Red List Last updated 2014/10/07

Red List
Last updated 2014/10/07
Medicine
Indication
Decision
Rationale
for inclusion
in the List
Circumstances
in which use
might be
appropriate
Abatacept
Rheumatoid Arthritis
Hospital only
Refer to
NICE
Guidelines
None foreseen
Acetylcysteine
Mucolytic - CF,
bronchiectasis and
pulmonary fibrosis
Hospital only
Acitretin Capsules
Psoriasis
Hospital only
Adalimumab
All indications NICE TA
130, 143, 146, 187, 199
Hospital only
Alicalm
Aliskiren
Food supplement
Hypertension, to be
reviewed by NICE under
hypertensive guidelines
ACBS
APC Feb 2009
Alitretinoin Capsules
Chronic hand eczema
NICE TA 177 Aug 2009
Hospital only
All antiretrovirals
HIV Infection
Hospital only
London HIV
Consortium
Guidelines
None foreseen
Alprazolam
Anxiety
NEPFT
None foreseen
Alteplase
Fibrinolytic NICE TA 122
Jun 2007
Hospital only
Amoxapine
Antidepressant
NEPFT
Nonformulary
for NEPFT
Refer to
NICE
Guidelines
Nonformulary
for NEPFT ,
may cause
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
Safety
concerns,
strict
monitoring
requiremen
ts and
restricted
availability
Refer to
NICE
Guidelines
No robust
evidence to
support use
in place of
exisitng
drugs
Refer to
NICE
Guidelines
Possibly shared
care with
tertiary
hospital
None foreseen
None foreseen
None foreseen
None foreseen
None foreseen
None foreseen
None foreseen
tardive
dyskinesia
Amphetamines mixed
(Adderall)
ADHD
NEPFT
Amphotericin
Anagrelide
Antifungal
Reduction of elevated
platelet counts
Hospital only
Hospital only
Anti-coagulant test
strips (CoaguChek)
Anti-coagulant test strips
Apraclonidine
Intra ocular pressure
Hospital only
None foreseen
Aprepitant
Chemo induced nausea
Hospital only
None foreseen
Arachis Oil
Laxative and bowel
cleansing solution
Hospital only
Aripiprazole injection
IM
Agitation and disturbed
behaviour in schizoprenia
NEPFT
prescribers
only
RED
Formulary
for NEPFT
None foreseen
Asenapine (Sycrest)
Acute phase Bipolar
NEPFT
Nonformulary
for NEPFT
Form B
applications to
MMG only.
Atovaquone
Pneumocystis pneumonia
Hospital only
Beclometasone
tablets (Clipper)
Ulcerative colitis
Betaine
Beta-interferon
Bevacizumab
Homocystinuria
MS
All indications
Biotene Oral Balance Artifical saliva
Gel
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
Nonformulary
for NEPFT
None foreseen
None foreseen
GP or
hospital
managed
services to
be used in
preference
Palliative care
use
Rarely, by prior
agreement
None foreseen
Clinical case
not
demonstrat
ed
Hospital only
Hospital only
Hospital only
None foreseen
ABN 2009
Refer to
NICE
Guidelines
None foreseen
None foreseen
None foreseen
None foreseen
None foreseen
Biphosphonates IV
Osteoporosis, Pagets
disease, hypercalcaemia of
malignancy NICE TA
160/161 Jan 2011
Hospital only
Bosentan
Pulmonary arterial
hypertension
Hospital only
None foreseen
Botulinum Toxin A
and B
All indications
Specialist use
only
None foreseen
Buprenorphine
Injection
Analgesic
Palliative use
only
Buspirone
Anxiolytic - short term use
only
NEPFT
prescribers
only
Possibily if part
of a palliative
care package
None foreseen
Butobarbital
Caffeine
Hypnotic
Stimulants
Hospital only
Hospital only
None foreseen
None foreseen
Hypercalcaemia of
malignancy, Paget's
disease
Capreomycin
TB
Capsaicin
patches Neuralgia, NICE CG96 Mar
(Qutenza)
2010 not recommended
Hospital only
None foreseen
Hospital only
Hospital only
None foreseen
Carglumic acid
Hyperammonaemia
Hospital only
None foreseen
Carnitine
Carnitine deficiency
Hospital only
None foreseen
Caspofungin
Certolizumab
Antifungal
Rheumatic disease NICE
TA 186 Feb 2010
Hospital only
Hospital only
None foreseen
None foreseen
Calcitonin injection
Cetrorelix
Chemotherapy
and IV)
Female infertility
(oral Cytotoxic drugs
Chloroquine injection
Malaria
Chlorpromazine
Antipsychotic
injection
(Largactil
and generic)
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
Refer to
NICE
Guidelines
NEPFT
None foreseen
Refer to
NICE
Guidelines
Refer to
NICE
Guidelines
Hospital only
Hospital only
None foreseen
None foreseen
Specialist
prescribing
None foreseen
NEPFT
Nonformulary
for NEPFT
Erratic
unpredictab
le
absorption.
