAZINE tabs 500mg

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sultiame 50mg tabs

Non Formulary
 
Tacrolimus

View adult BNF View SPC online View childrens BNF
Non Formulary
 
TALC BP purified sterile

Non Formulary
 
Taribavirin

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
TAUROLIDINE Solution 2 % (nebulised)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Taurolodine and Citrate 4%  (TauroLock®)

Non Formulary
 
TETRAHYDROBIOPTERIN Tablets 10 mg

Non Formulary
High Cost Medicine
 
THALIDOMIDE Tablets 50 mg

Non Formulary
 
THEOPHYLLINE liq 50mg/5ml

Non Formulary
 
THIAMINE Injection 100 mg in 1mL

Non Formulary
 
TICLOPIDINE 250mg tabs

Non Formulary
 
Timolol topical

Non Formulary
 
TISOPURINE Tablets 100 mg

Non Formulary
 
Tissue adhesive for epidural catheters

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Non Formulary
 
Tolevamer

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Non Formulary
 
TRANEXAMIC ACID Oral Solution 500 mg in 5mL

Non Formulary
 
Treprostinil

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Non Formulary
High Cost Medicine
 
TRIAMCINOLONE ACETONIDE 0.1% in a protective emollient vehicle  (Oracort® )

Non Formulary
 
Triamcinolone mouthwash

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Trisodium Citrate 46.7%

Non Formulary
 
Trypan blue

Non Formulary
 
UBIDECARENONE & VITAMIN E (LIQ-10) Oral Solution 50 mg in 5mL

Non Formulary
 
UBIQUENONE 50mg VIT E 15iu/5ml Liq 10

Non Formulary
 
Ultravist

Non Formulary
 
Vacuum Pumps for Erectile Dysfunction

Non Formulary
 
Vernakalant

View adult BNF View SPC online View childrens BNF
Non Formulary
 
VertebroplasticTM Cement

Non Formulary
 
Vibro-Pulse®

Non Formulary
 
VITAMIN A Drops 150000 international units in 1mL

Non Formulary
 
VITAMIN A PALMITATE(AQUASOL A) Injection 50000 units in 1 mL

Non Formulary
 
Vitrimix®

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Non Formulary
 
Warfarin Suspension 5 mg in 5mL

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Water for humidification

Non Formulary
 
Whitehead’s Varnish

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ximelagatran

View adult BNF View SPC online View childrens BNF
Non Formulary
 
XLS-medical fat binder  (Litramine)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
YOHIMBINE Tablets 5.4 mg

Non Formulary
 
ZINC COMPUND PASTE 500g

Non Formulary
 
ZINC SULPHATE 1mmol in 10ml inj

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.   

netFormulary