| Enteral feeds (non-disease specific) / Enteral feeds (non-disease specific): 5 g (or more) protein/100 mL / Enteral feeds: 1.5 kcal/mL and 5 g (or more) protein/100 mL |
| |
Fresubin® 2250 Complete
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Fresubin® HP Energy
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Nutrison® Energy
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Nutrison® Energy Multi Fibre
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Enteral feeds (non-disease specific) / Enteral feeds (non-disease specific): 5 g (or more) protein/100 mL / Enteral feeds: Less than 1.5 kcal/mL and 5 g (or more) protein/100 mL |
| |
Fresubin® 1000 Complete
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Fresubin® 1200 Complete
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Fresubin® 1800 Complete
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Nutrison® 1000 Complete Multi Fibre
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Nutrison® 1200 Complete Multi Fibre
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Nutrison® 800 Complete Multi Fibre
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Nutrison® Protein Plus
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Nutrison® Protein Plus Multifibre
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Peptamen® HN
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Enteral feeds (non-disease specific) / Enteral feeds (non-disease specific): Child under 12 years / Enteral feeds, Child: 1.5 kcal/mL and more than 4 g protein/100 mL |
| |
Nutrini® Energy
|
NON-FORMULARY
|
| |
Nutrini® Energy Multifibre
|
NON-FORMULARY
|
| |
PaediaSure® Plus
|
NON-FORMULARY
|
| |
PaediaSure® Plus fibre
|
NON-FORMULARY
|
| |
Peptamen® Junior Advance
|
NON-FORMULARY
|
| |
Tentrini® Energy
|
NON-FORMULARY
|
| |
Tentrini® Energy Multifibre
|
NON-FORMULARY
|
| Enteral feeds (non-disease specific) / Enteral feeds (non-disease specific): Child under 12 years / Enteral feeds, Child: 1 kcal/mL and less than 4 g protein/100 mL |
| |
Frebini® Original
|
NON-FORMULARY
|
| |
Frebini® Original Fibre
|
NON-FORMULARY
|
| |
Infatrini®
|
NON-FORMULARY
|
| |
Nutrini®
|
NON-FORMULARY
|
| |
Nutrini® Multifibre
|
NON-FORMULARY
|
| |
PaediaSure® Fibre
|
NON-FORMULARY
|
| |
PaediaSure® Peptide
|
NON-FORMULARY
|
| |
Paediasure®
|
NON-FORMULARY
|
| |
Tentrini®
|
NON-FORMULARY
|
| |
Tentrini® Multifibre
|
NON-FORMULARY
|
| Enteral feeds (non-disease specific) / Enteral feeds (non-disease specific): Child under 12 years / Enteral feeds, Child: 1 kcal/mL and less than 4 g protein/100 mL / Hydrolysate Formula |
| |
Nutrini® Peptisorb
|
NON-FORMULARY
|
| Enteral feeds (non-disease specific) / Enteral feeds (non-disease specific): Child under 12 years / Enteral feeds, Child: Less than 1 kcal/mL and less than 4 g protein/100 mL |
| |
Nutrini® Low Energy Multifibre
|
NON-FORMULARY
|
| Enteral feeds (non-disease specific) / Enteral feeds (non-disease specific): Child under 12 years / Enteral feeds, Child: More than 1 kcal/mL and less than 4 g protein/100 mL |
| |
Frebini® Energy
|
NON-FORMULARY
|
| |
Frebini® Energy Fibre
|
NON-FORMULARY
|
| Enteral feeds (non-disease specific) / Enteral feeds (non-disease specific): less than 5 g protein/100 mL / Enteral feeds: 1 kcal/mL and less than 5 g protein/100 mL |
| |
Fresubin® 1500 Complete
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Fresubin® Original Fibre
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Fresubin® Original tube feed
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Nutrison®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Nutrison® Multi Fibre
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Enteral feeds (non-disease specific) / Enteral feeds (non-disease specific): less than 5 g protein/100 mL / Enteral feeds: 1 kcal/mL and less than 5 g protein/100 mL / Peptide-based formula |
| |
Nutrison® Peptisorb
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Peptamen® liquid unflavoured
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Survimed® OPD
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Enteral feeds (non-disease specific) / Enteral feeds (non-disease specific): less than 5 g protein/100 mL / Enteral feeds: 1 kcal/mL and less than 5 g protein/100 mL / Soya protein formula |
| |
Fresubin® Soya Fibre
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Nutrison® Soya
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Nutrison® Soya Multi Fibre
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Feed additives / Special additives for conditions of intolerance |
| |
Colief®
|
NON-FORMULARY
|
| |
Glucose liquid
|
NON-FORMULARY
|
| Feed supplements / Fibre supplements / High-fibre supplements |
| |
Optifibre®
|
NON-FORMULARY
|
| Feed supplements / High-energy supplements / High-energy supplements: carbohydrate |
| |
Maxijul® Super Soluble
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Polycal® powder
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Vitajoule®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Feed supplements / High-energy supplements / High-energy supplements: fat |
| |
Calogen®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Fresubin® 5kcal shot
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Feed supplements / High-energy supplements / High-energy supplements: fat / Fat and Carbohydrate |
| |
Duocal® Super Soluble
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Feed supplements / High-energy supplements / High-energy supplements: protein |
