| Eye | |||||
|---|---|---|---|---|---|
| Eye / Bacterial eye infection | |||||
| azithromycin | Restricted | ||||
|
AZITHROMYCIN
|
|||||
| Oral suspension | |||||
| Zithromax (Pfizer Ltd) | Off Formulary | ||||
| Powder for solution for infusion | |||||
| Zedbac (Aspire Pharma Ltd) | Off Formulary | ||||
| cefuroxime | Restricted | ||||
| chloramphenicol | On Formulary | ||||
|
CHLORAMPHENICOL
On microbiological advice only (injection only). The capsules are restricted to use for sepsis according to the PGD This is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only. |
|||||
| Ear drops | |||||
| Chloramphenicol (Non-proprietary) | Restricted | ||||
| Eye drops | |||||
| Chloramphenicol (Non-proprietary) | On Formulary | ||||
| ciprofloxacin | Restricted | ||||
|
CIPROFLOXACIN
750mg tablets are not stocked. The IV form is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only. The eye drops are AR, i.e. may be prescribed in primary care after specialist ophthalmologist recommnedation. |
|||||
| Eye drops | |||||
| Ciloxan (Novartis Pharmaceuticals UK Ltd) | Restricted | ||||
|
Ciprofloxacin eye drops
These are AR in the Black Country formulary and restricted to specialist ophthalmologyst recommendation |
|||||
| fusidic acid | Restricted | ||||
|
FUSIDIC ACID
The cream and eye drops are Green in the Black Country IMOC formulary. |
|||||
|
FUSIDIC ACID
The IV form is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only. |
|||||
| Modified-release drops | |||||
| Fusidic acid (Non-proprietary) | On Formulary | ||||
| gentamicin | Restricted | ||||
|
GENTAMICIN
Only thre 0.3% eye drops are formulary and AR, i.e. may be prescribed in primary care after specialist recommendation and only with positive culture with sensitivity data The IV form is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only. |
|||||
| Solution for injection | |||||
| Gentamicin (Non-proprietary) | On Formulary | ||||
| Cidomycin (Advanz Pharma) | Off Formulary | ||||
| levofloxacin | Restricted | ||||
|
LEVOFLOXACIN
Escalation of antibiotic therapy for community acquired pneumonia during coronavirus pandemic; severe hospital acquired pneumonia; or as recommended by microbiology. The IV form is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only. |
|||||
|
LEVOFLOXACIN
Consultant ophthalmologists in patients undergoing intravitreal injections who are allergic to chloramphenicol and allergic to/intolerant of preservatives
|
|||||
| Eye drops | |||||
| Levofloxacin (Non-proprietary) | Restricted | ||||
|
Levofloxacin eye
This is AR in the Black Country IMOC formulary for sensitive organisms. |
|||||
| Oftaquix (Santen UK Ltd) | Restricted | ||||
| moxifloxacin | Restricted | ||||
|
MOXIFLOXACIN
For multi-resistant TB including patients on ITU. This is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only on Microbiology advice
|
|||||
| ofloxacin | Restricted | ||||
|
OFLOXACIN
Not be used for the treatment of bacterial conjunctivitis. The oral and IV forms are Red in the Black Country IMOC formulary, i.e. for hospital prescribing only on Microbiology or GUM advice. The eye drops are AR on the advice of a specialist |
|||||
| Eye drops | |||||
| Exocin (AbbVie Ltd) | Restricted | ||||
| propamidine isetionate | Restricted | ||||
|
PROPAMIDINE ISETIONATE
First-line treatment of Acanthamoeba keratitis infection as recommended by BMEC. All other indications are Black |
|||||
| tobramycin | Off Formulary |
NICE TA276 |
|||
|
TOBRAMYCIN
The nebulised brands are High Cost Drugs and restricted only to patients with cystic fibrosis. This is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only.
