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 Formulary Chapter 9: Nutrition and blood - Full Chapter
09.01  Anaemias and some other blood disorders
Efmoroctocog alfa (Elocta®)
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Restricted Drug Restricted
Red
High Cost Medicine
NHS England
 
   
09.01.01  Iron-deficiency anaemias
09.01.01.01  Oral iron
Ferric maltol (Feraccru®)
(capsule)
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Formulary
Amber Initiation

Restricted Item Gastroenterology specialist initiation only.

Only for patients with IBD unable to tolerate other iron preparations

Each capsule contains 30mg elemental iron

 
Link  DPC August 2016
Link  DPC October 2016
   
Ferrous fumarate
(syrup/tablet/capsule)
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Formulary
Green
 
   
Ferrous sulfate
(tablet)
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Formulary
Green

Each tablet contains ferrous sulfate 200mg equivalent to 65mg elemantal iron

 
   
Sodium feredetate 190mg/5ml
(oral solution)
Formulary
Green

Contains 27.5mg elemental iron per 5ml

 
   
09.01.01.01  Iron and folic acid
Ferrous fumarate and folic acid (Pregaday®)
(tablets)
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Formulary
Green

Each tablet contains ferrous fumarate 322mg (equivalent to 100mg elemental iron) and folic acid 0.35mg

Licensed for use in second and third trimester of pregnancy for prophylaxis against iron deficiency and megaloblastic anaemia of pregnancy

 
   
09.01.01.01  Compound iron preparations to top
09.01.01.02  Parenteral iron
Iron Isomaltoside (Monofer®)
(injection)
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First Choice
Red
 
Ferric Carboxymaltose (Ferinject®)
(injection)
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Formulary
Red

Drug of choice in antenatal and postnatal women. See local Trust Guideline.

 
   
Iron Sucrose (Venofer®)
(injection)
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Formulary
Red
 
   
09.01.02  Drugs used in megaloblastic anaemias
Hydroxocobalamin (Vitamin B12)
(injection)
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First Choice
Green

IM injection preferred over oral administration for non-dietary vitamin B12 deficiency

 
Cyanocobalamin (vitamin B12)
(50 micrograms tablets)
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Second Choice
Green

Restricted Item For use only when patients are unable to receive hydroxocobalamin injections (e.g. during COVID-19).

Self Care Self Care Medicine: Not usually suitable for prescribing on the NHS. Patients should be recommended to self purchase unless they meet the exception criteria outlined in the NHS England Guidance on conditions for which over the counter items should not routinely be prescribed in primary care (section 4.1.2 Vitamins and Minerals)

 
Link  British Society for Haematology (BSH) guidance on Vitamin B12 replacement during the COVID-19 pandemic
   
Cyanocobalamin (vitamin B12)
(1,000 micrograms (1mg) tablets/capsules)
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Second Choice
Green

Restricted Item For use only when patients are unable to receive hydroxocobalamin injections (e.g. during COVID-19).

unlicensed Available only as nutritional supplement (refer to BNF for prescribing options).

Self Care Self Care Medicine: Patients should be recommended to self purchase unless they meet the exception criteria outlined in the NHS England Guidance on conditions for which over the counter items should not routinely be prescribed in primary care (section 4.1.2 Vitamins and Minerals)

 
Link  British Society for Haematology (BSH) guidance on Vitamin B12 replacement during the COVID-19 pandemic
   
Folic Acid
(tablet/liquid)
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Formulary
Green
 
   
09.01.03  Drugs used in hypoplastic, haemolytic, and renal anaemias
Emicizumab
(injection)
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Formulary
Red
High Cost Medicine
 
Link  Clinical Commissioning Policy: Emicizumab as prophylaxis in people with congenital haemophilia A with factor VIII inhibitors (all ages)
   
Eculizumab (Soliris®)
(injection)
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High Cost Medicine

Red for atypical haemolytic uraemic syndrome (see NICE HST1 guidance)

Black Non-formulary for relapsing NMO (see NICE TA647 terminated appraisal link below).

