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Area Prescribing Committee Formulary  
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 Formulary Chapter 18: Wound Care Formulary - Full Chapter
Notes:

Please click here for Lymphoedema Formulary

 Details...
18.01  Basic wound contact dressings
18.01.01  Low adherence dressings
Atrauman
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Formulary
Green
 
   
N/A Ultra® (Silicone-coated)
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Formulary
Green
 
   
Paraffin Gauze Dressing BP Sterile (Paranet®)
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Formulary
Green
 
   
18.01.02  Absorbent dressings
18.01.02  For lightly exuding wounds
Cosmopor E®
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Formulary
Green

Absorbent Perforated Dressing with Adhesive Border

 
   
Melolin®
(UNDER REVIEW)
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Restricted Drug Restricted
Green

Absorbent, Perforated Plastic Film Faced, Dressing

  • Podiatry use only
 
   
Solvaline N®
(UNDER REVIEW)
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Restricted Drug Restricted
Green

Absorbent, Perforated Plastic Film Faced, Dressing

  • Podiatry use only
 
   
18.01.02  For moderately to heavily exuding wounds to top
Zetuvit® E
(Sterile)
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First Choice
Green

Absorbent Cellulose Dressing with Fluid Repellent Backing 

 
Eclyspe® adherent
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Formulary
Green plus

Soft silicone wound contact layer with absorbent pad and film-backing

  • Specialist initiation only
 
   
18.01.02  For heavily exuding wounds
Zetuvit Plus®
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First Choice
Green

Super absorbent cellulose primary dressing

 
KerraMax® Care
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Second Choice
Green

Super absorbent cellulose primary dressing

 
   
18.02  Advanced wound dressings
18.02.01  Hydrogel dressings
18.02.01  Hydrogel application (amorphous)
ActivHeal® Hydrogel
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Formulary
Green
  • 8g only
 
   
18.02.01  Hydrogel sheet dressings to top
18.02.01.01  Sodium hyaluronate dressings
18.02.02  Vapour-permeable films and membranes
18.02.02  Vapour-permeable Adhesive Film Dressing (Semi-permeable Adhesive Dressing)
18.02.02  Vapour-permeable Adhesive Film Dressing with absorbent pad
C-View® Post-Op
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First Choice
Green
 
Opsite® Post-Op
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First Choice
Green
 
Hydrofilm® Plus
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Formulary
Green
  • Primary care only
 
   
Tegaderm® with pad
(UNDER REVIEW)
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Formulary
Green
 
   
18.02.02  For intravenous and subcutaneous catheter sites to top
Tegaderm Film
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Restricted Drug Restricted
  • IV/sc dressing and podiatry use only
 
   
18.02.03  Soft polymer dressings
18.02.03  Without absorbent pad
Adaptic® Touch
(Sterile)
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Formulary
Green

Non-adherent soft silicone wound Contact Dressing

 
   
Kendall Telfa Clear®
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Formulary
Green

Clear non-adherent wound contact layer

 
   
Urgotul®
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Formulary
Green

Non-adherent soft polymer wound contact dressing

 
   
18.02.03  With absorbent pad
Allevyn® Gentle
(Sterile)
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Formulary
Green

Soft Polymer Wound Contact Dressing with Polyurethane Foam Film Backing

 
   
Allevyn® Gentle Border
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Formulary
Green

Silicone gel wound contact dressing, with polyurethane foam film backing

 
   
Allevyn® Life
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Formulary
Green

Soft silicone wound contact dressing, with central mesh screen, polyurethane foam film backing and adhesive border

 
   
Biatain® Silicone
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Formulary
Green

Silicone gel wound contact dressing, with polyurethane foam film backing

 
   
Biatain® Silicone Lite
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Formulary
Green

Silicone gel wound contact dressing, with polyurethane foam film backing

 
   
Mepilex® Border
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Formulary
Green

Absorbent soft silicone dressing with polyurethane foam and adhesive border

 
   
Mepilex® Border Post-op
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Formulary
Green
 
   
Mepilex® ST
(Previously Mepilex®)
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Formulary
Green

Absorbent soft silicone dressing with polyurethane foam film backing 

 
   
