Report : A-Z HCD items in Formulary 24/06/2018 16:03:42

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Section Status HCD Name 05.03.01 Formulary Abacavir  05.03.01 Formulary Abacavir & Lamivudine  05.03.01 Formulary Abacavir & Lamivudine & Dolutegravir  05.03.01 Formulary Abacavir & Lamivudine & Zidovudine  08.03.04.02 Formulary Abiraterone  01.05.03 Formulary Adalimumab Humira® 11.04.02 Formulary Adalimumab  Humira® 13.05.03 Formulary Adalimumab Humira® 08.01.05 Formulary Afatinib   11.08.02 Formulary Aflibercept 4mg/0.1ml injection Eylea® 02.12 Formulary Alirocumab  13.05.01 Formulary Alitretinoin Toctino® 02.05.01 Formulary Ambrisentan  05.02.03 Formulary Amphotericin  05.02.04 Formulary Anidulafungin  08.02.02 Formulary Antithymocyte immunoglobulin (rabbit)  Thymoglobuline® 10.01.03 Formulary Apremilast Otezla® 13.05.03 Formulary Apremilast Otezla® 05.03.01 Formulary Atazanavir  05.03.01 Formulary Atazanavir sulfate and cobicistat  08.01.05 Formulary Atezolizumab  08.01.05 Formulary Axitinib   05.01.02.03 Formulary Aztreonam nebuliser solution Cayston® 10.01.03 Formulary Baricitinib Olumiant® 05.01.09 Formulary Bedaquiline  02.05.01 Formulary Bosentan  08.01.05 Formulary Bosutinib Bosulif® 04.09.03 Formulary Botulinum Toxi Type A 100 units injections Xeomin ® 04.09.03 Formulary Botulinum Toxin Type A Botox® 04.09.03 Formulary Botulinum Toxin Type A Vistabel® 04.09.03 Formulary Botulinum Toxin Type A Dysport® 04.09.03 Formulary Botulinum Toxin Type B NeuroBloc® 08.01.05 Formulary Brentuximab vedotin Adcetris® 13.05.03 Formulary Brodalumab Kyntheum® 03.04.03 Formulary C1 Esterase Inhibitor  08.01.05 Formulary Cabozantinib Cometriq® 09.08.01 Formulary Carnitine   05.02.04 Formulary Caspofungin  08.01.05 Formulary Ceritinib   09.08.01 Formulary Chenodexoycholic acid Xenbilox® 05.03.02.02 Formulary Cidofovir infusion  09.05.01.02 Formulary Cinacalcet  05.03.01 Formulary Cobicistat Tybost® 04.09.01 Formulary Co-Careldopa  08.01.05 Formulary Crizotinib   05.03.03.02 Formulary Daclatasvir   08.02.04 Formulary Daclizumab Zinbryta® 09.01.03 Formulary Darbepoetin Alfa  05.03.01 Formulary Darunavir  05.03.01 Formulary Darunavir and Cobicistat  05.03.03.02 Formulary Dasabuvir Exviera® 20 Non Formulary DAUNORUBICIN saline pre-filled syringe  09.01.03 Formulary Deferasirox  20 Non Formulary DEFIBROTIDE  20 Non Formulary DEFIBROTIDE Capsules 400 mg  05.01.09 Formulary Delamanid  09.01.03 Formulary Desferrioxamine Mesilate  11.04.01 Formulary Dexamethasone 700 microgram intravitreal implant Ozurdex® 05.03.01 Formulary Didanosine  08.02.04 Formulary Dimethyl fumarate Tecfidera® 13.05.03 Formulary Dimethyl fumarate Skilarence® 05.03.01 Formulary Dolutegravir  03.07 Formulary Dornase Alfa  09.01.03 Formulary Eculizumab   05.03.01 Formulary Efavirenz Sustiva® 05.03.03.02 Formulary Elbasvir & grazoprevir Zepatier® 09.01.04 Formulary Eltrombopag  05.03.01 Formulary Emtricitabine  05.03.01 Formulary Enfuvirtide  05.03.03.01 Formulary Entecavir  09.01.03 Formulary Epoetin