 
Link  NICE HST1:Eculizumab for treating atypical haemolytic uraemic syndrome
Link  NICE TA647: Eculizumab for treating relapsing neuromyelitis optica (terminated appraisal)
   
09.01.03  Erythropoietin
Darbepoetin Alfa (Aranesp®)
(injection)
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Formulary
Red
High Cost Medicine
 
Link  NICE NG8: Chronic kidney disease: managing anaemia
Link  NICE TA323: Erythropoiesis‑stimulating agents (epoetin and darbepoetin) for treating anaemia in people with cancer having chemotherapy
   
Epoetin alfa (Eprex®)
(injection)
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Formulary
Red
High Cost Medicine
 
Link  NICE NG8: Chronic kidney disease: managing anaemia
Link  NICE TA323: Erythropoiesis‑stimulating agents (epoetin and darbepoetin) for treating anaemia in people with cancer having chemotherapy
   
Epoetin beta (NeoRecormon®)
(injection)
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Formulary
Red
High Cost Medicine

also for paediatric renal patients

 
Link  NICE NG8: Chronic kidney disease: managing anaemia
Link  NICE TA323: Erythropoiesis‑stimulating agents (epoetin and darbepoetin) for treating anaemia in people with cancer having chemotherapy
   
09.01.03  Iron overload to top
Deferasirox (Exjade®)
(dispersible tablet)
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Formulary
Red Specialist Centre
High Cost Medicine

For use as per commissioning criteria set by NHS England

 
   
Deferiprone (Ferriprox®)
(tablet)
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Formulary
Red Specialist Centre
High Cost Medicine

For use as per commissioning criteria set by NHS England

 
   
Desferrioxamine mesilate
(injection)
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Formulary
Red
High Cost Medicine
 
   
09.01.04  Drugs used in autoimmune thrombocytopenic purpura
Anagrelide (Xagrid®)
(capsule)
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Formulary
Red

Restricted Item Consultant haematologist recommendation only

 
   
Eltrombopag (Revolade®)
(tablet)
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Formulary
Red
High Cost Medicine
 
Link  NICE TA293: Eltrombopag for treating chronic immune (idiopathic) thrombocytopenic purpura
   
LusutrombopagBlack Triangle (Mulpleo®)
(tablets)
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Formulary
Red
High Cost Medicine
 
Link  NICE TA617: Lusutrombopag for treating thrombocytopenia in people with chronic liver disease needing a planned invasive procedure
   
Romiplostim (Nplate®)
(injection)
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Formulary
Red
High Cost Medicine
 
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
(injection)
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Formulary
Red
High Cost Medicine

Specify brand

 
   
Pegfilgrastim
(injection)
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Formulary
Red
High Cost Medicine

Restricted Item For sarcoma only

 
   
09.01.07  Drugs used to mobilise stem cells
Plerixafor
(injection)
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Formulary
Red Specialist Centre
High Cost Medicine

For use as per commissioning criteria set by NHS England

 
   
09.02  Fluids and electrolytes to top
09.02.01  Oral preparations for fluid and electrolyte imbalance
09.02.01.01  Oral potassium
Potassium Chloride (Kay-Cee-L®)
(liquid)
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Formulary
Green
 
   
Potassium Chloride (Sando-K®)
(Effervescent tablet)
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Formulary
Green
 
   
Potassium Chloride (Slow-K®)
(modified release tablet)
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Formulary
Green
 
   
09.02.01.01  Potassium removal
Calcium polystyrene sulfonate (Calcium Resonium®)
(powder)
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Formulary
Red

note Powder for oral or rectal suspension

 
   
Patiromer sorbitex calciumBlack Triangle (Veltassa®)
(sachets)
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Formulary

Red for acute use

Amber Initiation for chronic use

For use only in accordance with recommendations in NICE TA623

 
Link  NICE TA623 Patiromer for treating hyperkalaemia
   
Sodium zirconium cyclosilicateBlack Triangle (Lokelma)
(sachets)
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Formulary
Red

For use only in accordance with recommendations in NICE TA599

 
Link  NICE TA599: Sodium zirconium cyclosilicate for treating hyperkalaemia
   
09.02.01.02  Oral sodium and water
Sodium Chloride (Slow Sodium®)
(modified release tablet)
Formulary
Amber Recommended
 
   
09.02.01.02  Oral rehydration therapy (ORT) to top
High sodium powders
Formulary
Red

Restricted Item Nutrition team only. Patients may prepare themselves following advice and recipe from specialist/nutrition team.

unlicensed Unlicensed

 
Link  UKMi Q&A: What is St Mark’s Electrolyte Mix (solution)?
   