Cardiac risk.
Choriogonadotropin
alfa
Female infertility
Hospital only
Chorionic
gonadotropin
Female infertility
Hospital only
Cilostazol
Intermittent claudication
NICE TA 223 May 2011
does not advocate use
Cinacalcet
Hyperparathyroidism
NICE TA 117 Jan 2007
Clomethiazole
None foreseen
Refer to
NICE
Guidelines
None foreseen
Hospital only
Refer to
NICE
Guidelines
None foreseen
Addiction/ withdrawal.
NICE CG 115 Feb 2011
NEPFT
prescribers
only
Refer to
NICE
Guidelines
None foreseen
Clonazepam injection
Rapid tranquillisation
Anxiety
Clozapine
Treatment resistant
schizophrenia. AMBER for
people with LD. NICE CG
82 Mar 2009
RED
Formulary
for NEPFT
Nonformulary
for NEPFT
RED
Formulary
for NEPFT
Refer to
NICE
guidelines.
None foreseen
Clorazepate
NEPFT
prescribers
only
NEPFT
Co-careldopa
intestinal gel
(Duodopa)
Drugs used in
parkinsonism and related
disorder
None foreseen
Colesevelam
Lipid regulating drugs
None foreseen
Co-proxamol
Analgesic
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
NEPFT
prescribers
only
Highly toxic
in even
small
overdoses.
The MHRA
has
withdrawn
the
marketing
authorisatio
n for coproxamol
due to the
poor
risk/benefit
profile of
the drug
None foreseen
None foreseen
None foreseen.
For patients
currently
receiving the
drug and
unable to
switch to an
alternative,
continued
provision of the
unlicensed
product may be
made on the
prescribers
responsibility
Cosmofer parenteral
Anaemia
Hospital only
None foreseen
Cyclizine inj
Chemo induced nausea
Palliative care
use
Possibily if part
of a palliative
care package
Cytotoxic drugs
parenteral and oral
Cytotoxic drugs
Hospital only
None foreseen
Daclatasvir (Daklinza
film coated tablets)
Liver disorders – licensed
for use as part of
combination therapy for
treating chronic HCV
infection in adults.
Pneumocystis pneumonia,
dermatitis herpetiformis
Hospital only
Specialist
prescribing
None foreseen
Daptomycin
Antibiotic
Specialist
prescribing
None foreseen
Darbepoetin Alfa
Anaemia of chronic renal
failure NICE TA 142 May
2008
Hospital only
Refer to
NICE
Guidelines
None
foreseeen
Darifenacin
Urinary frequency,
urgency and incontinence.
NICE CG 40 Oct 2006
Little benefit
over
oxybutynin
Refer to
NICE
Guidelines
None foreseen
Deferasirox
Deferiprone
Degarelix
Anaemia
Anaemia
Advanced Prostate cancer
Hospital only
Hospital only
Hospital only
Dapsone
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
APC April
2010, Not
approved
on basis of:Inconclusive
evidence of
outcome
benefit; No
independen
t
comparative
studies: No
direction
from NICE;
Lack of
outcome
data
None foreseen
None foreseen
None foreseen
Degludec insulin
Type 1 & Type 2 diabetes
mellitus
Depigmentation
treatments
Hospital only
Individual care
protocol
required under
the specialist
Hospital only
None foreseen
None foreseen
None foreseen
Desferrioxamine
Desmopressin
15mcg/ml inj
Anaemia
All indications
Hospital only
Hospital only
Dexamethasone
Intravitreal implant for the
treatment of macular
oedema, secondary to
retinal vein occlusion
Hosptal only
DHEA
(Dehydroepiandroste
rone)
APC July
2014, not
approved
on basis of:is noninferior to
other longacting
insulin
analogues;
need for
holistic
review of
patient.
NICE TA229
July 2011
Hospital only
None foreseen
Dialamine
Diamorphine
intranasal and topical
(unlicensed)
Food supplement
Analgesic
ACBS
Hospital only
None foreseen
None foreseen
Diazepam Injection
Hypnotic
Hospital only
None foreseen
Diazoxide
Emergency hypertension
Hospital only
None foreseen
Dibotermin
Bone morphogenic
protein
Hospital only
None foreseen
Diloxanide
Diphenylcyopropeno
ne
Amoebiasis
Alopecia
Hospital only
Hospital only
None foreseen
None foreseen
Disodium edetate eye Chelating agent
drops
Hospital only
None foreseen
Dolasetron
Chemo induced nausea
Hospital only
None foreseen
Dornase Alpha
CF
Hospital only
None foreseen
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
Dosulepin, Dothiepin
(formerly Prothiaden)
NEPFT
Drugs
affecting Drugs affecting
gonadrophins
gonadrophins
(Cetrorelix, ganirelix,
buserelin, nafarelin,
goserelin
Hospital only
Duloxetine
Stress urinary
incontinence
See document
list
Eculizumab
Eflornithine cream
Anaemia
Female facial hair
Hospital only
Elemental 028 extra
Enteral Feeds
Hospital only
Eltrombopag
ITP NICE TA 205 Oct 2010
Hospital only
Enzyme replacement CF
therapy
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
Hospital only
Nonformlary for
NEPFT Toxic
in overdose.