alfa Eprex® 09.01.03 Formulary Epoetin beta NeoRecormon® 02.05.01 Formulary Epoprostenol  02.08.01 Formulary Epoprostenol  20 Non Formulary Eptotermin Alfa  Osigraft® 08.01.05 Formulary Eribulin Halaven® 10.01.03 Formulary Etanercept  13.05.03 Formulary Etanercept Enbrel®, Benapali® & Erelzi® 09.05.01.02 Formulary Etelcalcetide Parsabiv® 05.03.01 Formulary Etravirine Intelence® 02.12 Formulary Evolocumab  02.11 Formulary Factor VIIa (Recombinant)  05.01.07 Formulary Fidaxomicin  09.01.06 Formulary Filgrastim (G-CSF) Neupogen®, Ratiograstim® 08.02.04 Formulary Fingolimod  11.04.01 Formulary Fluocinolone 190 microgram intravitreal implant  16 Formulary Fomepizole  05.03.01 Formulary Fosamprenavir  05.03.02.02 Formulary Foscarnet Sodium  05.03.02.02 Formulary Ganciclovir  08.02.04 Formulary Glatiramer Acetate  05.03.03.02 Formulary Glecaprevir & Pibrentasvir Maviret® 01.05.03 Formulary Golimumab  10.01.03 Formulary Golimumab Simponi® 11.08.02.04 Formulary Holoclar®  08.01.05 Formulary Ibrutinib Imbruvica® 03.04.03 Formulary Icatibant Firazyr® 08.01.05 Formulary Idelalisib   02.05.01 Formulary Iloprost   09.08.01 Formulary Imiglucerase Cerezyme® 05.03.01 Formulary Indinavir  01.05.03 Formulary Infliximab Remicade® 01.05.03 Formulary Infliximab Inflectra® 01.05.03 Formulary Infliximab Remicade®, Inflectra®, Remsima® 13.05.03 Formulary Infliximab Remsima®, Inflectra®, Remicade® 08.02.04 Formulary Interferon Alfa-2b Roferon-A® 08.02.04 Formulary Interferon Beta Avonex® 08.02.04 Formulary Interferon Beta Rebif® 08.02.04 Formulary Interferon Beta Betaferon® 08.02.04 Formulary Interferon beta Extavia® 05.02.01 Formulary Isavuconazole Cresemba® 03.07 Formulary Ivacaftor  13.05.03 Formulary Ixekizumab Taltz® 05.03.03.01 Formulary Lamivudine  09.05.02.02 Formulary Lanthanum Fosrenol ® 09.01.06 Formulary Lenograstim (rHuG-CSF) Granocyte® 08.01.05 Formulary Lenvatinib Kisplyx® 05.03.01 Formulary Lopinavir and Ritonavir Kaletra® 02.05.01 Formulary Macitentan  03.07 Formulary Mannitol inhalation Bronchitol ® 05.03.01 Formulary Maraviroc  03.04.02 Formulary Mepolizumab Nucala® 09.08.01 Formulary Mercaptamine  09.01.03 Formulary Methoxy Polyethylene Glycol-Epoetin Beta Mircera®, Pegzerepoetin® alfa 04.07.03 Formulary Mexiletine  05.02.04 Formulary Micafungin  08.02.04 Formulary Natalizumab  05.03.01 Formulary Nelfinavir  05.03.01 Formulary Nevirapine  03.11 Formulary Nintedanib Ofev® 20 Non Formulary Nitazoxanide  08.01.05 Formulary Nivolumab   14.05.01 Formulary Normal Immunoglobulin Subcuvia® 14.05.01 Formulary Normal Immunoglobulin Privigen® 14.05.01 Formulary Normal Immunoglobulin Gammunex® 14.05.01 Formulary Normal Immunoglobulin Iqymune® 14.05.01 Formulary Normal Immunoglobulin Intratect® 14.05.01 Formulary Normal Immunoglobulin Cuvitru® 14.05.01 Formulary Normal Immunoglobulin Gammanorm® 14.05.01 Formulary Normal Immunoglobulin Octagam® 14.05.01 Formulary Normal Immunoglobulin Kiovig® 14.05.01 Formulary Normal immunoglobulin for Intramuscular use  01.09.01 Formulary Obeticholic