Patients intolerant of mesalazine or sulfasalazine. Balsalazide is AR in the Black Country formulary, i.e. for prescribing in primary care after specialist recommendation.

Prescribe Beconase and Nasobec by brand. Check individual products for formulary status.

Tabets for Gastroenterology use only. The tablets and enemas are AR in the Black Country formulary, i.e. for prescribing in primary care after specialist recommendation. The orodispersible tablets (Jorveza) are Red in the Black Country formulary, i.e. for hosital prescribing only.

For respiratory uses check individual formulations to check formulary status and prescribe by brand.

Targeted release budesonide (Kinpeygo) is indicated for the treatment of primary immunoglobulin A (IgA) nephropathy in line with NICE TA 937 is funded by ICB. Blueteq form must be completed for Black Country ICB.

Etrasimod is a treatment option in ulcerative colitis in patients who staisfy the NICE TA and provided that baseline testing has been performed and noted.

This is commissioned by the ICB so please check if a Blueteq form is available for patients before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

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

Hydrocortisone should be prescribed generically.

This is ICB commissioned for patients who meet the pathway and NICE guidance 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.

Ozanimod is a treatment option in ulcerative colitis in patients who staisfy the NICE TA.

This is commissioned by the ICB so please check if a Blueteq form is available for patients before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

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 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 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.

Severe Crohn's disease in children 

Severely active ulcerative colitis in children

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

Linactolide is AR  in the Black Country formulary, i.e. for prescribing in primary care after specialist recommendation.

Check indiviudal products for formulary status.

Prescribe by brand as they are not bio-equivalent

Arachis oil is Red in the Black country formulary, i.e. for hospital prescribing only

Palliative care. Co-danthramer is AR in the Black Country formulary, i.e. for prescribing in primary care after specialist recommendation.

Palliative care. Co-danthrusate is AR in the Black Country formulary, i.e. for prescribing in primary care after specialist recommendation.

Naldemedine is AR in the Black Country formulary, i.e. for prescribing in primary care after specialist recommendation.

Naloxegol is AR in the Black Country formulary, i.e. for prescribing in primary care after specialist recommendation.

Prucalopride is AI in the Black Country formulary, i.e. for prescribing in primary care following specialist initiation.

Bowel cleansing prior to endoscopy, radiotherapy. Sodium picosulfate is AR in the Black Country formulary, i.e. for prescribing in primary care after specialist recommendation.

Colestyramine is AR in the Black Country formulary, i.e. for prescribing in primary care after specialist recommendation.

Ursodeoxycholic acid is AR in the Black Country formulary, i.e. for prescribing in primary care after specialist recommendation.

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

ITU, Gastroenterology, and Consultant Gynaecologists in myomectomy

Vasopressin is not avaible, we stock argipressin (synthetic vasopressin).

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

This is commissioned by the ICB for obesity and a Blueteq form must be completed before prescribing, but please note, BSol patients do not require a Blueteq form. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Wegovy is Red in the Black Country IMOC formulary and is restricted to prescribing by commissioned clinics in secondary care by a consultant led specialist multidisciplinary Tier 3 weight management service with a commercial agreement in place. Prescribe by brand on a hospital outpatient form ONLY to avoid patients inadvertently receiving a different product licensed for type 2 diabetes and to ensure that hospital discount is obtained. Do not prescribe using FP10s.

Ozempic and Rybelsus should be prescribed ONLY for type 2 diabetes. 

For obesity only for patients treated by the weight management clinic who meet the NICE criteria.

Colesevelam is allowed for the treatment of bile acid diarrhoea while supply problems continue with colestyramine.

Colesevelam is AR in the Black Country formulary, i.e. for prescribing in primary care after specialist recommendation.

Colestyramine is AR in the Black Country formulary, i.e. for prescribing in primary care after specialist recommendation.

The higher strength preparations are consultant use only.

Check the medicinal forms as not all formulations are formulary.

Pancreatin is AR in the Black Country formulary, i.e. for prescribing in primary care after specialist recommendation.

Lansoprazole is the preferred proton pump inhibitor. Esomeprazole is second-line.

Nizatidine is the first-line drug but because of ongoing supply problems famotidine can be used if necessary.

Orodispersible tablets for cases of swallowing difficulties only

Consultant Obstetricians only as per RCOG protocol for post partum haemorrhage.
Misoprostol is Red in the Black Country formulary, i.e. for hospital prescribing only.

MUPS®  and liquid are restricted to paediatrics only. The infusion is Red in the Black Country formulary, i.e. for hospital use only.

Lansoprazole is the preferred proton pump inhibitor and omeprazole second-line

DTC officer decision

Lansoprazole is the preferred proton pump inhibitor and omeprazole second-line

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

Lansoprazole is the preferred proton pump inhibitor. Esomeprazole is second-line.

Nizatidine is the first-line drug but because of ongoing supply problems famotidine can be used if necessary.

Orodispersible tablets for cases of swallowing difficulties only

MUPS®  and liquid are restricted to paediatrics only. The infusion is Red in the Black Country formulary, i.e. for hospital use only.

Lansoprazole is the preferred proton pump inhibitor and omeprazole second-line

DTC officer decision

Lansoprazole is the preferred proton pump inhibitor and omeprazole second-line

Gaviscon Advance is black  in the Black Country IMOC formulary