Oral Rehydration Salts
Formulary
Green

Blue - Electrolade on FP10

 
   
09.02.01.03  Oral bicarbonate
Sodium Bicarbonate
(capsule)
Formulary
Amber Recommended
 
   
09.02.02  Parenteral preparations for fluid and electrolyte imbalance
Cardioplegia (Plegivex®)
Formulary  
   
Heparin
(500 units in sodium chloride 0.9% 500ml)
Formulary  
   
09.02.02.01  Electrolytes and water
Histidine, tryptophan, ketoglutarate (Custodiol® HTK)
(perfusion solution)
Formulary
Red

Restricted Item Restricted - for specialist cardiac surgery use only. For administration into renal arteries as renal protection during open thoracoabdominal aortic aneurysm repair surgery.

unlicensed use for this indication is off label

Classed as a Medical device - CE Marked

 
Link  NHS Improvement Patient Safety Alert: perfusion solutions April 2018
   
Plasma-Lyte 148; Plasma-Lyte 148 with Glucose 5%
(intravenous infusion)
View SPC online
Formulary

Restricted Item For use in Southampton Children’s Hospital as alternative to compound sodium lactate (Hartmann’s) and as standard fluid of choice.

note Contains potassium (K+) 5mmol/L

 
   
09.02.02.01  Intravenous sodium
Ringers Solution
(intravenous infusion)
View SPC online
Formulary  
   
Sodium Chloride and Glucose Intravenous Infusion
Formulary

Sodium chloride 0.18% and glucose 4% intravenous infusion

Sodium chloride 0.45% and glucose 2.5% intravenous infusion

Sodium chloride 0.45% and glucose 5% intravenous infusion

Sodium chloride 0.9% and glucose 5% intravenous infusion

 
   
Sodium Chloride Intravenous
Formulary

Sodium chloride 0.45% intravenous infusion

Sodium chloride 0.9% intravenous infusion

Sodium chloride 5% intravenous infusion

 
   
09.02.02.01  Intravenous glucose to top
Glucose Intravenous
Formulary

Glucose 5% intravenous infusion

Glucose 10% intravenous infusion

Glucose 20% intravenous infusion

Glucose 50% intravenous infusion

 
   
09.02.02.01  Intravenous potassium
Potassium Chloride and Glucose Intravenous Infusion
Formulary

Potassium chloride 0.2% and glucose 5% (containing approx. 13.5mmol potassium chloride) 500ml bags

Potassium chloride 0.2% and glucose 5% (containing approx. 27mmol potassium chloride) 1L bags

Potassium chloride 0.3% and glucose 5% (containing 40mmol potassium chloride) 1L bags

 
   
Potassium Chloride and Sodium Chloride Intravenous Infusion
Formulary

Potassium chloride 0.15%, sodium chloride 0.45% and glucose 5% (containing 10mmol potassium chloride) 500ml bags

Potassium chloride 0.15%, sodium chloride 0.45% and glucose 10% (containing 10mmol potassium chloride) 500ml bags

Potassium chloride 0.15%, sodium chloride 0.18% and glucose 10% (containing 10mmol potassium chloride) 500ml bags

Potassium chloride 0.2% and glucose 5% (containing approx. 13.5mmol potassium chloride) 500ml bags

Potassium chloride 0.2% and glucose 5% (containing approx. 27mmol potassium chloride) 1L bags

Potassium chloride 0.2% and sodium chloride 0.9% (containing approx. 13.5mmol potassium chloride) 500ml bags

Potassium chloride 0.2% and sodium chloride 0.9% (containing approx. 27mmol potassium chloride) 1L bags

Potassium chloride 0.2%, glucose 4% and sodium chloride 0.18% (containing approx. 13.5mmol potassium chloride) 500ml bags