|
|||||
| Eye / Ophthalmic herpes simplex | |||||
| aciclovir | On Formulary | ||||
|
Aciclovir
Thie IV form is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only. |
|||||
| Dispersible tablet | |||||
| Aciclovir (Non-proprietary) | Restricted | ||||
|
Aciclovir
The tablets are AR for ophthalmic indications |
|||||
| Eye ointment | |||||
| Aciclovir (Non-proprietary) | On Formulary | ||||
| ganciclovir | Restricted | ||||
|
GANCICLOVIR
Ophthalmology - Second line agent for patients non-responsive to or intolerant of aciclovir Or on Microbiology advice only. This is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only. |
|||||
| Eye gel | |||||
| Virgan (Thea Pharmaceuticals Ltd) | Restricted | ||||
| Eye / Allergic conjunctivitis | |||||
| antazoline with xylometazoline | Off Formulary | ||||
| azelastine hydrochloride | On Formulary | ||||
|
AZELASTINE HYDROCHLORIDE
ENT consultants. For ophthalmological use this may be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased. |
|||||
| diclofenac sodium | On Formulary | ||||
| Eye drops | |||||
| Voltarol Ophtha Multidose (Thea Pharmaceuticals Ltd) | On Formulary | ||||
|
Diclofenac eye drops
This is AR in the Black Country formulary, i.e. can be prescribed in primary care after specialist recommendation. |
|||||
| epinastine hydrochloride | Off Formulary | ||||
| ketotifen | Off Formulary | ||||
| Eye drops | |||||
| Ketofall (Scope Ophthalmics Ltd) | Off Formulary | ||||
| Zaditen (Thea Pharmaceuticals Ltd) | Off Formulary | ||||
| lodoxamide | On Formulary | ||||
|
Lodoxamide
This may be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased. |
|||||
| olopatadine | On Formulary | ||||
| Eye drops | |||||
| Opatanol (Novartis Pharmaceuticals UK Ltd) | Off Formulary | ||||
| sodium cromoglicate | On Formulary | ||||
| Oral solution | |||||
| Sodium cromoglicate (Non-proprietary) | Off Formulary | ||||
| Eye drops | |||||
| Sodium cromoglicate (Non-proprietary) | On Formulary | ||||
| Catacrom (Rayner Pharmaceuticals Ltd) | On Formulary | ||||
| Eycrom (Aspire Pharma Ltd) | On Formulary | ||||
| Opticrom (Thornton & Ross Ltd) | On Formulary | ||||
| Eye / Inflammatory eye conditions | |||||
| adalimumab | Restricted |
NICE TA187 NICE TA329 NICE TA199 NICE TA195 NICE TA375 NICE TA715 NICE TA383 NICE TA392 NICE TA146 NICE TA460 |
|||
| betamethasone | On Formulary | ||||
|
Diprosone
Diprosone is AR in the Black Country IMOG formulary, i.e. it may be prescribed in primary care after a specialist recommendation. |
|||||
| ciclosporin | Restricted |
NICE TA369 |
|||
|
CICLOSPORIN
For transplant rejection or licensed uses by dermatology, ophthalmology, and rheumatology consultants - all other use requires the approval of the FTG. 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 by brand. |
|||||
| Solution for infusion | |||||
| Sandimmun (Novartis Pharmaceuticals UK Ltd) | Off Formulary | ||||
| Eye drops | |||||
| Cequa (Sun Pharma UK Ltd) | On Formulary | ||||
| Ikervis (Santen UK Ltd) | On Formulary | ||||
| Verkazia (Santen UK Ltd) | Restricted | ||||
|
Verkazia
This ia AR in the Black Country formulary for vernal keratoconjuntivitis licensed for children (over 4years old) and adolecents (not adults). |
|||||
| dexamethasone | On Formulary |
NICE TA229 NICE TA824 NICE TA460 |
|||
|
DEXAMETHASONE
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.
