netFormulary Berkshire West NHS NHS
Royal Berkshire NHS Foundation Trust
Berkshire Healthcare NHS Foundation Trust
Berkshire West Clinical Commissioning Group
 
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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  Expand sub section  Bronchodilators
03.01  Expand sub section  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  Expand sub section  Chronic obstructive pulmonary disease
03.01  Expand sub section  Croup
03.01.01  Expand sub section  Adrenoceptor agonists to top
03.01.01.01  Expand sub section  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
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item tablets / Accuhaler / MDI / Easi-Breathe / nebuliser / injection / oral solution / 
   
Salbutamol (SalamolEasi-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  Expand sub section  Short-acting beta2 agonists
03.01.01.01  Expand sub section  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  Expand sub section  Other adrenoceptor agonists
03.01.02  Expand sub section  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  Expand sub section  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  Expand sub section  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  Expand sub section  Peak flow meters, inhaler devices and nebulisers
03.01.05  Expand sub section  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  Expand sub section  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  Expand sub section  Nebulisers
03.01.05  Expand sub section  Nebuliser Diluent
Sodium Chloride 0.9%
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item
 
   
 ....
 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
 
Compressors  (Omron compAIR CX)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Compressors  (Omron CX3)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Compressors  (System 22 CR60)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Compressors  (Turboneb)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Drug Delivery Device  (Able Spacer)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Drug Delivery Device  (AeroChamber Plus)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Drug Delivery Device  (E-Z Spacer)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Drug Delivery Device  (E-Z Spacer)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Drug Delivery Device  (Nebuchamber)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Drug Delivery Device  (PARI Vortex Spacer)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Drug Delivery Device  (Pocket Chamber)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Drug Delivery Device  (Spinhaler)

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

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

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

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Formoterol Fumarate  (Alimos Modulite)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >>see generic drug
 
Formoterol Fumarate  (Foradil)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >>see generic drug
 
Glycopyrrolate inhaler  (Seebri breezhaler)

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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

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Home Compressors with Nebulisers  (AC 200 HI FLO)

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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)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Home Compressors with Nebulisers  (De-Vibiss 4650)

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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)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Home Compressors with Nebulisers  (Freeway Freedom)

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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)

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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
 
Indacaterol/glycopyrronium  (Ultibro)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Jet Nebulisers  (Medix Lifecare Nebuliser System)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Jet Nebulisers  (Medix Lifecare Nebuliser Chamber)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Jet Nebulisers  (PARI LC SPRINT)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Jet Nebulisers  (PARI LC SPRINT BABY)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Jet Nebulisers  (Sidestream Durable)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Jet Nebulisers  (Ventistream)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Low range peak flow meter  (Pocketpeak)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Nedocromil  (Tilade CFC-free inhaler)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Olodaterol  (Strivers Respimat)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Orciprenaline Sulphate  (Alupent)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Salbutamol  (Asmasal Clickhaler)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Salbutamol  (Ventmax SR capsules )

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Salbutamol  (Volmax)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >>see generic drug
 
Salmeterol Diskhaler

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust>> NON - Formulary Item Diskhaler
 
Sodium Cromoglicate

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Sodium Cromoglicate  (Comogen Easi-Breathe)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >>see generic drug
 
Standard range peak flow meter  (MicroPeak)

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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)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Ultrasonic Nebulisers  (Omron NE-U17)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Ultrasonic Nebulisers  (Ultra Neb 2000)

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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