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 Formulary Chapter 3: Respiratory system - Full Chapter
Notes:
This formulary is used by multiple organisations. There may be some instances where an item is on the formulary for one organisation but not the others. To help distinguish between each organisation, text will be colour coded, i.e. information relating to the Royal Berkshire NHS Foundation Trust will be in blue and Berkshire Healthcare NHS Foundation Trust will be in purple. Please ensure you read all information detailed under a drug.   
Chapter Links...
 Details...
03.01  Bronchodilators
03.01  Asthma
Reslizumab (Cinqaero®)
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Formulary
Red
High Cost Medicine
note NHS England Commissioning requirements for funding apply; approval may be required prior to use. Please contact pharmacy for details prior to prescribing this item. Royal Berkshire NHS Foundation Trust >> Formulary Item >> injection> Restricted Item ONLY in line with NICE TA - link below  
Link  NICE TA 479 - Reslizumab for treating severe eosinophilic asthma
   
03.01  Chronic obstructive pulmonary disease
03.01  Croup
03.01.01  Adrenoceptor agonists to top
03.01.01.01  Selective Beta2 agonists
Salbutamol (Ventolin®)
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First Choice
Green
Evohaler is the first choice reliever.

Royal Berkshire NHS Foundation Trust >> Formulary Item tablets / Accuhaler / MDI / Easi-Breathe / nebuliser / injection / oral solution /
 
Bambuterol (Bambec®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item tablets
 
   
Formoterol
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item Dry powder for inhalation
 
   
Indacaterol (Onbrez® powder for inhalation )
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item dry powder inhaler - 2nd line - Respiratory Team use ONLY
 
   
Salbutamol (Salamol®Easi-Breathe)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler
 
   
Salbutamol IV
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Formulary
Red
Royal Berkshire NHS Foundation Trust >> Formulary Item
 
   
Salmeterol
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item MDI (Evohaler) / Accuhaler  
   
Terbutaline
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item dry powder inhaler / injection / nebuliser solution


Inhalers are Green 
   
03.01.01.01  Short-acting beta2 agonists
03.01.01.01  Long-acting beta2 agonists
Fluticasone fuorate / Vilanterol  (Relvar® Ellipta®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler - in line with COPD Algorithm (link below) - on Respiratory team advice ONLY
 
Link  APC ClinDoc 007 - Algorithm for the use of inhaled therapies in COPD
   
03.01.01.02  Other adrenoceptor agonists
03.01.02  Antimuscarinic bronchodilators to top
Aclidinium / Formoterol (Duaklir Genuair®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler - in line with COPD Algorithm (link below) - on Respiratory team advice ONLY
 
Link  APC ClinDoc 007 - Algorithm for the use of inhaled therapies in COPD
   
Ipratropium Bromide
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item aerosol inhaler / nebuliser solution (brands vary)
 
   
Ipratropium Bromide (Atrovent®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item see generic for details
 
   
Ipratropium Bromide (Ipratropium Steri-Neb®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item see generic for details
 
   
Ipratropium Bromide (Respontin®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item see generic for details
 
   
Tiotropium (Braltus Zonda®)
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Formulary
Green
In COPD ONLY, the Handihaler should be used in preference to the Respimat which is 2nd line.

Royal Berkshire NHS Foundation Trust >> Formulary Item Zonder Inhaler - in line with COPD Algorithm (link below) - on Respiratory team advice ONLY
 
Link  APC 144 Braltus Zonda
Link  APC ClinDoc 007 - Algorithm for the use of inhaled therapies in COPD
   
Tiotropium (Spiriva®)
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Formulary
Green
In COPD ONLY, the Handihaler should be used in preference to the Respimat which is 2nd line.