Cardiotoxic.
Except
existing
patients
with no CI.
Alternatives
include
lofepramine
,
amitriprtylin
e,
trazodone
mirtazepine.
Not
recommend
ed in NICE
CG 90 2010
Existing
patients with
no contra
indications continuing care
guidance to be
used
None foreseen
Only
modest
enefit seen
in women
with severe
SUI, and no
benefit in
mild SUI
NICE CG 40
Oct 2006
No
substantial
evidence of
benefit
ACBS
Refer to
NICE
Guidelines
None foreseen
None foreseen
None foreseen
None foreseen
None foreseen
None foreseen
Erdosteine
Acute exacerbations of
chronic bronchitis
Initiated by
specialist
Support from
secondary care
Ergocalciferol 300,
000 IU inj
Vitamin D deficiency
Hospital only
None foreseen
Ergometrine
Drugs used in obstetrics
Hospital only
None foreseen
Erythropoietin
Anaemia NICE TA 142 May
2008
Hospital only
Escitalopram
(Cipralex)
Antidepressant
NEPFT
prescribers
only
Etanercept
Rheumatic disease
Hospital only
Etanercept
Psoriasis NICE TA 103 Jul
2006
Hospital only
Ethambutal
TB
Specialist
prescribing
Ethosuximide
Epilepsy
NEPFT
Fansidar
Malaria
Specialist
prescribing
Fesoterodine
Urinary frequency,
enuresis and incontinence
Filgrastim
Fingolimod
Anaemia
MS, NICE TA 254 April
2012
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
Refer to
NICE
Guidelines
RED
formulary
for NEPFT.
Please
prescribe
citalopram
instead
unless there
are strong
clinical
reasons.
NICE TA 35,
130, 143,
199
Refer to
NICE
Guidelines
Named patient,
consultant
inititation only
using Form B.
None foreseen
None foreseen
None foreseen
Discontinue
d by
manufactur
ers. Existing
patients to
be reviewed
by specialist
care
None foreseen,
refer exisitng
patients back
to specialist
care
None foreseen
Non
formulary
West & Mid
Essex
Hospital only
Hospital only
None foreseen
Refer to
NICE
Guidelines
None foreseen
None foreseen
None foreseen
Flavoxate
Female urinary
incontinence & OAB. NICE
CG 40 Oct 2006
NHS West
Essex Female
Urinary
Incontinence
Formulary April
2010
Hospital only
Refer to
NICE
Guidelines
None foreseen
Flecainide Injection
Anti arrhythmic NICE CG
36 Jun 2006
REfer to
NICE
Guidelines
None foreseen
Fludroxycortide Tape
Haelan®
Recalcitrant dermatoses
Hospital only
NHS West
Essex
Dermatolog
y Formulary
None foreseen
Flunitrazepam
Hypnotic
NEPFT
None foreseen
Fluocinolone
Intravitreal implant
(Iiuvien)
Vision impairment
associated with chronic
diabetes macular oedema
Hospital only
Nonformlary for
NEPFT .
Hypnotic of
misuse.
Refer to
NICE
Guidelines
Fluorouracil cream
Photodamage and basal
cell carcinoma
Hospital only
Fluphenazine
(Moditen 1mg)
oral Anti-psychotic
None foreseen
None foreseen
NEPFT
Nonformulary
for NEPFT
Discontinued,
review exisitng
patients
Flurazepam (formerly Insomnia
Dalmane)
NEPFT
Nonformulary
for NEPFT
None foreseen
Fluvoxamine
Antidepressant. NICE CG
90 2010
Hospital only
Refer to
NICE
Guidelines
None foreseen
Folic acid Injection
Anaemia
Hospital only
None foreseen
Follitropin alfa and Female infertility
beta
Hospital only
None foreseen
Fondaparinux
Fosphenytoin
Anti-coagulant
Epilepsy NICE CG 137 Jan
2012
Hospital only
Hospital only
None foreseen
None foreseen
Fulvestrant
Advanced breast cancer.
NICE TA 239 Dec 2011, not
recommended
Hospital only
Fumaric acid esters
Psoriasis
Hospital only
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
Refer to
NICE
Guidelines
Refer to
NICE
Guidelines
None foreseen
None foreseen
Galantamine TABLETS
Alzheimer's disease
NEPFT
Galsulfase
Mucopolysaccharidosis VI
Hospital only
None foreseen
Gelclair mouthwash
Stomatitis
Hospital only
None foreseen
Generaid standard or
Plus
Specialised formualtions
Hospital only
ACBS
None foreseen
Gingko Biloba
Alzheimers disease
NEPFT
Risk of cerebral
haemorrhage.
