Report : A-Z HCD items in Formulary 14/06/2021 10:44:16

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Section Status HCD Name 08.01.05 Formulary Panobinostat  Farydak® 05.03.01 Formulary Abacavir Ziagen® 05.03.01 Formulary Abacavir 300mg, Lamivudine 150mg and Zidovudine 300mg tablet Trizivir® 05.03.01 Formulary Abacavir, Lamivudine and Dolutegravir Triumeq® 10.01.03 Formulary Abatacept Orencia® 08.01.05 Formulary Abemaclib  Verzenios® 08.03.04.02 Formulary Abiraterone Zytiga® 01.05.03 Formulary Adalimumab Humira® 10.01.03 Formulary Adalimumab Humira® Amgevita® 13.05.03 Formulary Adalimumab Humira® 05.03.03.01 Formulary Adefovir Dipivoxil Hepsera® 08.01.05 Formulary Afatinib Giotrif® 11.08.02 Formulary Aflibercept Eylea® 08.02.04 Formulary Aldesleukin Proleukin® 13.05.01 Formulary Alitretinoin Toctino® 05.02 Formulary Amphotericin AmBisome® 05.03.01 Formulary Amprenavir Agenerase® 05.02.04 Formulary Anidulafungin  05.03.01 Formulary Atazanavir Reyataz® 05.03.01 Formulary Atazanavir & Cobicistat Evotaz® 08.02.04 Formulary Avelumab Bravencio® 08.01.05 Formulary Axitinib Inlyta® 08.01.03 Formulary Azacitidine Vidaza® 10.01.03 Formulary Baricitinib Olumiant® 08.01.01 Formulary Bendamustine  08.01.05 Formulary Bevacizumab Avastin® 08.01.05 Formulary Binimetinib Mektovi® 05.03.03.02 Formulary Boceprevir Victrelis® 08.01.05 Formulary Bortezomib Velcade® 08.01.05 Formulary Bosutinib Bosulif® 04.09.03 Formulary Botulinum Toxin Type A Dysport® 04.09.03 Formulary Botulinum Toxin Type A Botox® 08.01.05 Formulary Brentuximab vedotin Adcetris® 08.01.05 Formulary Brigatinib Alunbrig® 13.05.03 Formulary Brodalumab Kyntheum® 13.01 Formulary Bromelain NexoBrid® 03.04.03 Formulary C1 Esterase Inhibitor  08.01.05 Formulary Cabazitaxel Jevtana® 08.01.05 Formulary Cabozantinib Cometriq® 18 Non Formulary Carboxypeptidase  Glucarpidase 08.01.05 Formulary Carfilzomib Kyprolis® 05.02.04 Formulary Caspofungin Cancidas® 08.01.05 Formulary Cemiplimab 350 mg concentrate for solution for infusion Libtayo® 08.01.05 Formulary Ceritinib Zykadia® 10.01.03 Formulary Certolizumab Pegol Cimzia® 08.01.05 Formulary Cetuximab Erbitux® 05.03.02.02 Formulary Cidofovir infusion Vistide® 09.05.01.02 Formulary Cinacalcet Mimpara® 08.01.03 Formulary Clofarabine Evoltra® 08.01.05 Formulary Crizotinib Xalkori® 08.01.05 Formulary Dabrafenib Tafinlar® 05.03.03.02 Formulary Daclatasvir  Daklinza® 08.01.05 Non Formulary Dacomitinib film coated tablets Vizimpro® 08.02.03 Formulary Daratumumab Darzalex® 09.01.03 Formulary Darbepoetin Alfa Aranesp® 05.03.01 Formulary Darunavir Prezista® 05.03.01 Formulary Darunavir & Cobicistat Rezolsta® 05.03.01 Formulary Darunavir/Cobicistat/Emtricitabine/Tenofovir Symtuza® 05.03.03.02 Formulary Dasabuvir Exviera® 08.01.05 Formulary Dasatinib Sprycel® 08.01.02 Formulary Daunorubicin 44mg / Cytarabine 100mg Vyxeos 20 Non Formulary DAUNORUBICIN saline pre-filled syringe  09.01.03 Formulary Deferasirox Exjade® 20 Non Formulary DEFIBROTIDE Capsules 400 mg  20 Non Formulary DEFIBROTIDE Injection 200 mg  09.01.03 Formulary Desferrioxamine Mesilate  11.04.01 Formulary Dexamethasone intravitreal implant Ozurdex® 05.03.01 Formulary Didanosine Videx® 05.03.01 Formulary Didanosine 10mg/ml