Royal Berkshire NHS Foundation Trust >> Formulary Item Handihaler / Respimat - initiation restricted to Respiratory Team ONLY
 
Link  APC ClinDoc 007 - Algorithm for the use of inhaled therapies in COPD
   
Umeclidinium (Incruse® Ellipta®)
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Formulary
Green

Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler - in line with COPD Algorithm (link below) - on Respiratory team advice ONLY

 
Link  APC ClinDoc 007 - Algorithm for the use of inhaled therapies in COPD
   
03.01.03  Theophylline
Aminophylline (Phyllocontin Continus®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item tablets
 
   
Aminophylline IV
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Formulary
Red
Royal Berkshire NHS Foundation Trust >> Formulary Item injection  
   
Theophylline
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item MR capsules / MR tablets
 
   
Theophylline (Nuelin® SA MR Tablets)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item MR tablets >
 
   
Theophylline (Slo-Phyllin® MR capsules )
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item MR Capsules
 
   
Theophylline (Uniphyllin® Continus MR Tablets)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item MR tablets
 
   
03.01.04  Compound bronchodilator preparations
Ipratropium bromide with salbutamol (Combivent®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item nebuliser
 
   
Tiotropium / Olodaterol (Spiolto Respimat®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler - in line with COPD Algorithm (link below) - on Respiratory team advice ONLY
 
Link  APC ClinDoc 007 - Algorithm for the use of inhaled therapies in COPD
   
Umeclidinium / Vilanterol  (Anoro® Ellipta®)
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Formulary
Green

Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler - in line with COPD Algorithm (link below) - on Respiratory team advice ONLY

 
Link  APC ClinDoc 007 - Algorithm for the use of inhaled therapies in COPD
   
03.01.05  Peak flow meters, inhaler devices and nebulisers
03.01.05  Peak flow meters
Low range peak flow meter (Mini-Wright®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item device
 
   
Standard range peak flow meter (Mini-Wright®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item device
 
   
03.01.05  Drug delivery devices to top
Drug Delivery Device (AeroChamber®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item Infant (mask) / Child (mask) / Standard (mask) / Standard (without mask)
 
   
Drug Delivery Device (AeroChamber® Plus Flow-Vu)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item Infant (mask) / Child (mask) / Standard (mask) / Standard (without mask)
 
   
Drug Delivery Device (Babyhaler®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item device
 
   
Drug Delivery Device (Haleraid®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item device
 
   
Drug Delivery Device (Nebuhaler®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item device
 
   
Drug Delivery Device (Volumatic®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item device
 
   
Drug Delivery Device (Paediatric Volumatic®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item device
 
   
03.01.05  Nebulisers
03.01.05  Nebuliser Diluent
Sodium Chloride 0.9%
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item
 
   
03.02  Corticosteroids
Beclometasone (Clenil Modulite®)
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First Choice
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler
 
Beclometasone and formoterol (Fostair®)
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Restricted Drug Restricted
Green
This is the preferred first line choice for combination inhalers.

Royal Berkshire NHS Foundation Trust >> Formulary Item MDI inhaler / NEXThaler - Restricted Item  new initiation restricted to Respiratory Team ONLY; Continuation therapy NO restrictions

For COPD initiation - See algorithm below
 
Fluticasone and formoterol (Flutiform®)
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First Choice
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler
 
beclometasone dipropionate / formoterol fumarate dihydrate / glycopyrronium (Trimbow®)
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Restricted Drug Restricted
Amber without Prescribing Guidelines

Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler - on Respiratory team advice ONLY 

 
Link  APC 174 Trimbow for COPD
   
Beclometasone
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler (generic)
 
   
Beclometasone (Qvar®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler not routinely stocked
 
   
Budesonide (Pulmicort® Respules)
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Restricted Drug Restricted
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item Respells Restricted Item  restricted to hospital inpatient treatment of acute crupe ONLY
 
   
Budesonide (Pulmicort® Turbohaler)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item Turbohaler
 
   
Budesonide and Formoterol (DuoResp Spiromax®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler - on Respiratory team advice ONLY
 
   
Budesonide and formoterol (Symbicort® Turbohaler)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler - on Respiratory Team Advice ONLY
 
   
Fluticasone (Flixotide®)
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Restricted Drug Restricted
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item Evohaler / Accuhaler - Restricted Item  Restricted to use on the advice of Respiratory consultants for adult patients uncontrolled on over 1000micrograms daily of inhaled beclometasone or budesonide. Also for specialist Paediatric use
 