Glatiramer
Glycopyrronium
Bromide Powder
MS
Hyperhidrosis
Hospital only
Hospital only
Nonformulary
NEPFT.
Not
available on
NHS.
ABN 2009
Glycopyrronium
Bromide Tablets
Hyperhidrosis
Hospital only
None foreseen
Golimumab
RA, AS, PsA
Hospital only
NHS West
Essex
Dermatolog
y Formulary
NICE TA 220
April 2011,
TA 225 Jun
2011, TA
233 Aug
2011.
Granisetron
Chemo induced nausea
Hospital only
Grazax
Grass pollen allergy
Gut decontamination
regimen
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
Nonformulary
NEPFT. USE
SR
CAPSULES
(ONCE
DAILY) or
LIQUID to
avoid
prescribing
errors.
None foreseen
None foreseen
None foreseen
None foreseen
JPG Nov
2010- not
prescribed
in primary
or
secondary
care
Hospital only
None foreseen
None foreseen
None foreseen
Haloperidol injection
Antipsychotic
NEPFT
prescribers
only
Hepatitis therapy
Hepatitis
Hospital only
HIV treatments
Human arginate
HIV Infection
Metabolic disorders
Hospital only
Hospital only
None foreseen
None foreseen
Human chorionic
gonadotropins
Female infertility
Hospital only
None foreseen
Human menapausal
gonadotropins
Female infertility
Hospital only
None foreseen
Human papilloma
virus vaccine
Prevention of cervical
cancer
Hyaluronic Acid
Hyaluronidase
Osteoarthritis
Extravasation
Hospital only
Hospital only
None foreseen
None foreseen
Hydromorphone
Hydroxycarbamide
Analgesic
CML
Hospital only
Initiated by
specialist
None foreseen
Support from
secondary care
Hydroxycarbamide
Chemotherapy
Sickle cell disease
Hospital only
Possibly shared
care
arrangement
with teritary
centres
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
RED
formulary
for NEPFT.
Should have
ECG before
use.
Alternatives
for
community
include
risperidone
quicklets,
olanzapine
velotabs
NICE TA 173
July 2009,
TA 153, Aug
2008, TA
154 Aug
2008, TA 96
Feb 2006,
TA 106 Aug
2006,
To be
prescribed
as part of
the
nationally
agreed
vaccination
programme
only
None foreseen
None foreseen
None foreseen
Hyoscine Hydrobromide Injection
Palliative care
Hospital only
Possibly if part
of a palliative
care package
Hypertonic Saline
Mucolytic for CF/
bronchiectasis
Hospital only
Possibly shared
care
arrangement
with teritary
centres
Hospital only
None foreseen
Ibandronic
injection
acid All indications
Idursulfase
Mucopolysaccharidosis VI
Hospital only
None foreseen
Imiglucerase
Mucopolysaccharidosis VI
Hospital only
None foreseen
Imiquimod
External/perianal wats
Hospital only
NHS West
Essex
Dermatolog
y Formulary
None foreseen
Immunoglobulins
Immunoglobulin
Hospital only
DoH Clinical
Guidelines
for the use
of Ig Aug
2011
None foreseen
In vitro fertilization –
all medicines
Hospital only
None foreseen
Infliximab
Inositol nicotinate
All indications
Peripheral vascular
disease. NICE TA 223 May
2011 does not advocate
use
Hospital only
NICE
Refer to
NICE
Guidelines
None foreseen
None foreseen
Insulin pumps
Diabetes NICE TA 151 July
2008
Hospital only
Refer to
NICE
Guidelines
None foreseen
Interferon Alfa-2B
Interferon Beta
Interferon gamma
Iodine
Aqueous
Solution
All indications
All indications
All indications
Thyrotoxicosis pre-op
Hospital only
Hospital only
Hospital only
Hospital only
Isocarboxazid
Antidepressant MAOI
NEPFT
Isotretinoin Capsules
Acne
Hospital only
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
None foreseen
None foreseen
None foreseen
None foreseen
Nonformualry
for NEPFT
NHS West
Essex
Dermatolog
y Formulary
None foreseen
None foreseen
Ivermectin
Parasitic Infections
IVF drugs for private
patients
Infertility
KetoCal
Specialised formualtions
Hospital only
Ketorolac
Kindergen
Eye drops
Specialised formualtions
Hospital only
Hospital only
Lariam
Laronidase
Malaria
Mucopolysaccharidosis VI
Hospital only
Hospital only
Lenalidomide
Multiple myeloma NICE
TA 171 Jun 2009
Hospital only
Lenograstim
Levofloxacin (oral)
Neutropenia
Antibiotic
Hospital only
Hospital only
Levomepromazine
injection and oral
Antipsychotic, anxiety in
terminal care
May be
prescribed
caution with
use
Lidocaine
(Versatis)
Patches Diabetic neuropathy. NICE
CG 96 Mar 2010
Linezolid
Antibiotic
Liothyronine Injection Hypothyroid
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
Hospital only
WE Pain
Formlary 2010.