Potassium chloride 0.2%, glucose 4% and sodium chloride 0.18% (containing approx. 27mmol potassium chloride) 1L bags

Potassium chloride 0.3% and sodium chloride 0.9% (containing 20mmol potassium chloride) 500ml bags

Potassium chloride 0.3% and sodium chloride 0.9% (containing 40mmol potassium chloride) 1L bags

Potassium chloride 0.3%, sodium chloride 0.45% and glucose 5% (containing 20mmol potassium chloride) 500ml bags

 
   
09.02.02.01  Bicarbonate and lactate
Compound Sodium Lactate BP (known as Hartmann's solution)
(intravenous infusion)
View SPC online
Formulary  
   
Sodium bicarbonate
(injection)
Formulary

Sodium bicarbonate 1.26%, 1.4%, 2.74%, 4.2% intravenous infusion

Sodium bicarbonate 8.4% intravenous infusion

 
   
09.02.02.01  Water
Water for Injection
Formulary  
   
09.02.02.02  Plasma and plasma substitutes
Gelofusine
(intravenous infusion)
Formulary  
   
Human albumin
(solution for intravenous infusion)
Formulary

Human albumin 4.5% solution

Human albumin 20% solution

 
   
09.03  Intravenous nutrition to top
 note 

Seek specialist advice from Adult Nutrition Team or relevant paediatric Pharmacist

Susoctocog alfa (Obizur®)
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Formulary
Red

Restricted Item In line with clinical commissioning policy  

 
Link  Clinical Commissioning Policy: Susoctocog alfa for treating bleeding episodes in people with acquired haemophilia A (all ages)
   
09.04  Oral nutrition
09.04.01  Foods for special diets
09.04.02  Enteral nutrition
09.05  Minerals
09.05.01  Calcium and magnesium to top
09.05.01.01  Calcium supplements
Calcium carbonate
(chewable tablet/effervescent tablet)
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Formulary
Green

Chewable tablets first-line.

Effervescent tablets reserved to aid administration in those unable to take chewable tablets. 

Choose brand with lowest acquisition cost and prescribe by brand name to avoid confusion.

Refer to section 9.6.4 for calcium and vitamin D3.

 
   
Calcium carbonate and calcium lactate gluconate  (Calvive 1000®)
(effervescent tab)
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Formulary
Green

note  Formerly Sandocal®

Chewable tablets first line.

 
   
Calcium Chloride
(10mmol in 10ml injection)
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Formulary
Red
 
   
Calcium Gluconate
(10% injection (10ml))
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Formulary
Red
 
   
Calcium lactate + calcium gluconate  (Alliance Calcium Syrup®)
(liquid)
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Formulary
Amber Recommended

0.51mmol/ml of Calcium

Specialist recommendation for paediatric patients only.

Licensed as a nutritional supplement, not a medicine.

Primary care to prescribe by brand name.

 
   
09.05.01.02  Hypercalcaemia and hypercalciuria
Cinacalcet (Mimpara®)
(tablet)
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Formulary
Red
High Cost Medicine

Restricted Item Endocrinologist use only

 
Link  NICE TA117: Cinacalcet for the treatment of secondary hyperparathyroidism in patients with end-stage renal disease on maintenance dialysis therapy
   
Etelcalcetide (Parsabiv®)
(injection)
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Formulary
Red
 
Link  NICE TA448 : Etelcalcetide for treating secondary hyperparathyroidism
   
Pamidronate disodium
(injection)
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Formulary
Red
 
   
09.05.01.03  Magnesium
Magnesium Aspartate (Magnaspartate®)
(powder)
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Formulary
Green
 
   
Magnesium Glycerophosphate
(2mmol capsule)
Formulary
Amber Recommended

unlicensed unlicensed

 
   
Magnesium Glycerophosphate (Neomag®)
(4mmol chewable tab)
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Formulary
Amber Recommended
 
   
Magnesium oxide
(160mg (4mmol) capsule)
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Formulary
Amber Recommended

unlicensed Unlicensed

If compliance problems with magnesium glycerophosphate

 
   
Magnesium sulfate
(injection)
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Formulary
Red

50% (5g in 10ml; 1g in 2ml)

20% (10g in 50ml) unlicensed unlicensed - For use within maternity at Princess Anne hospital