Allevyn® Gentle Border Lite
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Restricted Drug Restricted
Green

Silicone gel wound contact dressing, with polyurethane foam film backing

  • Podiatry only
 
   
Mepilex® Border lite
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Restricted Drug Restricted
Green

Thin absorbent soft silicone dressing with polyurethane foam and adhesive border

  • Paediatrics only 
 
   
18.02.03  Bio-cellulose dressings
18.02.04  Hydrocolloid dressings to top
18.02.04  Without adhesive border
DuoDERM® Extra Thin
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Formulary
Green

Semi-permeable hydrocolloid dressing

 
   
18.02.04  With adhesive border
18.02.04  Hydrocolloid-fibrous dressings
Aquacel®
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Formulary
Green

Soft non-woven pad containing hydrocolloid-fibres

 
   
Aquacel® Extra
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Formulary
Green

Soft sterile non-woven pad containing hydrocolloid fibres.

  • Provides greater tensile strength compared to aquacel 
 
   
Aquacel® Foam
(UNDER REVIEW)
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Formulary
Red

Soft non-woven pad containing hydrocolloid-fibres with foam layer, without adhesive border

 
   
Aquacel® Foam Border
(UNDER REVIEW)
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Formulary
Red

Soft non-woven pad containing hydrocolloid-fibres with foam layer, with adhesive border

 
   
Aquacel® Surgical cover dressing
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Formulary
Red
  • Not to be prescribed on FP10
 
   
18.02.04  Polyurethane matrix dressing
18.02.05  Foam dressings to top
18.02.05  For lightly exuding wounds
18.02.05  For lightly to moderately exuding wounds
18.02.05  For moderately to heavily exuding wounds
Allevyn® Adhesive
(UNDER REVIEW)
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Formulary
Green

Polyurethane Foam Film Dressing with Adhesive Border

 

 
   
ActivHeal Foam
(UNDER REVIEW)
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Formulary
Red

Polyurethane Foam Film Dressing without Adhesive Border

 
   
18.02.06  Alginate dressings
ActivHeal® Alginate
(UNDER REVIEW)
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Formulary
Green

Calcium sodium alginate dressing

 
   
ActivHeal® Aquafiber
(UNDER REVIEW)
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Formulary
Green

Non-woven, calcium sodium alginate dressing

 
   
Meglisorb®
(UNDER REVIEW)
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Formulary
Green

Calcium sodium alginate fibre, highly absorbent, gelling dressing, non-woven 

 
   
Sorbsan ® Ribbon
(40cm with 12.5cm probe)
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Formulary
Green

Calcium alginate fibre, highly absorbent

 
   
18.02.07  Capillary-action dressings to top
DrawTex®
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Formulary
Green plus

Super absorbent hydroconductive dressing with absorbent, cross-action structures of viscose, polyester and cotton

 
   
18.02.08  Odour absorbent dressings
18.03  Antimicrobial dressings
18.03.01  Honey
18.03.01  Sheet dressing
Algivon®
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Restricted Drug Restricted
Green plus

Absorbent, non-adherent calcium alginate dressing impregnated with medical grade manuka honey

  • Specialist use only
 
   
18.03.01  Honey-based topical application to top
L-Mesitran® Ointment
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Restricted Drug Restricted
Green

Medical grade honey

  • Specialist use only
 
   
L-Mesitran® Ointment S
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Restricted Drug Restricted
Green

Medical grade honey

  • Specialist use only
 
   
18.03.02  Iodine
Iodoflex®
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Formulary
Red

Iodine 0.9% as cadexomer-iodine in a paste basis with gauze backing

  • Specialist use only
 
   
Iodosorb® Ointment
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Formulary
Red

Iodine 0.9% as cadexomer-iodine in an ointment basis

  • Specialist use only
 
   
Povitulle®
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Formulary
Green

Knitted viscose primary dressing impregnated with povidone-iodine ointment

  • First choice in primary care 
 
   
Inadine®
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Alternatives
Green

Knitted viscose primary dressing impregnated with povidone-iodine ointment

 

 
   
18.03.03  Silver
18.03.03  Low adherence dressings
Acticoat® Flex 3
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Restricted Drug Restricted
Green plus

Conformable antimicrobial barrier dressing consisting of polyester core between low adherent silver-coated high density polyethylene mesh.