For use by GP
only whilst
awaiting
referral
Hospital only
Hospital only
NHS West
Essex
Dermatolog
y Formulary
If the
patient does
not meet
the criteria
for NHS IVF
treatment
thent he
whole
treatment is
private and
the drugs
can not be
prescribed
on the NHS
ACBS
ACBS
None foreseen
None foreseen.
Where NHS
funds IVF, all
drugs to be
provided by
specialists
None foreseen
None foreseen
None foreseen
None foreseen
None foreseen
Refer to
NICE
Guidelines
None foreseen
None foreseen
None foreseen
NEPFT
Caution do
not use in
ambulant
patients
over 50 yrs
Refer to
NICE
Guidelines
Possibly part of
a palliative care
package
Only for use in
localised pain
in patients
unable to take
oral medication
due to a
medical
condition/
disability
None foreseen
None foreseen
Lofexidine
Opioid dependence NICE
CG 52 2008
NEPFT
prescribers
only
Loprazolam
Insomnia
NEPFT
Lorazepam Injection
All indications
Hospital only
Lormetazepam
Insomnia
NEPFT
RED
formulary
for NEPFT.
Refer to
NICE
Guidelines
Nonformulary
NEPFT.
None foreseen
None foreseen
None foreseen
Nonformulary
NEPFT.
Low
molecular Treatment of VTE in cancer Initiated by
weight heparins
patient.
specialist
None foreseen
CHECK PAH
Low
molecular Prophylaxis, NICE CG 92
weight heparins
Jun 2011
Hospital only
Lutropin alfa
Malaria prophylaxis
Female infertility
Travel
Hospital only
Malarone
Maprotiline
Malaria
Antidepressant
Hospital only
NEPFT
Mecasermin
Medium-Chain
Triglyceride (MCT) oil
Somatomedins
Specialised formualtions
Hospital only
Hospital only
Mefloquine
Melatonin SR
(Circadin) for adults
Malaria
short course for people
over 55 with primary
insomnia.
Hospital only
NEPFT
Melperone
Meprobamate
Anti-psychotic
Anxiety
Hospital only
NEPFT
Mercaptamine
Mucopolysaccharidosis VI
Hospital only
None foreseen
Mercaptopurine
Metabolic Mineral
Mixture
All indications
Food supplements
Hospital only
Hospital only
None foreseen
None foreseen
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
Refer to
NICE
Guidelines
Not
reimbursabl
e under the
NHS
Nonformulary
NEPFT.
ACBS
Nonformulary
NEPFT.
Nonformulary
for NEPFT
ACBS
Support from
secondary care
None foreseen
Provide a
private
prescription
None foreseen
May cause
convulsions.
None foreseen
None foreseen
None foreseen
Form B
applications to
MMG only.
CHILDREN - See
yellow list,
continuing care
guidance.
None foreseen
None foreseen
Methacholine
Inhalation
Respiratory (other)
Hospital only
None foreseen
Methadone injection Opioid dependence
( Physeptone)
NEPFT
Nonformulary
for NEPFT
Refer to local
CDAT.
Methadone
tablet Opioid dependence
( Physeptone)
NEPFT
Nonformulary
for NEPFT
Refer to local
CDAT.
Methotrexate
Cancer
Methoxsalen
Psoriasis
Methoxypolyethylene Anaemia
glycol epoetin beta
Hospital only
Hospital only
Hospital only
Methyl
Aminolevulinate
Cream or gel
Photodynamic therapy
Hospital only
5-Methoxypsoralen
Psoriasis
Hospital only
8-Methoxypsoralen
Psoriasis
Hospital only
Mianserin
Bolvidon)
(formerly Antidepressant
Midazolam oral liq.
(As Epistat 10mg/ml)
Epilepsy
(alternative to rectal
diazepam)
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
NEPFT
NEPFT
None foreseen
None foreseen
None foreseen
NHS West
Essex
Dermatolog
y Formulary
NHS West
Essex
Dermatolog
y Formulary
NHS West
Essex
Dermatolog
y Formulary
Nonformulary
for NEPFT
None foreseen
Nonformulary
for NEPFT.
Prescribe
Buccolam
5mg/ml in
preference
by brand
name only.
Buccolam is
licensed for
children.
Epistat is
unlicensed,
CARE with
strengths.
Individual care
protocol
required.
None foreseen
None foreseen
S/E blood
dyscrasias
Midodrine
Hypotension associated
with haemodialysis or
heptorenal syndrome
Hospital only
Miglustat
Metabolic disorders
Hospital only
None foreseen
Minoxidil
Hypertension
Hospital only
None foreseen
Misoprostol
Modafinil
Obstetric use
narcolepsy only
Hospital only
Neurologist
initiation, not
usually mental
health.
