Dispersible tablets and suppositories for use in the Trust only.

Enteric coated tablets are for second-line use and for blister packs.

Gastro-resistant tablets are available for the PGD for patients at moderate or high risk of pre-eclampsia ONLY

Consultants. This is AR in the Black Country IMOC formulary, i.e. it can be prescribed in primary care on the recommendation of a consultant rheumatologist.

Historic patients can continue on treatment.

This is AR in the Black Country IMOC formulary, i.e. it can be prescribed in primary care on the recommendation of a consultant rheumatologist.

Please prescribe generically. The injection and any use for dysmenorrhoea is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

For cardiovascular use this is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

Gynaecology for dysmennorhoea only. Please prescribe generically, all branded products, tablets and oral suspension are Black in the Black Country IMOG formulary.

First choice in patients requiring a non-steroidal anti-inflammatory and for whom ibuprofen is insufficient. Please prescribe generically.

This is AI in the Black Country IMOC formulary for Paediatric Rheumatology patients only. Please prescribe generically.

Intravitreal treatment by consultant ophthalmologists in accordance with the NICE guidelines and criteria. This is Red in the Black Country formulary.

This is commissioned by NHSE for non-infectious uveitis in post-pubescent children and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

All other ophthalmological indications for the implant are ICB commissioned and a Blueteq form should be completed, if available.

Hydrocortisone in inflammatory bowel disease is AR in the Black Country formulary.

Hydrocortisone should be prescribed generically.

Tablets are restricted for the treatment of relapsing multiple sclerosis only.

The Black Country IMOC formulary status of methylprednisolone products is dependent on the indication: For endocrine indications the status is Black for musculoskeletal and neurology indications products will be in the formulary.

The Black Country IMOC formulary status of triamcinolone products is dependent on the indication: For endocrine indications the status is Black for musculoskeletal and neurology indications products will be in the formulary.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is AR in the Black Country IMOC formulary, i.e. it can be prescribed in primary care on the recommendation of a consultant rheumatologist.

Treatment by Consultant rheumatologists in accordance with the NICE guidelines and criteria. This is second-line after allopurinol.

For cardiovascular use this is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

First choice in patients requiring a non-steroidal anti-inflammatory and for whom ibuprofen is insufficient. Please prescribe generically.

 This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is commissioned by NHSE

1. for the treatment of severely active ulcerative colitis in children, or

2. for the treatment of severe Crohn's disease in children, or

3. for the treatment of non-infectious uveitis in adults, or

4. for the treatment of severe refractory uveitis in children, or

5. for the treatment of posterior-segment involving non-infectious uveitis in children, or 

6. or treating moderate to severe hidradenitis suppurativa

and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

All other indications are ICB commissioned and a Blueteq form is required before prescribing, if available.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is commissioned by NHSE for the treatment of Adult-Onset Still's Disease (AOSD) or Systemic Juvenile Idiopathic Arthritis (JIA), periodic fevers and autoinflmatory diseases, and haemophagocyticlymphohistiocytosis and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is commssioned by NHSE for the indications below and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Any other use is non-formulary and the non-formulary request process should be followed. 

Rheumatoid arthritis in chhildren

Monogenic interferonopathies

Other indications are commissioned by the ICB and please check if a Blueteq form is available.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is commissioned by ICBs for indications covered by NICE TAs and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Qutenza is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only.

Please prescribe by brand.

Consultants. This is AR in the Black Country IMOC formulary, i.e. it can be prescribed in primary care on the recommendation of a consultant rheumatologist.

For patients who comply with the requirements of NICE TA 574 and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

For malaria this is Black in the Black Country IMOC formulary for prophylaxis, but can be supplied on a private prescription. For all other uses it is Green.

This is commssioned by NHSE for the indications below and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Plaque psoriasis in children and young people

Use in adults is commissioned by the ICBs so please check that  relevant Blueteq form is available

Any other use is non-formulary and the non-formulary request process should be followed.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is AR in the Black Country IMOC formulary, i.e. it can be prescribed in primary care on the recommendation of a consultant rheumatologist.

This is commssioned by NHSE for the indications below and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Moderately to severely active ulcerative colitis in post-pubertal children 

Other indications may be commissioned by ICBs so please check Blueteq status.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

For patients who comply with the requirements of the NICE TAs and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

Also indicated for Crohn's disease and ulcerative colitis.

This is SC in the Black Country IMOC formulary, i.e. it can be prescribed in primary care on the completion of the RMOC ESCA.

Please prescribe generically. The injection and any use for dysmenorrhoea is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

For cardiovascular use this is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

This is commssioned by NHSE for the indications below and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Treating primary hypercholesterolaemia or mixed dyslipidaemia

Treating psoriasis in children and young people

Refractory or Progressive Neurosarcoidosis (Adults and Post-pubescent Children)

Treatment of severely active ulcerative colitis in children

Treatment of severe Crohn's disease in children

Other indications are commissioned by the ICBs so please check if there is a Blueteq form for the particular patient.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

Consultant Rheumatologists. This is SC in the Black Country IMOC formulary, i.e. it can be prescribed in primary care on the completion of the RMOC ESCA.