   
Fluticasone and salmeterol (Seretide®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item Accuhaler / Evohaler
 
   
Fluticasone Propionate and Salmeterol Xinafoate (AirFluSal Forspiro®)
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Formulary
Green

Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler - on Respiratory team advice ONLY 

 
   
03.03  Cromoglicate, related therapy and leukotriene receptor antagonists
03.03.01  Cromoglicate and related therapy to top
Sodium Cromoglicate (Intal®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item Inhaler 5mg Pressurised Inhalation Suspension
 
   
03.03.01  Related therapy
03.03.02  Leukotriene receptor antagonists
Montelukast (Singulair®)
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Restricted Drug Restricted
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item tablets / chewable tablets / granules (generic available) - Restricted Item  for specialist Paediatric use an Respiratory use ONLY  
   
03.03.03  Phosphodiesterase type-4 inhibitors
Roflumilast (Daxas®)
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Formulary
Red
Royal Berkshire NHS Foundation Trust >> Formulary Item tablets - ONLY in line with NICE TA (link below)
 
Link  NICE TA 461 - Roflumilast for treating chronic obstructive pulmonary disease
   
03.04  Antihistamines, hyposensitisation, and allergic emergencies
03.04.01  Antihistamines to top
03.04.01  Non-sedating antihistamines
Cetirizine
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item tablets / oral solution
 
Link  APC ClinDoc 025 - Guidelines on Antihistamines, Intranasal Steroid Sprays and Drops (Nasules)
   
Loratadine
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item tablets / syrup
 
Link  APC ClinDoc 025 - Guidelines on Antihistamines, Intranasal Steroid Sprays and Drops (Nasules)
   
03.04.01  Sedating antihistamins
Chlorphenamine IV
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Formulary
Red
Royal Berkshire NHS Foundation Trust >> Formulary Item
 
   
Chlorphenamine Maleate
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item tablets / syrup / inaction
 
   
Chlorphenamine Maleate (Piriton®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item see generic drug for details
 
   
Hydroxyzine Hydrochloride (Atarax®)
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Formulary
Green

Royal Berkshire NHS Foundation Trust >> Formulary Item tablets

 
   
Hydroxyzine Hydrochloride (Ucerax®)
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Formulary
Green

Royal Berkshire NHS Foundation Trust >> Formulary Item tablets / syrup

 
   
Promethazine Hydrochloride (Phenergan®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item tablets / Elixir
 
   
03.04.02  Allergen Immunotherapy
BenralizumabBlack Triangle (Fasenra®)
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Formulary
Red
High Cost Medicine
NHS England

note NHS England Commissioning requirements for funding apply; approval required prior to use. Please contact pharmacy for details prior to prescribing this item.

Royal Berkshire NHS Foundation Trust >> Formulary Item >>Injection
Restricted Item ONLY in line with NICE TA - link below

 
Link  NICE TA 565: Benralizumab for treating severe eosinophilic asthma
   
Mepolizumab (Nucala®)
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Restricted Drug Restricted
Red
High Cost Medicine
NHS England
BlueTeq

note NHS England Commissioning requirements apply; Blueteq Application required. Please contact pharmacy for details prior to prescribing this item.

Royal Berkshire NHS Foundation Trust >> Formulary Item injection
Restricted Item ONLY in line with NICE TA - link below

 
   
03.04.02  Omalizumab
Omalizumab (Xolair®)
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Formulary
Red
High Cost Medicine
NHS England
BlueTeq

note NHS England Commissioning requirements apply; Blueteq Application required. Please contact pharmacy for details prior to prescribing this item.