|
|||||
| Oral solution | |||||
| Dexsol (Rosemont Pharmaceuticals Ltd) | Off Formulary | ||||
| Eye drops | |||||
| Maxidex (Novartis Pharmaceuticals UK Ltd) | Off Formulary | ||||
| dexamethasone with framycetin sulfate and gramicidin | |||||
| Ear/eye drops solution | |||||
| Sofradex (Neon Healthcare Ltd) | Off Formulary | ||||
| dexamethasone with hypromellose, neomycin and polymyxin B sulfate | On Formulary | ||||
| fluocinolone acetonide | Restricted |
NICE TA590 NICE TA953 |
|||
| Prolonged-release intravitreal implant | |||||
| Iluvien (Alimera Sciences Ltd) | Restricted | ||||
| fluorometholone | Restricted | ||||
|
FLUOROMETHOLONE
Second line for patients who have experienced rise in intraoccular pressure with other corticosteroids. This is AR in the Black Country formulary and restricted to specialist ophthalmologist recommendation. |
|||||
| Eye drops | |||||
| FML Liquifilm (AbbVie Ltd) | Off Formulary | ||||
| nepafenac | Restricted | ||||
|
Nepafenac
This is Red in the Black Country formulary, i.e. for hospital prescribing only. |
|||||
| prednisolone | On Formulary | ||||
| Oral solution | |||||
| Prednisolone (Non-proprietary) | On Formulary | ||||
| Eye drops | |||||
| Prednisolone (Non-proprietary) | Restricted | ||||
|
Prednisolone eye drops
This is AR in the Black Country formulary |
|||||
| Pred Forte (AbbVie Ltd) | On Formulary | ||||
| Eye / Anterior uveitis | |||||
| atropine sulfate | On Formulary | ||||
| Eye drops | |||||
| Atropine sulfate (Non-proprietary) | On Formulary | ||||
| cyclopentolate hydrochloride | On Formulary | ||||
| Eye drops | |||||
| Mydrilate (Esteve Pharmaceuticals Ltd) | On Formulary | ||||
| homatropine hydrobromide | Off Formulary | ||||
| Eye / Eye procedures | |||||
| acetylcholine chloride | Restricted | ||||
|
ACETYLCHOLINE CHLORIDE
This is Red in the Black Country formulary |
|||||
| apraclonidine | Restricted | ||||
|
APRACLONIDINE
For use on advice of specialist. This is AI for treatment of chronic glaucoma, i.e. can be prescribed in primary care after specialist initialisation. The 1% preservative free version is very expensive.Only for patients with a known preservative allergy, known ocular surface disease or those with raised intraocular pressure despite treatment with 0.5% drops. This is Red for short term post operative use
|
|||||
| Eye drops | |||||
| Iopidine (Essential Pharma Ltd) | Restricted | ||||
| atropine sulfate | On Formulary | ||||
| Eye drops | |||||
| Atropine sulfate (Non-proprietary) | On Formulary | ||||
| cyclopentolate hydrochloride | On Formulary | ||||
| Eye drops | |||||
| Mydrilate (Esteve Pharmaceuticals Ltd) | On Formulary | ||||
| fluorescein sodium | On Formulary | ||||
|
Fluorescein sodium
This is Red in the Black Country formulary |
|||||
| Eye drops | |||||
| Fluorescein sodium (Non-proprietary) | On Formulary | ||||
| lidocaine hydrochloride | On Formulary | ||||
| Spray | |||||
| Stud 100 (Pound International Ltd) | Off Formulary | ||||
| Cutaneous cream | |||||
| Vagisil medicated (Combe International Ltd) | Off Formulary | ||||
| phenylephrine hydrochloride | Restricted | ||||
|
PHENYLEPHRINE HYDROCHLORIDE
Restricted uses - ITU/ NNU, Theatres, Cardiology. This (including eye drops) is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only. |
|||||
| Solution for injection | |||||
| Phenylephrine hydrochloride (Non-proprietary) | Restricted | ||||
| Eye drops | |||||
| Phenylephrine hydrochloride (Non-proprietary) | Restricted | ||||
| phenylephrine with tropicamide | Off Formulary | ||||
| povidone-iodine | On Formulary | ||||
| Eye drops | |||||
| Povidone-iodine (Non-proprietary) | Restricted | ||||
|
Povidone-iodine
The eye drops are Red in the Black Country formulary |