  • Specialist initiation only 
 
   
Acticoat® Flex 7
(UNDER REVIEW)
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Restricted Drug Restricted
Green plus

Conformable antimicrobial barrier dressing consisting of polyester core between low adherent silver-coated high density polyethylene mesh.

  • Specialist initiation only
 
   
18.03.03  With charcoal
Actisorb Silver 220
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Formulary
Green

Knitted fabric of activated charcoal with one-way stretch, with silver residues, within spun-bound nylon sleeve

 
   
18.03.03  Soft polymer dressings to top
Urgotul® SSD
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Restricted Drug Restricted
Green plus

Non-adherent, soft polymer wound contact dressing with silver sulfadiazine.

  • Specialist use only.
 
   
18.03.03  Hydrocolloid dressings
Aquacel® Ag Extra
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Formulary
Green
 
   
18.03.03  Foam dressings
18.03.03  Alginate dressings
Tegaderm® Alginate Ag
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Formulary
Green

Calcium alginate and carboxymethylcellulose dressing with silver

 
   
Askina® Calgitrol 15g Paste
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Restricted Drug Restricted
Green
  • Specialist use only
 
   
18.03.04  Other antimicrobials
Flaminal ® Hydro Gel
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Formulary
Green

Alginate with glucose oxidase and lactoperoxidase, for lightly to moderately exuding wounds                                                                  

 
   
Flaminal® Forte Gel
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Formulary
Green

Alginate with glucose oxidase and lactoperoxidase, for moderately to heavily exuding wounds                                                                  

 
   
Kendall® AMD Antimicrobial Foam
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Formulary
Green
  • 5cm x 5cm and 8.8cm x 7.5cm only 
 
   
Kendall® AMD Foam Discs
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Formulary
Green
 
   
Prontosan® Wound Irrigation Solution
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Formulary
Green plus

Aqueous solution containing betaine surfactant and polihexanide

  • Specialist use only
 
   
Prontosan® Wound Gel 30ml
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Restricted Drug Restricted
Green plus

Hydrogel containing betaine surfactant and polihexanide

  • Specialist use only
 
   
18.04  Specialised dressings to top
18.04.01  Protease-modulating matrix dressings
18.04.02  Silicone keloid dressings
18.04.02  Silicone sheets
Mepiform®
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Restricted Drug Restricted
Green plus

Silicone gel sheet

  • Burns Team initiation only
 
   
Oleeva®
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Restricted Drug Restricted
Green plus

Silicone gel sheet

  • Burns Team initiation only
 
   
Scar FX®
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Restricted Drug Restricted
Green plus

Silicone gel sheet

  • Burns Team initiation only
 
   
Silgel®
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Restricted Drug Restricted
Green plus

Silicone gel sheet

  • Burns Team initiation only
 
   
18.04.02  Silicone gel
Dermatix® 15g Gel
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Restricted Drug Restricted
Green plus

Silicone gel

  • For use by the Burns Team
 
   
Kelo-Cote® 15g Gel
(UNDER REVIEW)
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Restricted Drug Restricted
Green plus

Silicone gel

  • For use by the Burns Team

 

 
   
18.05  Adjunct dressings and appliances to top
Eakin® Wound Pouches
(Pelican Manager)
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Formulary
Red
 
   
UCS® Debridement
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Formulary
Green
 
   
Debrisoft®
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Restricted Drug Restricted
Green plus

Polyester fibres with bound edges and knitted outer surface coated with polyacrylate

  • Specialist initiation only
 
   
18.05.01  Gauze and tissue
18.05.01  Surgical absorbents
18.05.01  Cotton
18.05.01  Lint
18.05.01  Pads to top
18.05.02  Wound drainage pouches
18.05.03  Physical debridement pads
18.06  Complex adjunct therapies
18.06.01  Topical negative pressure therapy
ActiV.A.C.®
(KCI)
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Formulary
Green plus
 
   
PICO® Single Use NPWT System
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Formulary
Green plus
 
   
Renasys® Go
(Smith & Nephew)
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Formulary
Green plus
 