Gynaecology for dysmennorhoea only. Please prescribe generically, all branded products, tablets and oral suspension are Black in the Black Country IMOG formulary.

For oncological treatment, or for immunological therapy by those experienced - for oral treatment only the 2.5mg tablets are stocked. The solution for injection should be prescribed by brand and the patient should be maintained on that brand due to device familiarity.

This is an oral anti-cancer drug and so F1 doctors must not prescribe it, nor may they transcribe prescriptions for it.
For further details see the NPSA alert at this link
The dose is usually weekly
NPSA improving compliance with oral methotrexate guidelines

For use in gastroenterology, methotrexate is SC in the Black Country formulary, i.e. for prescribing in primary care on completion of the RMOC ESCA. The patient's brand must be specified.

First choice in patients requiring a non-steroidal anti-inflammatory and for whom ibuprofen is insufficient. Please prescribe generically.

Rheumatology, Wilson's disease. For arthritis this is Black in the Black Country IMOG formulary but historic patients can continue on treatment.

This is AI in the Black Country IMOC formulary for Paediatric Rheumatology patients only. Please prescribe generically.

This is commissioned by NHSE

1. for the treatment of ANCA-associated vasculitis in adults, or

2. for refractory Systemic Lupus Erythematosus (SLE) in Adults and children, or 

3. for adult and post-pubescent patients for the prevention of Delayed Haemolytic Transfusion Reactions and Hyperhaemolysis in patients with haemoglobinopathies, or 

4. for the treatment of immunobullous disease in adults and children with pemphigoid (as 4th line treatment), or 

5. for the treatment of immunobullous disease in adults and children with pemphigus (as 3rd line treatment), or

6. in combination with venetoclax for the treatment of previously treated chronic lymphatic leukaemia

and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

All other indications are ICB commissioned and a Blueteq form is required before prescribing, if available.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is commissioned by NHSE for severe hidradenitis suppurativa in adults and a Blueteq form must be completed before prescribing

All other indications - psoriatic arthritis, psoriasis, and non-radiographic axial spondylarthritis are commissioned by the ICBs and require the appropriate Blueteq form, if available. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

For use in Gastroenterology sulfasalazine is SC in the Black Country IMOC formulary, i.e. for prescribing in primary care on completion of the RMOC ESCA. Please prescribe by brand.

This is commissioned by NHSE for

1. the treatment of Adult-Onset Still's Disease, and

2. for the treatment of giant cell arteritis

in adults. Other indications for use are also commissioned by NHSE and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

For COVID-19, tocilizumab (Roactemra) is available to inpatients if used within the NICE criteria.
Use outside the NICE criteria will require:
• Formulary and Therapeutic Group approval.
• Completion of a Blueteq form

All other use of tocilizumab is commissioned by the ICBs and please check if a Blueteq form is available before prescribing.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is commssioned by NHSE for the indications below and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Moderate to severe rheumatoid arthritis

Active psoriatic arthritis after inadequate response to DMARDs in children

Moderately to severely active ulcerative colitis in children

Juvenile idiopathic arthritis

Use in adults is commissioned by ICBs and please check if a Blueteq form is available before prescribing.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is commssioned by NHSE for the indications below and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Active psoriatic arthritis after inadequate response to DMARDs

Moderate to severe atopic dermatitis 

Other indications are commissioned by ICBs so please check if a Blueteq form is available before prescribing

Upadactinib is also allowed for the treatment of active ankylosing spondylitis for patients who qualify for the manufacturer's free-of-charge scheme pending a positive NICE TA.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is commssioned by NHSE for the indications below and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Moderately to severely active Crohn's disease in children

Moderately to severely active ulcerative colitis in children

Plaque psoriasis in children aged 6-11 years old

Plaque psoriasis in children aged 12-17 years old 

Other indications in adults are commissioned by the ICBs so please check if there is a Blueteq form before prescribing

This is AR in the Black Country IMOC formulary, i.e. it can be prescribed in primary care on the completion of the RMOC ESCA.

This is commssioned by NHSE for the indications below and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Any other use is non-formulary and the non-formulary request process should be followed. 

Muscluar dystrophy

This is commssioned by NHSE for the indications below and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Spinal muscular atrophy.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is commssioned by NHSE for the indications below and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Spinal muscular atrophy.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is commssioned by NHSE for the indications below and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Any other use is non-formulary and the non-formulary request process should be followed. 

Second line of treatment of patients of all ages for the management of delayed Haemolytic Transfusion Reactions and Hyperhaemolysis in patients with haemoglobinopathies

Aypical haemolytic uraemic syndrome.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

Theatres.

This is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

This is Red for malaria only in the Black Country IMOC formulary, i.e. for hospital prescribing only.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

This is for use by Consultant Cardiologists only. Any other use is non-formulary and not funded.

For peri-operative sedation this is Red in the Black Country IMOC formulary, i.e for hospital prescribing only.

Consultant neurologists and those with special interest in stroke or neurodisability.

This is AR in the Black Country IMOC formulary, i.e. it can be prescribed in primary care on the recommendation of a consultant neurologist.