|||||
| tropicamide | Restricted | ||||
|
Tropicamide
This is Red in the Black Country formulary, i.e. for hospital prescribing only |
|||||
| Eye drops | |||||
| Tropicamide (Non-proprietary) | Restricted | ||||
| Mydriacyl (Alcon Eye Care UK Ltd) | On Formulary | ||||
| tropicamide with phenylephrine and lidocaine | Off Formulary | ||||
| Eye / Post-operative pain and inflammation | |||||
| bromfenac | Restricted | ||||
|
Bromfenac
This is Red in the Black Country formulary |
|||||
| diclofenac sodium | Restricted | ||||
| Eye drops | |||||
| Voltarol Ophtha Multidose (Thea Pharmaceuticals Ltd) | On Formulary | ||||
|
Diclofenac eye drops
This is AR in the Black Country formulary, i.e. can be prescribed in primary care after specialist recommendation. |
|||||
| fluorescein with lidocaine | Restricted | ||||
|
Fluorescein with lidocaine
This is Red in the Black Country formulary, i.e. for hospital prescribing only. |
|||||
| flurbiprofen | Restricted | ||||
| ketorolac trometamol | Restricted | ||||
| Solution for injection | |||||
| Ketorolac trometamol (Non-proprietary) | Restricted | ||||
| Toradol (Atnahs Pharma UK Ltd) | Off Formulary | ||||
| Eye drops | |||||
| Acular (AbbVie Ltd) | On Formulary | ||||
| loteprednol etabonate | Restricted | ||||
|
LOTEPREDNOL ETABONATE
Second line for patients who have experienced rise in intraoccular pressure with other corticosteroids. This is AR in the Black Country formulary |
|||||
| oxybuprocaine hydrochloride | Restricted | ||||
|
Oxybuprocaine
This is Red in the Black Country formulary, i.e. for hospital prescribing only. |
|||||
| proxymetacaine hydrochloride | Restricted | ||||
|
Proxymetacaine
This is Red in the Black Country formulary, i.e. for hospital prescribing only. |
|||||
| tetracaine | Restricted | ||||
| Cutaneous gel | |||||
| Ametop (Alliance Pharmaceuticals Ltd) | On Formulary | ||||
| Eye / Glaucoma and ocular hypertension | |||||
| acetazolamide | Restricted | ||||
|
Acetazolamide
This is Black for high-altitude sickness and Red (for hospital prescribing only) for epilepsy in the Black Country IMOG formulary. For ophthalmological indications the injection is Red and oral formulations are AR |
|||||
| Powder for solution for injection | |||||
| Diamox (Advanz Pharma) | Off Formulary | ||||
| apraclonidine | Restricted | ||||
|
APRACLONIDINE
For use on advice of specialist. This is AI for treatment of chronic glaucoma, i.e. can be prescribed in primary care after specialist initialisation. The 1% preservative free version is very expensive.Only for patients with a known preservative allergy, known ocular surface disease or those with raised intraocular pressure despite treatment with 0.5% drops. This is Red for short term post operative use
|
|||||
| Eye drops | |||||
| Iopidine (Essential Pharma Ltd) | Restricted | ||||
| betaxolol | On Formulary | ||||
|
BETAXOLOL
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
|||||
| Eye drops | |||||
| Betaxolol (Non-proprietary) | Off Formulary | ||||
| Betoptic (Immedica Pharma AB) | On Formulary | ||||
| bimatoprost | Restricted | ||||
|
BIMATOPROST
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
|||||
| Eye drops | |||||
| Lumigan (AbbVie Ltd) | Restricted | ||||
| bimatoprost with timolol | Restricted | ||||
|
Bimatoprost with timolol
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
|||||
| brimonidine tartrate | Restricted | ||||
|
BRIMONIDINE TARTRATE
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. For rosacea Mirvaso gel is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only. |
|||||
| Eye drops | |||||
| Alphagan (AbbVie Ltd) | Off Formulary | ||||
| brimonidine with timolol | Restricted | ||||