   
V.A.C.® Dressing
(KCI)
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Formulary
Green plus
 
   
18.06.01  Vacuum assisted closure products to top
18.06.01  Wound drainage collection devices
18.06.01  Accessories
18.07  Wound care accessories
18.07.01  Dressing packs
Polyfield ® Nitrile Patient Pack
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First Choice
Green

Contains powder-free nitrile gloves, laminate sheet, non-woven swabs, towel, polythene disposable bag, apron

  • First choice on FP10
 
Dressit®
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Second Choice
Green

Contains vitrex gloves, large apron, disposable bag, paper towel, soft swabs, absorbent pad and sterile field.

  • Second choice on FP10. 
 
   
Nurse It® Dressing Pack
(Sterile)
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Formulary
Green

Contains latex-free, powder-free nitrile gloves, sterile laminated paper sheet, large apron, non-woven swabs, paper towel, disposable bag, compartmented tray, disposable forceps, paper measuring tape

 
   
Softdrape® Universal Dressing Pack
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Formulary
Green

Latex free; includes Vitrex gloves

  • Northumbria only
 
   
Sterile Gloves
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Formulary
Green
 
   
18.07.02  Woven and fabric swabs to top
Non-woven Fabric Swab
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Formulary
Green

Non-woven fabric folded 4-ply

 
   
Appeel® Single Use Wipes
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Restricted Drug Restricted
Green plus
  • Specialist use only 
 
   
18.07.03  Surgical adhesive tapes
18.07.03  Permeable adhesive tapes
Hypafix®
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Formulary
Green

Permeable, Apertured Non-Woven Synthetic Adhesive Tape, BP 1988

 
   
Mefix®
(UNDER REVIEW)
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Formulary
Green

Permeable, Apertured Non-Woven Synthetic Adhesive Tape, BP 1988

 

 
   
Scanpor®
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Formulary
Green

Permeable Non-woven Synthetic Adhesive Tape, BP 1988 

  • Primary care only
 
   
Transpore®
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Formulary
Red

Permeable Non-woven Synthetic Adhesive Tape, BP 1988 

  • Secondary care only
 
   
18.07.03  Occlusive adhesive tapes
18.07.04  Adhesive dressings
18.07.04  Vapour permeable adhesive dressings to top
18.07.05  Skin closure dressings
18.07.05  Skin closure strips, sterile
18.08  Bandages
18.08.01  Non-extensible bandages
18.08.02  Light-weight conforming bandages to top
Hospicrepe® 239
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Formulary
Green

Cotton crepe bandage

 
   
Hospilite®
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Formulary
Green

Cotton, Polyamide and Elastane Bandage

 
   
Actiwrap® Latex-free Bandage
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Formulary
Green

Polyamide and Cellulose Contour Bandage, BP 1988

 

 
   
K-Band®
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Formulary
Green

Knitted Polyamide and Cellulose Contour Bandage, BP 1988

 
   
18.08.03  Tubular bandages and garments
18.08.03  Elasticated
Elasticated Tubular Bandages BP 1993 (Comfigrip®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
Elasticated Viscose Stockinette (Clinifast® range)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
Elasticated Viscose Stockinette (Comfifast® range)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
18.08.03  Non-elasticated
Cotton Stockinette Bleached BP 1988 (Comfi-gauz® )
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Formulary
Green
 
   
18.08.03  Silk Clothing
18.08.04  Support bandages to top
Knitted Elastomer and Viscose Bandage (K- Lite®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
18.08.05  Adhesive bandages
18.08.06  Cohesive bandages
18.08.06  Cohesive extensible bandages
18.08.07  Compression bandages
18.08.07  High compression bandage to top
18.08.07  Short stretch compression bandage
Short Stretch Compression Bandages
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
  • Comprilan®
  • Actico®
 
   
Coban® 2 Comfort Foam Layer
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Formulary
Green plus
  • Used in lymphoedema
  • Specialist use 
 
   
Coban® 2 Compression Layer
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Formulary
Green plus
  • Used in lymphoedema
  • Specialist use 
 
   
18.08.07  Sub-compression wadding bandage
Sub-compression wadding bandage
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Formulary
Green
  • Profore®
  • Flexi-Ban®
  • FormFlex natural (not on FP10)  
 