Royal Berkshire NHS Foundation Trust >> Formulary Item injection
Restricted Item ONLY in line with NICE TA - link below

 
Link  MHRA safety update - Omalizumab: potential risk of arterial thrombotic events
Link  NICE TA 278 - Omalizumab for treating severe persistent allergic asthma
Link  NICE TA 339 - Omalizumab for previously treated chronic spontaneous urticaria
   
03.04.03  Allergic emergencies to top
03.04.03  Anaphylaxis
Adrenaline  (Emerade auto injector)
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Formulary
Green

Royal Berkshire NHS Foundation Trust >> Formulary Item injection

 
Link  POC (APC) 136 prescribing quantity guidance for adrenaline autoinjectors
   
Adrenaline / Epinephrine ( Adrenaline 1 in 1000)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item
 
Link  POC (APC) 136 prescribing quantity guidance for adrenaline autoinjectors
   
Adrenaline / Epinephrine (Epipen®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item
 
Link  POC (APC) 136 prescribing quantity guidance for adrenaline autoinjectors
   
Adrenaline / Epinephrine (Jext®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item
 
Link  POC (APC) 136 prescribing quantity guidance for adrenaline autoinjectors
   
03.04.03  Angioedema
03.04.03  Intramuscular adrenaline (epinephrine)
03.04.03  Intravenous adrenaline (epinephrine)
03.04.03  Self-administration of adrenaline (epinephrine) to top
03.05  Respiratory stimulants and pulmonary surfactants
03.05.01  Respiratory stimulants
Doxapram Hydrochloride (Dopram®)
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Formulary
Red
Royal Berkshire NHS Foundation Trust >> Formulary Item injection / infusion
 
   
03.05.02  Pulmonary surfactants
Poractant Alfa (Curosurf®)
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Restricted Drug Restricted
Red
Royal Berkshire NHS Foundation Trust >> Formulary Item Restricted Item  surfactants are restricted to specialist use in neonatal respiratory distress syndrome by consultant paediatricians and specialist registrars ONLY
 
   
03.06  Oxygen
03.06  Long-term oxygen therapy to top
03.06  Short burst oxygen therpary
03.06  Ambulatory oxygen therapy
03.06  Oxygen therapy equipment
03.06  Arrangements for supplying oxygen
03.07  Mucolytics to top
Carbocisteine
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item capsules / liquid
 
   
03.07  Dornase alfa
Dornase Alfa (Pulmozyme®)
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Restricted Drug Restricted
Red
For CF patients, funding is from NHS England and prescriptions must be issued in hospital

Royal Berkshire NHS Foundation Trust >> Formulary Item Restricted Item  Specialist Paediatric use ONLY
 
   
03.07  Hypertonic Sodium Chloride
Hypertonic sodium chloride (MucoClear® 3%)
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Restricted Drug Restricted
Green

Royal Berkshire NHS Foundation Trust >> Formulary Item Restricted Item Information on restriction for treatment of cystic fibrosis only 

 
   
Sodium Chloride 7% (Nebusal®)
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Restricted Drug Restricted
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item Restricted Item Information on restriction for treatment of cystic fibrosis only
 
   
03.08  Aromatic inhalations
Menthol and Eucalyptus Inhalation BP 1980
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item
 
   
03.09  Cough preparations
03.09.01  Cough suppressants to top
Codeine Linctus BP
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item liquid
 
   
Codeine Phosphate
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item tablets / oral solution
 
Controlled Drug Injection Only
   
03.09.01  Palliative care
Controlled Drug Methadone Hydrochloride (Methadone® Linctus)
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Restricted Drug Restricted
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item Restricted Item  Palliative Care use ONLY
 
   
Controlled Drug Morphine Hydrochloride
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Restricted Drug Restricted
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item Restricted Item  Palliative Care use ONLY
 
   
03.09.02  Expectorant and demulcent cough preparations
Simple Linctus, BP
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item liquid
 
   
Simple Linctus, Paediatric BP
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item liquid
 
   
03.10  Systemic nasal decongestants
Pseudoephedrine Hydrochloride (Sudafed®)
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Restricted Drug Restricted
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item tablets - Restricted Item  for specialist ENT use ONLY
 
   
03.11  Antifibrotics
Pirfenidone Capsules (Esbriet®)
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Formulary
Red
High Cost Medicine
NHS England

note NHS England Commissioning requirements for funding apply; approval may be required prior to use. Please contact pharmacy for details prior to prescribing this item. Royal Berkshire NHS Foundation Trust >> Formulary Item >> capsules> Restricted Item ONLY in line with NICE TA - link below