|
Brimonidine with timolol
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
|||||
| brinzolamide | On Formulary | ||||
|
Brinzolamide
This is AR in the Black Country formulary, i.e may be prescribed in primary care after specialist recommendation. |
|||||
| Eye drops | |||||
| Azopt (Novartis Pharmaceuticals UK Ltd) | On Formulary | ||||
| brinzolamide with brimonidine | Restricted | ||||
|
Brinzolamide with brimonidine
This is AR in the Black Country formulary, i.e may be prescribed in primary care after specialist recommendation. |
|||||
| brinzolamide with timolol | Restricted | ||||
|
Brinzolamide with timolol
This is AR in the Black Country formulary, i.e may be prescribed in primary care after specialist recommendation. |
|||||
| dorzolamide | Restricted | ||||
|
DORZOLAMIDE
This is AR in the Black Country formulary, i.e may be prescribed in primary care after specialist recommendation. |
|||||
| Eye drops | |||||
| Dorzolamide (Non-proprietary) | Restricted | ||||
| Trusopt (Santen UK Ltd) | Off Formulary | ||||
| dorzolamide with timolol | Restricted | ||||
|
Dorzolamide with timolol
This is AR in the Black Country formulary, i.e may be prescribed in primary care after specialist recommendation. |
|||||
| latanoprost | Restricted | ||||
|
LATANOPROST
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
|||||
| Eye drops | |||||
| Latanoprost (Non-proprietary) | Restricted | ||||
| Monopost (Thea Pharmaceuticals Ltd) | Restricted | ||||
| Xalatan (Viatris UK Healthcare Ltd) | Off Formulary | ||||
| latanoprost with netarsudil | Restricted |
NICE TA1009 |
|||
|
Latanoprost with netarsudil
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
|||||
| latanoprost with timolol | Restricted | ||||
|
Latanoprost with timolol
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
|||||
| levobunolol hydrochloride | Restricted | ||||
|
Levobunolol
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
|||||
| pilocarpine | On Formulary | ||||
|
PILOCARPINE
This is AR in the Black Country formulary, i.e may be prescribed in primary care after specialist recommendation. Only thr 1%, 2% and 4% strengths. |
|||||
| Eye drops | |||||
| Pilocarpine (Non-proprietary) | On Formulary | ||||
| tafluprost | Restricted | ||||
|
TAFLUPROST
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
|||||
| tafluprost with timolol | On Formulary | ||||
|
Tafluprost with timolol
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
|||||
| timolol maleate | On Formulary | ||||
|
Timolol
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
|||||
| travoprost | On Formulary | ||||
|
Travoprost
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
|||||
| Eye drops | |||||
| Travoprost (Non-proprietary) | On Formulary | ||||
| Travatan (Novartis Pharmaceuticals UK Ltd) | On Formulary | ||||
| Visutrax (Visufarma UK Ltd) | On Formulary | ||||
| travoprost with timolol | Restricted | ||||
|
Travoprost with timolol
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
|||||
| Eye / Optic neuropathy | |||||
| idebenone | Off Formulary |
NICE TA1093 |
|||
| Eye / Retinopathy of prematurity | |||||
| ranibizumab [Specialist drug] | Restricted |
NICE TA298 NICE TA274 NICE TA283 NICE TA155 |
|||
| Eye / Diabetic retinopathy | |||||
| ranibizumab [Specialist drug] | Restricted |
NICE TA298 NICE TA274 NICE TA283 NICE TA155 |
|||
| Eye / Macular oedema | |||||
| brolucizumab [Specialist drug] | Restricted |
NICE TA672 NICE TA820 |
|||
|
Brolucizumab
This is Red in the Black Country formulary, i.e. for hospital prescribing only. |
|||||
| dexamethasone | Restricted |
NICE TA229 NICE TA824 NICE TA460 |
|||
|
DEXAMETHASONE
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.