10% (1g in 10ml)

 
   
09.05.02  Phosphorus
09.05.02.01  Phosphate supplements to top
Phosphate supplements (Phosphate-Sandoz®)
(effervescent tablet)
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Formulary
Green
 
   
Sodium glycerophosphate 21.6% (Glycophos®)
(injection)
Formulary
Red

unlicensed unlicensed

First line intravenous choice

 
   
09.05.02.02  Phosphate-binding agents
Aluminium Hydroxide (Alu-Cap®)
(capsule)
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Formulary
Green
 
   
Calcium acetate and magnesium carbonate, heavy (Osvaren®)
(tablet)
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Formulary
Green

For hyperphosphataemia of chronic renal failure in patients undergoing dialysis

 
   
Calcium carbonate
(600mg/5ml liquid)
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Formulary
Red

unlicensed unlicensed

 
   
Calcium Carbonate (Adcal®)
(chewable tablet)
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Formulary
Green
 
   
Sevelamer Carbonate
(sachet)
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Formulary
Amber Initiation
High Cost Medicine

Only when calcium-containing products not tolerated

 
   
Sevelamer Hydrochloride  (Renagel®)
(tablet)
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Formulary
Amber Initiation
High Cost Medicine

Only when calcium-containing products not tolerated

 
   
09.05.03  Fluoride
09.05.04  Zinc
Zinc Sulfate
(220mg capsule)
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Formulary
Green

unlicensed unlicensed

 
   
Zinc Sulfate (Solvazinc®)
(effervescent tablet)
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Formulary
Green
 
   
09.05.05  Selenium
Selenium and vitamins A,C and E
(tablet)
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Formulary
Red

Approved for use at UHS on Intensive Care only

unlicensed Not a licensed medicine - nutritional supplement.

Not NHS Not prescribable on FP10 

 

 
   
09.06  Vitamins to top
09.06.01  Vitamin A
Vitamins A and D
(capsule)
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Formulary
Green
 
   
09.06.02  Vitamin B group
Pyridoxine Hydrochloride
(tablet)
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Formulary
Green
 
   
Thiamine (vitamin B1)
(tablet)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
Link  NICE CG100: Alcohol-use disorders: diagnosis and management of physical complications
Link  RMOC Position Statement on Oral Vitamin B Supplementation Nov 2019
   
Vitamins B and C  (Pabrinex®)
(injection)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
Link  NICE CG100: Alcohol-use disorders: diagnosis and management of physical complications
Link  NICE CG115: Alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence
   
09.06.02  Oral vitamin B complex preparations
Vitamin B compound strong
(tablets)
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Restricted Drug Restricted
Green

Restricted Item Restricted use - see RMOC Position Statement for recommendations on prescribing oral vitamin B supplements.

[Note: UHS may prescribe vitamin B compound strong tablets for patients with Wernicke-Korsakoff syndrome - in this case all supplies (total 1 month) will be made by the hospital].

 In rare cases when vitamin B complex prescribing is justified, Vitamin B compound strong should be used in preference to vitamin B compound tablets.

 
Link  RMOC Position Statement on Oral Vitamin B Supplementation Nov 2019
   
09.06.03  Vitamin C
Ascorbic Acid (Vitamin C)
(tablet/effervescent tablet)
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Formulary
Green

Effervescent tablet for mouthcare only

 
   
Ascorbic Acid (Vitamin C)
(injection)
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Formulary
Red
 
   
09.06.04  Vitamin D to top
Calcium and colecalciferol (vitamin D3)
(chewable tablet/effervescent tablet/film-coated tablet)
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Formulary
Green

Chewable tablets first-line. Effervescent and film-coated tablets reserved to aid administration in those unable to take chewable tablets. 

Note that different formulations have different amounts of colecalciferol and calcium.

Choose brand with lowest acquisition cost and prescribe by brand name to avoid confusion. 