 
Link  NICE TA 282: Pirfenidone for treating idiopathic pulmonary fibrosis
Link  NICE TA 504: Pirfenidone for treating idiopathic pulmonary fibrosis
   
 ....
 Non Formulary Items
Aclidinium  (Eklira Genuair®)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Acrivastine

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Adrenaline / Epinephrine  (Anapen®)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Adrenaline / Epinephrine  (Minijet® Adrenaline 1 in 1000)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item -MINIJET device not on formulary - contact pharmacy for advice
 
Adrenaline / Epinephrine  (Minijet® Adrenaline 1 in 10000)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item -MINIJET device not on formulary - contact pharmacy for advice
 
Alimemazine Tartrate  (Vallergan® tablets)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Ammonia and Ipecacuanha Mixture BP

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Beclometasone Dipropionate  (Beclazone Easi-Breathe®)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Bee and Wasp Allergen Extracts  (Pharmalgen®)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Beractant  (Survanta®)

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Non Formulary
Red
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Bilastine  (Ilaxten®)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Budesonide  (Novolizer®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - other budesonide brands/ devices available - contact pharmacy for advice
 
C1 Esterase Inhibitor  (Berinert®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Red
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
C1 esterase inhibitor  (Cinryze® )

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Red
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Ciclesonide  (Alvesco®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Clemastine  (Tevegil®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Codeine Linctus, Paediatric BP

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Compressors  (Omron® compAIR CX)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Compressors  (Omron® CX3)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Compressors  (System 22® CR60)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Compressors  (Turboneb®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Conestat Alfa  (Ruconest®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Red
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Cyproheptadine  (Periactin®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Desloratadine  (Neoclarityn®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Drug Delivery Device  (Able Spacer®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Drug Delivery Device  (AeroChamber Plus®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Drug Delivery Device  (E-Z Spacer®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Drug Delivery Device  (E-Z Spacer®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Drug Delivery Device  (Nebuchamber®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Drug Delivery Device  (PARI Vortex® Spacer)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Drug Delivery Device  (Pocket Chamber®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Drug Delivery Device  (Spinhaler®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Duovent

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Ephedrine Hydrochloride tablets

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Erdosteine  (Erdotin®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Fenoterol

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Fexofenadine

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Fluticasone furoate / umeclidinium / vilanterol  (Trelegy® Ellipta)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Amber without Prescribing Guidelines

Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice

Link  APC 183 Fluticasone furoate_umeclidinium_vilanterol (Trelegy® Ellipta)
 
Formoterol Fumarate  (Alimos® Modulite)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >>see generic drug
 
Formoterol Fumarate  (Foradil®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >>see generic drug
 
Glycopyrrolate inhaler  (Seebri breezhaler®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
2nd line use only in patients unable to tolerate or failing to respond to tiotropium

Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice

 
Glycopyrrolate/ indacaterol inhaler

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Grass and Tree Pollen Extract  (Pollinex®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Grass pollen extract  (Grazax®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Brown
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
Link  TVPC Policy Statement 109: Grazax® allergy vaccine for moderate to severe seasonal rhinitis (grass pollen hay fever)
 
Home Compressors with Nebulisers  (AC 200® HI FLO)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Home Compressors with Nebulisers  (AC 4000®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Home Compressors with Nebulisers  (Aquilon®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Home Compressors with Nebulisers  (De-Vibiss 4650®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Home Compressors with Nebulisers  (De-Vibiss 5650®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Home Compressors with Nebulisers  (Econoneb®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Home Compressors with Nebulisers  (Freeway Freedom®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Home Compressors with Nebulisers  (PARI BOY Mobile® S)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Home Compressors with Nebulisers  (PARI JuniorBOY ®S)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Home Compressors with Nebulisers  (PARI TurboBOY® S)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Home Compressors with Nebulisers  (Porta-Neb®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Home Compressors with Nebulisers  (Tourer®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Home Compressors with Nebulisers  (ultima®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Home Compressors with Nebulisers  (World Traveller® HI FLO)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Hypertonic sodium chloride  (MucoClear®7%)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >>see generic drug
 