| |
ProSource® jelly
|
NON-FORMULARY
|
| |
Protifar®
|
NON-FORMULARY
|
| Feed supplements / High-energy supplements / High-energy supplements: protein / Protein and carbohydrate |
| |
Dialamine®
|
NON-FORMULARY
|
| |
ProSource® liquid
|
NON-FORMULARY
|
| Feed supplements / High-energy supplements / High-energy supplements: protein / Protein, fat, and carbohydrate |
| |
Calogen® Extra
|
NON-FORMULARY
|
| |
Calshake® powder
|
NON-FORMULARY
|
| |
Enshake®
|
NON-FORMULARY
|
| |
MCTprocal®
|
NON-FORMULARY
|
| |
Pro-Cal® Shot
|
NON-FORMULARY
|
| |
Pro-Cal® powder
|
NON-FORMULARY
|
| Foods for special diets / Low-protein foods / Bread, rolls, and baguettes |
| |
Juvela® Bread and rolls
|
FORMULARY PRODUCT
|
| Foods for special diets / Low-protein foods / Breakfast cereals |
| |
Loprofin® Cereals
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Promin® Cereals
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Foods for special diets / Low-protein foods / Cake and flour type mixes |
| |
Fate® Cake and flour type mixes
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Loprofin® Cake and flour type mixes
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
PK Foods® Flour mix
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Foods for special diets / Low-protein foods / Cake, confectionery, and sweet biscuits |
| |
PK Foods® Sweet biscuits
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Taranis® Cake, confectionery, and sweet biscuits
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
VitaBite® Confectionery
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Foods for special diets / Low-protein foods / Desserts |
| |
PK Foods® Desserts
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Promin® Desserts
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Foods for special diets / Low-protein foods / Pasta and pizza bases |
| |
Loprofin® Pasta
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Promin® Pasta
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Foods for special diets / Low-protein foods / Ready meals |
| |
Promin® Ready meals
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Foods for special diets / Low-protein foods / Spreads |
| |
Taranis® Spreads
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Nutritional supplements (non-disease specific) / Nutritional supplements: 5 g (or more) protein/100 mL / Nutritional supplements: 1.5 kcal/mL and 5 g (or more) protein/100 mL |
| |
Altraplen® Protein
|
FORMULARY PRODUCT
|
| |
Fortisip® Bottle
|
NON-FORMULARY
|
| |
Fortisip® Yogurt Style
|
NON-FORMULARY
|
| |
Fresubin® Protein Energy
|
NON-FORMULARY
|
| |
Fresubin® Thickened
|
NON-FORMULARY
|
| |
Fresubin® YOcrème
|
NON-FORMULARY
|
| Nutritional supplements (non-disease specific) / Nutritional supplements: 5 g (or more) protein/100 mL / Nutritional supplements: Less than 1.5 kcal/mL and 5 g (or more) protein/100 mL |
| |
Nutilis® Fruit Dessert Level 4
|
NON-FORMULARY
|
| Nutritional supplements (non-disease specific) / Nutritional supplements: 5 g (or more) protein/100 mL / Nutritional supplements: More than 1.5 kcal/mL and 5 g (or more) protein/100 mL |
| |
Altraplen® Compact
|
FORMULARY PRODUCT
|
| |
Complan® Shake
|
FORMULARY PRODUCT
|
| |
Foodlink® Complete
|
NON-FORMULARY
|
| |
Foodlink® Complete with Fibre
|
NON-FORMULARY
|
| |
Forticreme® Complete
|
NON-FORMULARY
|
| |
Fortisip® Compact
|
NON-FORMULARY
|
| |
Fortisip® Compact Fibre
|
NON-FORMULARY
|
| |
Fortisip® Compact Protein
|
NON-FORMULARY
|
| |
Fortisip® Extra
|
NON-FORMULARY
|
| |
Fresubin® 2kcal
|
NON-FORMULARY
|
| |
Fresubin® Powder Extra
|
NON-FORMULARY
|
| |
Nutilis® Complete Creme Level 3
|
NON-FORMULARY
|
| |
Nutilis® Complete Drink Level 3
|
NON-FORMULARY
|
| |
Nutricrem®
|
NON-FORMULARY
|
| |
Renilon® 7.5
|
NON-FORMULARY
|
| |
Resource® 2.0 Fibre
|
NON-FORMULARY
|
| Nutritional supplements (non-disease specific) / Nutritional supplements: less than 5 g protein/100 mL / Nutritional supplements: More than 1 kcal/mL and less than 5 g protein/100 mL |
| |
Ensure® Plus Juce
|
NON-FORMULARY
|
| |
Fortijuce®
|
NON-FORMULARY
|
| |
Fresubin® Jucy
|
FORMULARY PRODUCT
|
| |
PaediaSure® Plus Juce
|
NON-FORMULARY
|
| Nutritional supplements for metabolic diseases / Glutaric aciduria (type 1) |
| |
GA gel®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
GA1 Anamix® Infant
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
XLYS TRY Glutaridon®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Nutritional supplements for metabolic diseases / Glycogen storage disease |
| |
Glycosade®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Nutritional supplements for metabolic diseases / Homocystinuria or hypermethioninaemia |
| |
HCU Anamix® Infant
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
HCU Lophlex® LQ
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
HCU Maxamum®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
HCU cooler®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
HCU express®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
HCU gel®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
HCU-LV®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
XMET Homidon®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Nutritional supplements for metabolic diseases / Hyperlysinaemia |
| |
HYPER LYS Anamix® Infant
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Nutritional supplements for metabolic diseases / Isovaleric acidaemia |
| |
IVA Anamix® Infant