None foreseen
Moxifloxacin
Nalmefene
Antibiotic
for alchohol use reduction.
Hospital only
NEPFT
Natalizumab
MS NICE TA 127 Aug 2007
Hospital only
Neostigmine
Neuromuscular disorders
Hospital only
None foreseen
Hospital only
None foreseen
New fill for facial
lipodystrophy
Unlicensed
None foreseen
Nonformulary
for NEPFT
Nonformulary
for NEPFT
Refer to
NICE
Guidelines
None foreseen
None foreseen
None foreseen
Nicotinamide
Nimodipine
Vitamin
Celebral vascular spasm
Hospital only
Hospital only
None foreseen
None foreseen
Nitisinone
Nitrazepam
Tyrosinaemia
Insomia
Hospital only
long half life,
muscle
relaxant,
increases
reaction time,
leads to falls in
elderly/debilita
ted.
None foreseen
Review existing
patients. Refer
to Trust
'Guidance for
Medicines for
sleeplessness'
for planned
withdrawal/cha
nge to shorteracting drug.
Novorapid Vial
Ofloxacin 0.3%
Insulins
Anti-infective eye
preperation
Hospital only
Hospital only
Olanzapine
embonate long acting
injection
Antipsychotic
Requires at
least 3 hours
observation
after each
administration
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
Nonformulary
for NEPFT
None foreseen
None foreseen
Nonformulary
for NEPFT
Do not apply on
form B unless
training is
done.
Olanzapine IM
injection (Zyprexa)
Antipsychotic
NEPFT
prescribers
only
RED
formulary
for NEPFT
None foreseen
Omalizumab
Asthma NICE TA 133 Nov
2007, TA 201 Oct 2010
Hospital only
Refer to
NICE
Guidelines
None foreseen
Omega-3-acid
(Omacor)
Schizoprenia, bipolar
disorders, psychosis,
Alzheimer's
NEPFT
prescribers
only.
None foreseen
Omega-3-acid
(Omacor)
Hypertriglyceridaemia
Omega-3-marine
(Maxepa)
Schizoprenia, bipolar
disorders, psychosis,
Alzheimer's
NEPFT
prescribers
only
RED
formulary
for NEPFT.
Advise
patient to
purchase if
possible.
Review
concordanc
e.
Reviewed
by APC and
not
recommend
ed
RED
formulary
for NEPFT.
Advise to
purchase
and check
concordanc
e.
Ondansetron
Injection
Chemo induced nausea
Hospital only
Possibly part of
a palliative care
package
Ondansetron oral
Chemo induced nausea
Hospital only
None foreseen
Oseltamivir for
influenza treatment
outside of NICE
guidelines
Hospital only
None foreseen
Osteogenic
factor-1 (OP1)
Hospital only
None foreseen
None foreseen
Possibly part of
a palliative care
package
bone
Oxandrolone
Oxycodone Injection
Anabolic steroids
Analgesic
Hospital only
Hospital only
Paediatric Seravit
Palonosetron
Food supplements
Chemo induced nausea
Hospital only
Hospital only
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
ACBS
If initiated by
cardiologist
None foreseen
None foreseen
None foreseen
Paraldehyde injn
Epilepsy
Hospital only
Parecoxib
Peri operative analgesic
Hospital only
Paricalcitol
Hyperparathyroidism
Hospital only
Pegaptanib
Ocular disorders
Hospital only
Pegfilgrastim
Pegvisomant
Pegylaytd interferon
Neutropenia
Acromegaly
All indications
Hospital only
Hospital only
Hospital only
None foreseen
None foreseen
None foreseen
Penicillamine
Metabolic Disorders
Hospital only
None foreseen
Pentamidine
Pneumocystis pneumonia
Hospital only
None foreseen
Pentoxifylline
Peripheral vascular disease
NICE TA223 may 2011
does not advocate use
Peptamen HN
Perative
Phenoxybenzamine
Enteral Feeds
Enteral Feeds
Phaeochromocytoma
Hospital only
Hospital only
Hospital only
Pigmanorm
Melanin induced
hyperpigmentation
Hospital only
Pilocarpine tablets
Xerostomia
Hospital only
Pimozide
Antipsychotic
NEPFT
prescribers
only
Pirenzepine
Antipsychotic
Posaconazole
Antifungal
NEPFT
prescribers
only. Not
licensed. For
side effects of
Clozapine
Hospital only
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
Nonformulary
for NEPFT.
Glass or
plastipak
syringes
only.
Form B
application.
None foreseen
NICE TA 155
Aug 2008
None foreseen
Refer to
NICE
Guidelines
None foreseen
ACBS
ACBS
None foreseen
None foreseen
None foreseen
RED
formulary
for NEPFT.
Marked side
effects.
Annual ECG
recommend
ed.