Icatibant  (Firazyr®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Red
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Indacaterol/glycopyrronium  (Ultibro®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Ivacaftor

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Red
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice

***This treatment is commissioned by Not NHSEngland ***
 
Jet Nebulisers  (Medix® Lifecare Nebuliser System)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Jet Nebulisers  (Medix® Lifecare Nebuliser Chamber)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Jet Nebulisers  (PARI LC® SPRINT)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Jet Nebulisers  (PARI LC® SPRINT BABY)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Jet Nebulisers  (Sidestream® Durable)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Jet Nebulisers  (Ventistream®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Karvol

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Ketotifen  (Zaditen®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Levocetirizine  (Xyzal®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Low range peak flow meter  (Pocketpeak®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Lumacaftor/Ivacaftor  (Orkambi®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Brown

Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice 

Link  APC 085 New Drugs - Policy for managing the entry of new drugs in primary care
Link  NOT Recommended by NICE - TA 398 - Lumacaftor–ivacaftor for treating cystic fibrosis homozygous for the F508del mutation
 
Mecysteine Hydrochloride  (Visclair®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Mizolastine  (Mizollen®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Mometasone Furoate  (Asmanex® Twisthaler)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Nedocromil  (Tilade® CFC-free inhaler)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Olodaterol  (Strivers Respimat®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Orciprenaline Sulphate  (Alupent®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Pholcodine  (Galenphol®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Pholcodine Linctus, BP

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Pholcodine Linctus, Strong, BP

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Pseudoephedrine Hydrochloride  (Gulpseud®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Rupatadine

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Salbutamol  (Asmasal Clickhaler®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Salbutamol  (Ventmax® SR capsules )

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Salbutamol  (Volmax®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >>see generic drug
 
Salmeterol Diskhaler

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust>> NON - Formulary Item Diskhaler
 
Sodium Cromoglicate

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Sodium Cromoglicate  (Comogen Easi-Breathe®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >>see generic drug
 
Standard range peak flow meter  (MicroPeak®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Standard range peak flow meter  (Piko-1®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Standard range peak flow meter  (Pocketpeak®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Standard range peak flow meter  (Vitalograph®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Ultrasonic Nebulisers  (F16 Wave®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Brown
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Ultrasonic Nebulisers  (Liberty®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Ultrasonic Nebulisers  (Omron MicroAIR®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Ultrasonic Nebulisers  (Omron® NE-U17)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Ultrasonic Nebulisers  (Ultra Neb ®2000)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Zafirlukast  (Accolate®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
  
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

Medicines which should be prescribed by specialists only  

Brown

Drugs that have been reviewed and not recommended for prescribing. These drugs are not considered a cost-effective use of scarce NHS resources. There may be individual patient-specific or clinical reasons why a drug deemed low priority may be suitable for a particular patient. This is for the GP to consider, weighing up the reasons against his/her allocated CCG budget. Where the decision is made to prescribe a low priority drug, detailed documentation must be included in the patients' notes for audit purposes. *Please note that low priority drug requests are unsuitable for the Case Review Committee and therefore should not be sent to this committee. Where new drugs come to market, under APC policy 085, they will be classified Brown until a review is deemed necessary.  

Amber Prescribing Guidelines

Medicines that should be initiated or recommended by a specialist for continuation in primary care. The specialist must notify the primary care provider that the prescribing responsibility has been transferred. Prescribing Guidelines are in place and must be adhered to.  

Amber without Prescribing Guidelines

Medicines that should be initiated or recommended by a specialist for continuation in primary care. The specialist must notify the primary care provider that the prescribing responsibility has been transferred. Prescribing Guidelines are not required for these items.  

Green

Medicines suitable for routine use and can be prescribed within primary care within their licensed indication in accordance with the BNF or other recognised national formulary. Primary care prescribers take full responsibility for prescribing  

Amber

Not Used   

netFormulary