|
|||||
| Oral solution | |||||
| Dexsol (Rosemont Pharmaceuticals Ltd) | Off Formulary | ||||
| Eye drops | |||||
| Maxidex (Novartis Pharmaceuticals UK Ltd) | Off Formulary | ||||
| faricimab [Specialist drug] | Restricted |
NICE TA799 NICE TA1004 NICE TA800 |
|||
|
Faricimab
In line with the NICE TA and Trust pathway and provided that a Blueteq form is completed before prescribing. This is Red in the Black Country formulary. |
|||||
| fluocinolone acetonide | Nice-approved drug |
NICE TA590 NICE TA953 |
|||
|
FLUOCINOLONE ACETONIDE
Dermatology - Dr D Thompson's patients with hypersensitivities Opthalmology - This is commissioned by NHSE for the treatment of recurrent 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. This is Red in the Black Country formulary. All other ophthalmological indications are ICB commissioned and a Blueteq form should be completed where available. |
|||||
| Prolonged-release intravitreal implant | |||||
| Iluvien (Alimera Sciences Ltd) | Restricted | ||||
| ranibizumab [Specialist drug] | Restricted |
NICE TA298 NICE TA274 NICE TA283 NICE TA155 |
|||
|
RANIBIZUMAB
This is commissioned by NHSE for choroidal neovascularisation in Paediatrics 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 also require a Blueteq form. This is Red in the Black Country formulary, i.e. for hospital prescribing only. |
|||||
| Eye / Macular degeneration | |||||
| aflibercept [Specialist drug] | Restricted |
NICE TA294 NICE TA305 NICE TA346 NICE TA409 NICE TA486 NICE TA307 |
|||
|
Aflibercept
This is commissioned by NHSE for myopic choroidal neovascularisation 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 indications are ICB commissioned and also require a Blueteq form. This is Red in the Black Country formulary, i.e. for hospital prescribing only. A biosimilar product, Afqlir, will be rolled out i nthe Trust from February 2026. |
|||||
| bevacizumab [Specialist drug] | Restricted |
NICE TA242 NICE TA1136 NICE TA178 NICE TA214 NICE TA263 NICE TA284 NICE TA285 NICE TA666 NICE TA946 NICE TA1022 |
|||
| brolucizumab [Specialist drug] | Restricted |
NICE TA672 NICE TA820 |
|||
|
Brolucizumab
This is Red in the Black Country formulary, i.e. for hospital prescribing only. |
|||||
| faricimab [Specialist drug] | Restricted |
NICE TA799 NICE TA1004 NICE TA800 |
|||
|
Faricimab
In line with the NICE TA and Trust pathway and provided that a Blueteq form is completed before prescribing. This is Red in the Black Country formulary. |
|||||
| ranibizumab [Specialist drug] | Restricted |
NICE TA298 NICE TA274 NICE TA283 NICE TA155 |
|||
|
RANIBIZUMAB
This is commissioned by NHSE for choroidal neovascularisation in Paediatrics 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 also require a Blueteq form. This is Red in the Black Country formulary, i.e. for hospital prescribing only. |
|||||
| verteporfin [Specialist drug] | Restricted | ||||
|
VERTEPORFIN
No formulary determination has been made by the Black Country IMOC |
|||||
| Eye / Dry eye conditions | |||||
| acetylcysteine | On Formulary | ||||
|
ACETYLCYSTEINE
Acetylcysteine 5% licensed product commercially available and on formulary; acetylcysteine 10% preserved (currently unavailable, June 14) and acetylcysteine 10% preservative free are unlicensed products and are restricted to corneal consultant only. Prescribe in-house not on FP10HP. Acetylcysteine 600mg effervescent tablets (sugar free) are the most cost-effective mucolytic and may aid compliance due to once daily dosing. Capsules, 200mg sachets and non-sugar effervescent free tablets are significantly more expensive. |
|||||
| Eye drops | |||||
| Ilube (Rayner Pharmaceuticals Ltd) | On Formulary | ||||
|
Ilube
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
|||||
| carbomers | On Formulary | ||||
| Eye drops | |||||
| Artelac Nighttime (Bausch & Lomb UK Ltd) | On Formulary | ||||
| Clinitas Carbomer (Altacor Ltd) | On Formulary | ||||