Preferred brands in primary care: Accrete D3 or TheiCal D3

 
   
Colecalciferol (Vitamin D3)
(capsules/tablets/oral solution)
View adult BNF View SPC online View childrens BNF
Formulary
Green

note Products that are UK licensed medicines should be prescribed and supplied wherever possible

 
   
Alfacalcidol (One-Alpha®)
(liquid/capsule)
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Formulary
Amber Recommended
 
   
Calcitriol
(capsule)
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Formulary
Amber Recommended
 
   
Ergocalciferol (Vitamin D2)
(injection)
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Formulary
Red
 
   
09.06.05  Vitamin E
Alpha Tocopheryl Acetate (Vitamin E)
(capsule/liquid/injection)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Injection is unlicensed unlicensed

 
   
09.06.06  Vitamin K
Menadiol
(tablet)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Phytomenadione
(tablet/injection)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

Tablets are unlicensed unlicensed

Konakion MM paediatric injection can be given orally

 
   
Phytomenadione (Neokay)
(capsules)
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Formulary
Amber Recommended

TTO use only

The contents of one capsule should be administered by cutting the narrow tubular tip off and squeezing the liquid contents into the mouth.

 
   
09.06.07  Multivitamin preparations
DEKAs Essential/DEKAs Plus
(capsules, liquid, softgels, chewable tablets)
Formulary
Amber Recommended

Vitamin and mineral supplements for use when recommended by a specialist in patients with cystic fibrosis.

Specialists to ensure preferred formulation and dose is clearly communicated to primary care prescribers.

 
   
Multivitamin
(tablet)
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Formulary
Green
 
   
Multivitamin preparations (Abidec®)
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Formulary
Green

Alternative to Dalivit drops on Neonatal Unit

 
   
Multivitamin preparations (Dalivit®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Paravit-CF
(liquid, capsules)
Formulary
Amber Recommended

Fat-soluble vitamin supplements for use when recommended by specialist in patients with cystic fibrosis.

Specialists to ensure preferred formulation and dose is clearly communicated to primary care prescribers.

 
Link  Paravit-CF Capsules
Link  Paravit-CF Liquid
   
09.06.07  Vitamin and mineral supplements and adjuncts to synthetic diets
Vitamin and mineral supplements (Forceval Junior soluble®)
(tablet)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Vitamin and mineral supplements (Forceval Soluble®)
(effervescent tablet)
View adult BNF View SPC online View childrens BNF
Formulary
Green

For adults with poor swallowing, who are nil by mouth or who require medicine administration through an enteral feeding tube

 
   
Vitamin and mineral supplements (Ketovite®)
(tablet & liquid)
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Formulary
Green
 
   
Vitamin and mineral supplements (Sanatogen A-Z Complete®)
(tablet)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
09.07  Bitters and tonics to top
09.08  Metabolic disorders
09.08.01  Drugs used in metabolic disorders
Betaine
(tablet)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine

unlicensed unlicensed

 
   
BurosumabBlack Triangle (Crysvita®)
(injection)
View adult BNF View SPC online View childrens BNF
Formulary
Red Specialist Centre
High Cost Medicine
NHS England

Restricted Item Specialist use only in accordance with NICE HST8 guidance 

 
Link  NICE Highly Specialised Technology Guidance (HST8): Burosumab for treating X-linked hypophosphataemia in children and young people
   
InotersenBlack Triangle (Tegsedi®)
(injection)
View adult BNF View SPC online View childrens BNF
Formulary
Red Specialist Centre
High Cost Medicine
NHS England
 
Link  NICE Highly Specialised Technology Guidance (HST9): Inotersen for treating hereditary transthyretin amyloidosis
   
Trientine
(capsules/tablets)
View adult BNF View childrens BNF
Formulary
Red Specialist Centre
NHS England

Restricted Item Specialist use only. For treatment of Wilson's disease only in accordance with NHS England Clinical Commissioning Policy.

Red Triangle Not routinely stocked at UHS. If required please liaise with divisional lead pharmacist. 