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Nutritional supplements for metabolic diseases / Maple syrup urine disease |
| |
MSUD Aid III®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
MSUD Anamix® Infant
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
MSUD Anamix® Junior
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
MSUD Anamix® Junior LQ
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
MSUD Lophlex® LQ
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
MSUD Maxamum®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
MSUD cooler®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
MSUD express®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
MSUD gel®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Nutritional supplements for metabolic diseases / Methylmalonic or propionic acidaemia |
| |
MMA/PA Anamix® Infant
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
MMA/PA Maxamum®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
XMTVI Asadon®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Nutritional supplements for metabolic diseases / Other inborn errors of metabolism |
| |
Cystine500®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
DocOmega®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
EAA® Supplement
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Isoleucine50®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
KeyOmega®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Leucine100®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Phenylalanine50®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Tyrosine1000®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Valine50®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Nutritional supplements for metabolic diseases / Phenylketonuria |
| |
Easiphen®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
L-Tyrosine
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
PK Aid 4®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
PKU Anamix® First Spoon
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
PKU Anamix® Infant
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
PKU Anamix® Junior
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
PKU Lophlex®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
PKU Lophlex® LQ
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
PKU Lophlex® Sensation 20
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
PKU Maxamum®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
PKU cooler®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
PKU express® plus
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
PKU gel®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
PKU squeezie®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Phlexy-10® tablets
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Nutritional supplements for metabolic diseases / Tyrosinaemia |
| |
TYR Anamix® Infant
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
TYR Anamix® Junior
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
TYR Anamix® Junior LQ
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
TYR Cooler®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
TYR Gel®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
TYR Lophlex® LQ
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
TYR express®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
XPHEN TYR Tyrosidon® Free AA Mix
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Specialised formulas / Specialised formulas for specific clinical conditions |
| |
Heparon Junior®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
KetoCal® 3:1
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
KetoCal® 4:1
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
KetoCal® 4:1 LQ
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Modulen IBD®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Renamil®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| |
Renastart®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Specialised formulas / Specialised formulas: Infant and child / Specialised formulas: Infant and child: Amino acid-based formula |
| |
Neocate® LCP
|
NON-FORMULARY
|
| |
Neocate® Spoon
|
NON-FORMULARY
|
| |
Nutramigen® PurAmino
|
NON-FORMULARY
|
| Specialised formulas / Specialised formulas: Infant and child / Specialised formulas: Infant and child: Fructose-based formula |
| |
Galactomin 19®
|
NON-FORMULARY
|
| Specialised formulas / Specialised formulas: Infant and child / Specialised formulas: Infant and child: Hydrolysate formula |
| |
Alimentum®
|
NON-FORMULARY
|
| |
Aptamil Pepti® 1
|
NON-FORMULARY
|
| |
Aptamil Pepti® 2
|
NON-FORMULARY
|
| |
Infatrini® Peptisorb
|
NON-FORMULARY
|
| |
Nutramigen 1 with LGG®
|
NON-FORMULARY
|
| |
Nutramigen 2 with LGG®
|
NON-FORMULARY
|
| |
SMA Althera®
|
NON-FORMULARY
|
| Specialised formulas / Specialised formulas: Infant and child / Specialised formulas: Infant and child: Low calcium formula |
| |
Locasol®
|
NON-FORMULARY
|
| Specialised formulas / Specialised formulas: Infant and child / Specialised formulas: Infant and child: MCT-enhanced formula |
| |
Lipistart®
|
SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
|
| Specialised formulas / Specialised formulas: Infant and child / Specialised formulas: Infant and child: Residual lactose formula |
| |
SMA LF®
|
NON-FORMULARY
|
| Specialised formulas / Specialised formulas: Infant and child / Specialised formulas: Infant and child: Soya-based formula |
| |
SMA® Soya
|
NON-FORMULARY
|