RED
formulary
for NEPFT
None foreseen
None foreseen
None foreseen
Povidone iodine eye
drops
Antibacterial
Primaquine
Malaria
Primidone (formerly Epilepsy
Mysoline)
Probenacid
patient)
(named Gout and cytotoxic
induced hyperuricaemia
Hospital only
None foreseen
Hospital only
Prodrug for
phenobarbiton
e. Except
existing
patients.
Difficulties with
supply.
Hospital only
None foreseen
None foreseen
Prochlorperazine
Antipsychotic
NEPFT
Proguanil
Malaria
Antipsychotic
Hospital only
Difficult to
obtain.
Unlicensed in
UK.
erratic
unpredictable
absorption, not
recommended
by BNF.
Alternatives
include
promethazine,
levomepromazi
ne, pericyazine,
chlorpromazine
, fluphenazine
Promazine IM
Promazine oral
(formerly Sparine)
Antipsychotic
Propantheline
Female urinary
incontinence & OAB. NICE
CG 40 OCT 2006 does not
recommend
Propiverine
Female urinary
incontinence. NICE CG 40
OCT 2006 does not
recommend
ProSource
Pulmonary
hypertension
treatments
Food supplements
Pulmonary arterial
hypertension
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
NHS West
Essex Female
Urinary
Incontinence
Formulary April
2010
NHS West
Essex Female
Urinary
Incontinence
Formulary April
2010
Hospital only
Hospital only
Nonformulary
for NEPFT
None foreseen
Not
recommend
ed for
psychosis
Nonformulary
for NEPFT
None foreseen
None foreseen
None foreseen
Nonformulary
for NEPFT
None foreseen
Refer to
NICE
Guidelines
None foreseen
Refer to
NICE
Guidelines
None foreseen
ACBS
None foreseen
PUVASoralen-8 1.2%
Bath Additive
Psoriasis
Hospital only
Pyrazinamide
Pyrimethamine
Quinagolide
TB
Malaria
Hyperprolactinaemia
Hospital only
Hospital only
Hospital only
None foreseen
None foreseen
Quinine Injection and
Oral
Malaria
Hospital only
None foreseen
Ranibizumab
Ocular disorders
Hospital only
NICE TA 155
Aug 2008
None foreseen
Ranolazine
Angina. NICE CG 126 Jul
2011
Refer to
NICE
Guidelines
None foreseen
Ribavirin
Risperidone oral
All indications
Antipsychotic children and
adolescents
Check Cardiac
network
position.
Hospital only
Hospital only
Rituximab
Cancer, haematology,
rheumatology
Hospital only
Roflumilast
COPD NICE TA 244 Jan
2012 use in clinical trials
only
Hospital only
Refer to
NICE
Guidelines
None foreseen
Romiplostim
ITP NICE TA 221 April
2011
Hospital only
None foreseen
Ropinirole
Restless legs syndrom
Rotigotine
Parkinsons
Hospital only
Refer to
NICE
Guidelines
APC
reviewed
and not
recommend
ed
JPG Nov
2010 - short
term use in
secondary
care only
Saccromyces boulardi
Prevention of clostridium
difficile
Hospital only
None foreseen
Salicylic Acid 40% in
WSP Ointment
All indications
Hospital only
None foreseen
Sativex
spray
Secobarbital
cannabis MS
Hypnotic
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
Hospital only
Hospital only
NHS West
Essex
Dermatolog
y Formulary
Adults
NEPFT
None foreseen
None foreseen
Adults
None foreseen
JPG Sept
2010 - not
recommend
ed
None foreseen
None foreseen
None foreseen
None foreseen
Sertindole
Antipsychotic
Sildenafil
Pulmonary arterial
hypertension
Silver Nitrate 75% or
95% applicator
Warts
Hospital only
Sodium Acid
Phosphate 1mmol/
1ml oral liquid
Phosphate supplement
Hospital only
None foreseen
Sodium Bicarbonate Chronic acidosis
8.4% oral solution
Hospital only
None foreseen
Sodium
Irrigation
Hospital only
None foreseen
Sodium Citrate
Constipation
Sodium hyaluronate Interstitial cystitis
&
chondroitin
iAluRil®
Hospital only
Hospital only
None foreseen
Sodium oxybate
Nacolepsy with cataplexy
Hospital only
None foreseen
Sodium
Phenylbutyrate
Metabolic disorders
Hospital only
None foreseen
Sodium
Phenylbutyrate
Metabolic disorders
Hospital only
None foreseen
Sodium Picosulfate
Bowel cleansing
Hospital only
None foreseen
Somatokine
Growth hormone
insensitivity in children
Hospital only
None foreseen
Spectinomycin
Streptomycin
Survimed OPD
St. Johns Wort
(Natures Aid 333mg
or 500mg, Power
200mg, 500mg,
Complex caps 334mg
by Vega, or FSC
500mg)
Antibiotic
TB
Enteral Feeds
Antidepressant.
Hospital only
Hospital only
Hospital only
CARE with
bioavailability
and
interactions.