[N.B. Available as trientine dihydrochloride 300mg capsules and trientine tetrahydrochloride (Cuprior) 150mg tablets. NHS England confirm that both formulations will be commissioned]

 
Link  NHS England Clinical Commissioning Policy: Trientine for Wilson’s disease (all ages)
Link  Summary of Product Characteristics: Trientine dihydrochloride capsules 300mg
   
09.08.01  Carnitine deficiency
Levocarnitine
(liquid/injection)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Initiation
High Cost Medicine
 
   
09.08.01  Nephropathic cystinosis
Mercaptamine (Cystagon®)
(capsules)
View adult BNF View SPC online View childrens BNF
Formulary
Red Specialist Centre
High Cost Medicine

Restricted Item In line with NHSE specialist commissioning criteria

 
   
09.08.01  Urea cycle disorders to top
L-Arginine
(50% injection)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Initiation

unlicensed Unlicensed

 
   
Sodium Benzoate
(injection)
Formulary
Amber Initiation

unlicensed unlicensed

 
   
Sodium Phenylbutyrate
(injection)
Formulary
Amber Initiation
High Cost Medicine

unlicensed unlicensed

 
   
09.08.02  Acute porphyrias
Haem Arginate
(injection)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine
 
   
 ....
 Non Formulary Items
Colecalciferol  (Vitamin D3)
(injection)

Non Formulary

unlicensed Unlicensed

 
Compound iron preparations  (Ferrograd C®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ferrous gluconate
(tablets)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ferrous sulfate  (Ironorm®)
(oral drops)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Iron Dextran  (CosmoFer®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lenograstim  (Granocyte®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Methoxy Polyethylene Glycol-Epoetin Beta  (Mircera®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Ocular antioxidant vitamin and mineral supplement  (Viteyes 2® Formula)
(caps/softgels)

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

For age-related macular degeneration (AMD). Not recommended for NHS prescribing.

Patients may opt to purchase OTC.

Removed from formulary as recommended by District Prescribing Committee Feb 2018.

 
Ocular antioxidant vitamin and mineral supplements  (all brands)

Non Formulary
Black

For age-related macular degeneration (AMD). Not recommended for NHS prescribing.

Patients may opt to purchase OTC.

 
Oxymetholone

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Riboflavin (vitamin B2)
(capsules/tablets/liquid)

Non Formulary
Black

unlicensed Nutritional supplement. Not recommended for NHS prescribing.

Patients may opt to self-purchase.

 
Selenium
(tablets/capsules)

View adult BNF View childrens BNF
Non Formulary

unlicensed not available as licensed medicines - nutritional supplements only

 
Selenium  (Selenase®)
(oral solution)

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Non Formulary

Each ampoule of 2 ml oral solution contains 100 micrograms selenium in the form of 332 micrograms sodium selenite pentahydrate. Link to SmPC here.

 
Sodium polystyrene sulfonate  (Resonium A®)
(powder)

View adult BNF View SPC online View childrens BNF
Non Formulary

note Powder for oral or rectal suspension

 
Thiamine (vitamin B1)
(injection)

Non Formulary

unlicensed Unlicensed. High cost.

Consider Pabrinex as a licensed alternative.

 
Vitamin B compound
(tablets)

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

RMOC Position Statement: In rare cases where there might be a justifiable reason for prescribing vitamin B complex e.g. medically diagnosed deficiency or chronic malabsorption, vitamin B compound strong and not vitamin B compound tablets should be prescribed as they represent better value for money.

 
Vonicog alfa Black Triangle  (Veyvondi ® )
(injection)

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Non Formulary
Red Specialist Centre
High Cost Medicine
NHS England

Not routinely commissioned by NHS England for treatment and prevention of  bleeding in adults with von Willebrand disease (see Policy Ref 200207P)

 
  
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

Traffic Light Status Information

Status Description

Green

Suitable for prescribing by all in both primary and secondary care.  

Amber Recommended

Specialist recommended but suitable for continuation in primary care.  

Amber Initiation

Specialist initiated but suitable for continuation in primary care.  

Amber SCG

Specialist initiated and for continuation in primary care under a locally approved shared care guideline.  

Red

Suitable for prescribing in specialist settings (secondary care) only.   

Red Specialist Centre

Secondary care medicines to be used under specialised commissioning arrangements only.  

Blue

For primary care, either via FP10 or supplied through specialist services. These products may be stocked by hospital pharmacies only for supply to primary care units/wards or for continuing supplies for patients admitted on therapy.  

Black

Not recommended for use.  

netFormulary