This formulary lists the medicines and related pharmaceutical products that are approved for use in the County Durham and Tees Valley NHS area. Please note that combination preparations are considered non-formulary unless they are specifically included within the formulary.
A formulary is only as good as the guidelines which underpin it. It is essential that this formulary is used in conjunction with the current guidelines. Throughout this formulary links to NICE and local guidelines are provided. This guidance should be read before selecting a drug from this formulary.
It is recognised that we cannot expect 100% compliance. This formulary will only cover 80-90% of what may be needed for individual patients.
This formulary is expected to cover the majority of occasions but in exceptional circumstances both parties may agree to work outside of this guidance. Where necessary, secondary and primary care prescribers should discuss the appropriate management of individual patients personally
The County Durham and Tees Valley APC Do Not Prescribe List and Grey List can be accessed online at: https://medicines.necsu.nhs.uk/download/tees-prescribing-grey-list/
The APPLICATION FOR NEW PRODUCT TO BE APPROVED FOR USE IN NHS COUNTY DURHAM AND TEES VALLEY be accessed online at: https://medicines.necsu.nhs.uk/committees/county-durham-tees-valley-apc/
The County Durham and Tees Valley Formulary Guide to RAG list classifications can be accessed online at: https://medicines.necsu.nhs.uk/committees/county-durham-tees-valley-apc/
The County Durham and Tees Valley Formulary Process can be accessed online at: https://medicines.necsu.nhs.uk/committees/county-durham-tees-valley-apc/
Minutes of meetings, Terms of Reference, and all other documentation relating to the County Durham & Tees Valley Area Prescribing Committee can be accessed online at: https://medicines.necsu.nhs.uk/committees/county-durham-tees-valley-apc/
Definition of RAG Categories within the formulary:
Annotations used within the formulary:
▼ Medicines that are being monitored particularly closely by regulatory authorities in the European Union (EU) are described as being under 'additional monitoring'. Medicines under additional monitoring will have an inverted Black Triangle displayed. Healthcare professionals are asked to report any suspected adverse reactions.
u or unlicensed = indications which medicines or indications included with the formulary currently do not have UK product license
OTC = product that may be suitable for patient to buy over the counter rather than be prescribed depending on the indication as per NHS England Guidance on “Conditions for which over the counter items should not routinely be prescribed” available at: https://www.england.nhs.uk/medicines/conditions-for-which-over-the-counter-items-should-not-routinely-be-prescribed/