oral liquid  02.01.01 Formulary Digoxin specific antibody fragments Digifab® 18 Non Formulary Digoxin specific antibody fragments Digifab® 08.02.04 Formulary Dimethyl fumarate Tecfidera® 13.05.02 Formulary Dimethyl Fumarate Skilarene® 05.03.01 Formulary Dolutegravir Tivicay® 05.03.01 Formulary Doravirine Pifeltro® 05.03.01 Formulary Doravirine 100 mg, Lamivudine 300 mg, Tenofovir disoproxil (as Tenofovir disoproxil fumarate)  03.07 Restricted Use Dornase Alfa Pulmozyme® 08.01.02 Formulary Doxorubicin Hydrochloride Caelyx® 13.05.03 Formulary Dupilumab Dupixent® 08.01.05 Formulary Durvalumab Imfinzi® 05.03.01 Formulary Efavirenz  05.03.01 Formulary Efavirenz 600mg, Emtricitabine 200mg and Tenofovir 245mg tablet Atripla® 05.03.03.02 Formulary Elbasvir/Grazoprevir Zepatier® 09.01.04 Formulary Eltrombopag  05.03.01 Formulary Emtricitabine 200mg Emtriva® 05.03.01 Formulary Emtricitabine 200mg, Rilpivirine 25mg and Tenofovir 245mg tablet Eviplera® 08.01.05 Formulary Encorafenib Braftovi® 05.03.01 Formulary Enfuvirtide Fuzeon® 05.03.03.01 Formulary Entecavir Baraclude® 08.03.04.02 Formulary Enzalutamide Xtandi® 09.01.03 Formulary Epoetin alfa Eprex® 09.01.03 Formulary Epoetin beta NeoRecormon® 20 Non Formulary Eptotermin Alfa  Osigraft® 08.01.05 Formulary Eribulin Halaven® 10.01.03 Formulary Etanercept Enbrel® 13.05.03 Formulary Etanercept Enbrel® 05.03.01 Formulary Etravirine Intelence® 08.01.05 Formulary Everolimus Votubia® 02.11 Formulary Factor IX Fraction, Dried  02.11 Formulary Factor VIII Fraction, Dried  02.11 Formulary Factor XI  02.11 Formulary Factor XII  08.02.04 Formulary Fingolimod Gilenya® 11.04.01 Formulary Fluocinolone acetonide intravitreal implant Iluvien® 18 Non Formulary Fomepizole  05.03.01 Formulary Fosamprenavir Telzir® 05.03.02.02 Formulary Foscarnet Sodium Infusion Foscavir® 05.03.02.02 Formulary Ganciclovir Cymevene® 08.01.05 Formulary Gefitinib Iressa® 08.02.03 Formulary Gemtuzumab ozogamicin Mylotarg 08.02.04 Formulary Glatiramer Acetate Copaxone® 05.03.03.02 Formulary Glecaprevir/pibrentasvir Maviret® 01.05.03 Formulary Golimumab Simponi® 10.01.03 Formulary Golimumab Simponi® 13.05.03 Formulary Guselkumab Tremfya® 05.03.03.02 Formulary Harvoni Harvoni® 08.01.05 Formulary Imatinib Gilvec® 05.03.01 Formulary Indinavir Crixivan® 01.05.03 Formulary Infliximab Remicade® Remsima® 10.01.03 Formulary Infliximab Remicade® 13.05.03 Formulary Infliximab Remicade® 08.02.04 Formulary Interferon Alfa IntronA 08.02.04 Formulary Interferon Alfa Roferon-A® 08.02.04 Formulary Interferon beta Extavia® 16.01 Formulary Ixazomib  Ninlaro® 05.03.01 Formulary Lamivudine  05.03.01 Formulary Lamivudine 150mg / Zidovudine 300mg tablet  08.01.05 Formulary Lapatinib Tyverb® 08.01.05 Non Formulary Larotrectinib VITRAKVI ® 08.02.04 Formulary Lenalidomide  Revlimid® 09.01.06 Formulary Lenograstim  Granocyte® 08.01.05 Formulary Lenvatinib Kisplyx® 09.08.01 Formulary Levocarnitine Carnitor® 05.03.01 Formulary Lopinavir and Ritonavir Kaletra® 09.01.04 Formulary Lusutrombopag Mulpleo® 03.07 Formulary Mannitol inhalation Osmohale® 05.03.01 Formulary Maraviroc Celsentri® 08.02.01 Formulary Mycophenolate Mofetil  08.02.04 Restricted Use Natalizumab Tysabri® 08.01.03 Formulary