None foreseen
None foreseen
None foreseen
None foreseen
Tadalafil
Pulmonary arterial
hypertension
Hospital only
Chloride Bladder clot retention
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
NEPFT
prescribers
only
Hospital only
RED
formulary
for NEPFT
None foreseen
None foreseen
Non
formulary
for NEPFT.
Patients
may be
advised to
purchase.
See NICE
guidelines for mild
depression.
None foreseen
Tamoxifen oral
Hospital only
None foreseen
Initiated by
Specialist
None foreseen
Sclerosing peritonitis in
patients with end stage
renal failure
Tapentadol SR
Unresolved pain and
oncology pain
Targinact
Teriparitide
Analgesic
Osteoporosis, Pagets
disease, hypercalcaemia of
malignancy NICE TA
160/161 Jan 2011
Hospital only
Refer to
NICE
Guidelines
Testosterone patch
Low libido in women with
surgically induced
menopausal who are
receiving oestrogen
Tetrabenazine
Drugs used in
parkinsonism and related
disorder
Hospital only
None foreseen
Tetracosactide
Injection/ Depo
Hypothalamic and
pituritary hormones and
anti-oestrogens
Hospital only
None foreseen
Tetrahydobiotin
Metabolic disorders
Hospital only
None foreseen
Thalidomide
Ticagrelor
All indications
ACS + aspirin. NICE TA 236
Oct 2011
Hospital only
Initiated by
specialist
None foreseen
Check cardiac
network
Tocilizumab
RA & JIA, NICE TA 238 Dec
2011 & TA 247 Feb 2012
Hospital only
Tolterodine
Female urinary
incontinence. NICE CG 40
OCT 2006
NHS West
Essex Female
Urinary
Incontinence
Formulary April
2010
Hospital only
Hospital only
REfer to
NICE
Guidelines
NEPFT
Nonformulary
Tolvaptan
Low sodium
Total
Parenteral IV feed
Nutrition
Tranylcypromine
Antidepressant MAOI
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
Risk-benefit
ratio not
assessed,
APC < 2009
None foreseen
check
formulary
None foreseen
Refer to
NICE
Guidelines
Refer to
NICE
Guidelines
None foreseen
check
formulary
None foreseen
None foreseen
None foreseen
None foreseen
None foreseen
for NEPFT
Travel vaccines
Travel
Tretinoin
Triclofos
Leukaemia
Paediatric insomnia
Hospital only
NEPFT
Trifluoperazine
Anxiety. Antipsychotic. All
preparations are
discontinued
NEPFT
Triumeq
(dolutegravir,
abacavir, lamivudine)
50mg, 300mg, 600mg
tablets
Tropisetron
Treatment of HIV infected
adults and adolescents
above 12 years of age
weighing at least 40kg.
Hospital Only.
Chemo induced nausea
Hospital only
Trospium
Female urinary
incontinence NICE CG 40
2006
Tryptophan
Antidepressant
Unfractionated
Heparin
Anti-coagulant
NHS West
Essex Female
Urinary
Incontinence
Formulary April
2010
NEPFT
prescribers
only
Hospital only
Urofollitrophin
Ustekinumab
Female infertility
Psoriasis. NICE TA 180
Sept 2009
Hospital only
Hospital only
Vardenafil
Erectile dysfunction
NEPFT
Vibro-Pulse
Cellulitis, Venous leg ulcers
disposable
covers
Vibro-Pulse
devise
non-prescribable on
fp10
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
Not to be
prescribed
on the NHS
except for
designated
exceptions see Green
Book
Nonformulary
for NEPFT
Nonformulary
for NEPFT
None foreseen
None foreseen
None foreseen
None foreseen
None foreseen
Refer to
NICE
Guidelines
None foreseen
RED
formulary
for NEPFT
None foreseen
None foreseen
Refer to
NICE
Guidelines
Nonformulary
for NEPFT.
Cochrane
review finds
insufficient
evidence on
CV therapy
None foreseen
None foreseen
Restricted in
NHS. See BNF.
None foreseen
Vigabactrin
Epilepsy
NEPFT
Vitamin B
Intravenous Injection
Vitamin B
Hospital only
Voriconazole
Zaleplon (Sonata)
Antifungal
Insomnia. NICE TA 77 April
2004
Hospital only
NEPFT
Ziconotide
Zoledronic Acid
Zotepine (Zoleptil)
Analgesic
All indications
Antipsychotic
(for Schizophrenia)
Hospital only
Hospital only
NEPFT
Zuclopenthixol
acetate injection
Antipsychotic
NEPFT
prescribers
only
Dr Rob Gerlis, Chair
Clare Morris, Chief Officer
Nonformulary
for NEPFT
Except for
existing
patients
None foreseen
None foreseen
Refer to
NICE
Guidelines
APC <2009
Nonformulary
for NEPFT ,
high side
effect
profile.
Discontinue
d.
RED
formulary
for NEPFT
None foreseen
None foreseen
None foreseen
None foreseen
None foreseen
None foreseen