   
18.08.08  Multi-layer compression bandaging
18.08.08  Four layer systems
Four layer systems
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Formulary
Green
  • Profore® Kit
  • Profore® Lite Kit
 
   
18.08.08  Two layer systems to top
AndoFlex® TLC
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green plus
  • Specialist use only
 
   
Coban® 2 Layer
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Restricted Drug Restricted
Green plus
  • Specialist use only
 
   
Coban® 2 Layer Lite
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green plus
  • Specialist use only
 
   
Juxta CURES®
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green plus
  • Specialist use only
 
   
AndoFlex® UBZ
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green plus
  • Specialist use only
 
   
18.08.09  Medicated bandages
Zinc Paste and Ichthammol Bandage, BP 1993 (Ichthopaste® )
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
Zinc Paste Bandage, BP 1993 (Viscopaste® PB7)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
18.08.09  Medicated stocking
18.09  Compression hosiery and garments
18.09.01  Graduated compression hosiery
Activa® hosiery
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
Medi® hosiery
(UNDER REVIEW)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
Actilymph®
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
Altiform® Hosiery
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
Altipress®
(UNDER REVIEW)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
18.09.01  Accessories to top
18.09.01  Suspender
18.09.01  Anklets
18.09.01  Knee caps
18.09.02  Lymphoedema garments
18.10  Other Wound Products to top
 note 

Other wound products not listed in BNF, but on Drug Tariff or available from NHS Supply Chain

Acti-glide®
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
Kerraped®
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
Kerrapro® Pressure Reducing Pads
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
Seal Tight® Wound Care Protector
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
Limbo® Waterproof Protector
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
Medi Derma® S
(Barrier Cream)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
  • sachet
  • 28g
  • 90g 

 

 
   
Medi Derma® S
(Barrier Film)
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Formulary
Green
  • 1ml applicator
  • 3ml applicator
  • 50ml aerosol
  • 30ml pump spray
 
   
18.11  Skin cleansers and promotion of wound healing
18.11.01  Skin cleansers and antiseptics
Sodium chloride 0.9%
(Sterile)
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Formulary
Green
  • Irrippod® (20mL & 100ml sachets)
  • Miniversol® (45ml)
 
   
18.11.07  Preparations for promotion of wound healing
Sterile Larvae (Biobag®)
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Restricted Drug Restricted
Green plus
  • Specialist use only
 
   
Sterile Larvae (Larvae 300®)
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Restricted Drug Restricted
Green plus
  • Specialist Use Only
 
   
 ....
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Red

Drugs for hospital use only. The responsibility for initiation and monitoring treatment should rest with an appropriate hospital clinician and the drug should be supplied through the hospital throughout the duration of treatment. In some very exceptional circumstances (e.g. due to distance from the hospital, storage, supply or mobility/transport problems) it may be appropriate for the GP to be asked to prescribe a Red drug. This should be negotiated on an individual patient basis and should only be done with the GP’s prior informed agreement where the roles of the GP and hospital services are clearly defined and agreed. The GP should not feel under pressure to prescribe in these circumstances.   

Amber

Drugs initiated by hospital specialist, but where continuing treatment by GPs may be appropriate under a shared care arrangement. The specialist should send the GP a copy of the shared care agreement to sign. The GP should sign the shared care agreement, or indicate they do not want to be part of such an agreement, and return a copy back to the specialist. Shared care guidelines are available or are being developed for most of the drugs listed as Amber. If no shared care guideline is available, the hospital specialist should provide the patient’s GP with sufficient information and support to allow treatment to be continued and managed safely in primary care.  

Green plus

Drugs normally recommended or initiated by hospital specialist, but where the provision of an information leaflet may be appropriate to facilitate continuing treatment by GPs. Many of these information sheets are in the process of development.  

Green

Drugs where prescribing by GPs is appropriate. Drugs not classified as Red, Amber or Green Plus (formerly blue in North of Tyne) are generally classified as ‘Green’ by default. The Green drugs listed here include those products normally initiated by hospital specialists where there was a need for discussion and debate as to the category in which they should be placed.  

netFormulary