acid  08.02.03 Formulary Obinutuzumab  11.08.02 Formulary Ocriplasmin Jetrea® 08.01.05 Formulary Olaparib 50mg capsules  08.01.05 Formulary Olaratumab Lartuvo® 03.04.02 Formulary Omalizumab  05.03.03.02 Formulary Ombitasvir & paritaprevir & ritonavir Viekirax® 08.03.04.01 Formulary Palbociclib Ibrance® 05.03.05 Formulary Palivizumab  08.01.05 Formulary Panitumumab Vectibix® 08.03.04.03 Formulary Pasireotide Signifor® 09.01.06 Formulary Pegfilgrastim (G-CSF)  08.02.04 Formulary Peginterferon Beta-1a Plegridy® 08.01.05 Formulary Pertuzumab Perjeta® 03.11 Formulary Pirfenidone Esbriet® 09.01.07 Formulary Plerixafor Mozobil® 08.02.04 Formulary Pomalidomide Imnovid® 08.01.05 Formulary Ponatinib Iclusig® 03.05.02 Formulary Poractant Alfa  05.02.01 Formulary Posaconazole  Noxafil® 08.03.04.02 Formulary Radium-223 dichloride  05.03.01 Formulary Raltegravir  11.08.02 Formulary Ranibizumab 10mg/1ml injection Lucentis® 08.01.05 Formulary Regorafenib Stivarga® 05.03.03.02 Formulary Ribavirin  08.03.04.01 Formulary Ribociclib Kisqali® 05.03.01 Formulary Rilpivirine hydrochloride  04.09.03 Formulary Riluzole  02.05.01 Formulary Riociguat  05.03.01 Formulary Ritonavir  09.01.04 Formulary Romiplostim  05.03.01 Formulary Saquinavir  10.01.03 Formulary Sarilumab  Kevzara® 13.05.03 Formulary Secukinumab Cosentyx® 09.05.02.02 Formulary Sevelamer Carbonate  20 Non Formulary Sipuleucel- T  04.01.01 Formulary Sodium Oxybate 500mg/1ml oral solution Xyrem® 05.03.03.02 Formulary Sofosbuvir Sovaldi® 05.03.03.02 Formulary Sofosbuvir & Ledipasvir  Harvoni® 05.03.03.02 Formulary Sofosbuvir & velpatasvir  Epclusa® 05.03.03.02 Formulary Sofosbuvir, Velpatasvir & Voxilaprevir  Vosevi® 08.01.05 Formulary Sorafenib Nexavar® 05.03.01 Formulary Stavudine  09.05.02.02 Formulary Sucroferric oxyhydroxide Velphoro® 08.01.05 Formulary Sunitinib   20 Non Formulary Taribavirin  05.03.01 Formulary Tenofovir alafenamide & Cobicistat & Emtricitabine & Elvitegravir  Genvoya® 05.03.01 Formulary Tenofovir Disoproxil & Emtricitabine  05.03.01 Formulary Tenofovir Disoproxil & Emtricitabine & Rilpivirine  05.03.03.01 Formulary Tenofovir Disproxil Viread® 05.03.01 Formulary Tenofovir Disproxil & Cobicistat & Elvitegravir & Emtricitabine  05.03.01 Formulary Tenofovir Disproxil & Efavirenz & Emtricitabine  08.02.04 Formulary Teriflunomide  20 Non Formulary TETRAHYDROBIOPTERIN Tablets 10 mg  05.03.01 Formulary Tipranavir  05.01.04 Formulary Tobramycin  10.01.03 Formulary Tofacitinib Xeljanz® 06.05.02 Formulary Tolvaptan  08.01.05 Formulary Trametinib   08.01.05 Formulary Trastuzumab emtansine Kadcyla® 20 Non Formulary Treprostinil   09.08.01 Formulary Trientine Dihydrochloride  01.05.03 Formulary Ustekinumab Stelara® 13.05.03 Formulary Ustekinumab Stelara® 05.03.02.02 Formulary Valganciclovir Valcyte® 01.05.03 Formulary Vedolizumab  11.08.02 Formulary Verteporfin 15mg Injection Visudyne® 05.03.01 Formulary Zidovudine  05.03.01 Formulary Zidovudine & Lamivudine

North of Tyne and Gateshead Area Prescribing Committee