| GelTears (Bausch & Lomb UK Ltd) | On Formulary | ||||
| Lumecare Long Lasting (Medicom Healthcare Ltd) | Off Formulary | ||||
| Viscotears (Bausch & Lomb UK Ltd) | On Formulary | ||||
| Eye gel | |||||
| Liquivisc (Thea Pharmaceuticals Ltd) | On Formulary | ||||
| carmellose sodium | On Formulary | ||||
| Eye drops | |||||
| Optive (Allergan Ltd) | Off Formulary | ||||
| hydroxypropyl guar with polyethylene glycol and propylene glycol | Off Formulary | ||||
| hyetellose | Off Formulary | ||||
| Eye drops | |||||
| Hyetellose (Non-proprietary) | Off Formulary | ||||
| hypromellose | Off Formulary | ||||
| Eye drops | |||||
| Hypromellose (Non-proprietary) | Off Formulary | ||||
| hypromellose with dextran 70 | Off Formulary | ||||
|
Hypromellose with dextran
OTC preparation suitable for self-care/purchase if appropriate. May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased. |
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| liquid paraffin with white soft paraffin and wool alcohols | On Formulary | ||||
| pilocarpine | On Formulary | ||||
|
PILOCARPINE
This is AR in the Black Country formulary, i.e may be prescribed in primary care after specialist recommendation. Only thr 1%, 2% and 4% strengths. |
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| Eye drops | |||||
| Pilocarpine (Non-proprietary) | On Formulary | ||||
| Oral tablet | |||||
| Pilocarpine (Non-proprietary) | Off Formulary | ||||
| Salagen (Norgine Pharmaceuticals Ltd) | Off Formulary | ||||
| polyvinyl alcohol | On Formulary | ||||
| Eye drops | |||||
| Liquifilm Tears (Allergan Ltd) | Off Formulary | ||||
| retinol palmitate with white soft paraffin, light liquid paraffin, liquid paraffin and wool fat | On Formulary | ||||
| sodium chloride | On Formulary | ||||
|
SODIUM CHLORIDE
For 0.9% solution use Normasol sachets. Hypertonic sodium chloride is AR in the Black Country IMOC formulary, i.e. can be prescribed in primary care after specialist recommendation. Check individual products to see formulary status |
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| Modified-release tablet | |||||
| Slow Sodium (Stirling Anglian Pharmaceuticals Ltd) | On Formulary | ||||
| Oral solution | |||||
| Sodium chloride (Non-proprietary) | On Formulary | ||||
| Eye drops | |||||
| Sodium chloride (Non-proprietary) | On Formulary | ||||
| Aeon Sodium Chloride (Rayner Pharmaceuticals Ltd) | Restricted | ||||
|
Aeon
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
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| Hypersal (Ennogen Healthcare Ltd) | Restricted | ||||
|
Hypersal
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
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| ODM5 (Kestrel Ophthalmics Ltd) | Restricted | ||||
|
ODM5
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
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| SodiEye (TriOn Pharma Ltd) | Restricted | ||||
|
SodiEye
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
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| sodium hyaluronate | On Formulary | ||||
| Eye drops | |||||
| Sodium hyaluronate (Non-proprietary) | On Formulary | ||||
| Evolve HA (Medicom Healthcare Ltd) | On Formulary | ||||
| Eyeaze (Ridge Pharma Ltd) | On Formulary | ||||
| Hy-Opti (Alissa Healthcare Research Ltd) | On Formulary | ||||
| Hyabak (Thea Pharmaceuticals Ltd) | On Formulary | ||||
| HydraMed (Farmigea S.p.A.) | On Formulary | ||||
| Hylo-Comod (Scope Ophthalmics Ltd) | Off Formulary | ||||
| Oxyal (Bausch & Lomb UK Ltd) | Off Formulary | ||||
| Vismed (TRB Chemidica (UK) Ltd) | On Formulary | ||||
| VisuXL (Visufarma UK Ltd) | On Formulary | ||||
| sodium hyaluronate with trehalose | On Formulary | ||||
| Eye drops | |||||
| Thealoz Duo (Thea Pharmaceuticals Ltd) | On Formulary | ||||
| yellow soft paraffin | On Formulary | ||||
| Eye ointment | |||||
| Yellow soft paraffin (Non-proprietary) | On Formulary | ||||