Nelarabine Atriance® 05.03.01 Formulary Nelfinavir Viracept® 08.01.05 Formulary Neratinib Nerlynx® 05.03.01 Formulary Nevirapine  08.01.05 Formulary Nilotinib Tasigna® 03.11 Non Formulary Nintedanib Vargatef 20 Non Formulary Nitazoxanide  08.02.04 Formulary Nivolumab Opdivo® 08.02.03 Formulary Obinutuzumab Gazyvaro ® 11.08.02 Formulary Ocriplasmin Jetrea® 08.03.04.03 Formulary Octreotide  08.03.04.03 Formulary Octreotide Sandostatin Lar® 08.02.03 Formulary Ofatumumab Arzerra® 05.03.03.02 Formulary Ombitasvir/ paritaprevir/ritonavir Viekirax® 05.03.05 Formulary Palivizumab Synagis® 08.01.05 Formulary Pazopanib Votrient® 09.01.06 Formulary Pegfilgrastim Neulasta® 08.02.04 Formulary Peginterferon Alfa  08.02.04 Formulary Peginterferon beta-1a Plegridy® 08.01.05 Formulary Pembrolizumab Keytruda® 08.01.03 Formulary Pemetrexed Alimta® 08.01.05 Formulary Pertuzumab Perjeta® 03.11 Non Formulary pirfenidone Esbriet® 08.01.02 Formulary Pixantrone  08.02.04 Formulary Pomalidomide Imnovid® 08.01.05 Formulary Ponatinib Iclusig® 03.05.02 Formulary Poractant  Curosurf® 05.02 Formulary Posaconazole (oral) Noxafil® 02.11 Formulary Protein C Concentrate Ceprotin® 02.11 Formulary Prothrombin Complex Concentrate  Octaplex® 05.03.01 Formulary Raltegravir Isentress ® 11.08.02 Formulary Ranibizumab Lucentis® 10.01.04 Formulary Rasburicase Fastertec® 05.03.01 Formulary Rilpivirine hydrochloride Edurant® 04.09.03 Formulary Riluzole  13.05.03 Formulary Risankizumab  05.03.01 Formulary Ritonavir Norvir® 08.02.03 Formulary Rituximab MabThera® 10.01.03 Formulary Rituximab MabThera® 09.01.04 Formulary Romiplostim Nplate® 08.01.05 Formulary Ruxolitinib Jakavi® 05.03.01 Formulary Saquinavir Invirase® 13.05.03 Formulary Secukinumab Cosentyx® 09.05.02.02 Formulary Sevelamer Hydrochloride   02.05.01 Formulary Sildenafil  20 Non Formulary Sipuleucel- T  05.03.03.02 Formulary Sofosbuvir Sovaldi® 05.03.03.02 Formulary Sofosbuvir /Velpatasvir  Epclusa® 05.03.03.02 Formulary sofosbuvir/velpatasvir/voxilaprevir Vosevi® 06.05.01 Formulary Somatropin  05.03.01 Formulary Stavudine Zerit® 08.01.05 Formulary Sunitinib  20 Non Formulary Taribavirin  05.03.03.02 Formulary Telaprevir Incivo® 08.01.05 Formulary Temsirolimus Torisel® 05.03.01 Formulary Tenofovir 245mg and Emtricitabine 200mg tablet Truvada® 05.03.01 Formulary Tenofovir 245mg, cobicistat 150mg, elvitegravir 150mg and emtricitabine 200mg tablet Stribild® 05.03.01 Formulary Tenofovir Disproxil Viread® 08.02.04 Formulary Teriflunomide Aubagio® 06.06.01 Formulary Teriparatide Forsteo® 20 Non Formulary TETRAHYDROBIOPTERIN Tablets 10 mg  08.02.04 Formulary Thalidomide Celgene® 13.05.03 Formulary Tildrakizumab Ilumetri® 05.03.01 Formulary Tipranavir Aptivus® 10.01.03 Formulary Tocilizumab RoActemra® 10.01.05 Formulary Tofacitinib Xeljanz® 06.05.02 Formulary Tolvaptan Samsca® 08.01.05 Formulary Trastuzumab emtansine  20 Non Formulary Treprostinil   13.05.03 Formulary Ustekinumab Stelara® 05.03.02.02 Formulary Valganciclovir tablet Valcyte® 01.05.03 Formulary Vedolizumab Entyvio® 08.01.05 Formulary Vemurafenib Zelboraf® 08.01.05 Formulary Vismodegib Erivedge® 05.02 Formulary Voriconazole Vfend® 05.03.01 Formulary Zidovudine

Chelsea and Westminster Hospital