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Skin
Skin / Hyperhidrosis
  aluminium chloride hexahydrate NON-FORMULARY
  Liquid
Anhydrol (Dermal Laboratories Ltd) NON-FORMULARY
  botulinum toxin type A HOSPITAL ONLY PRESCRIBING NICE TA260
NICE TA605
  Powder for solution for injection
Azzalure (Galderma (UK) Ltd) HOSPITAL ONLY PRESCRIBING
Bocouture (Merz Pharma UK Ltd) HOSPITAL ONLY PRESCRIBING
Botox (AbbVie Ltd) HOSPITAL ONLY PRESCRIBING
Dysport (Ipsen Ltd) HOSPITAL ONLY PRESCRIBING
Xeomin (Merz Pharma UK Ltd) HOSPITAL ONLY PRESCRIBING
  glycopyrronium bromide NON-FORMULARY
Skin / Scalp and hair conditions
  benzalkonium chloride NON-FORMULARY
  Shampoo
Dermax (Dermal Laboratories Ltd) NON-FORMULARY
NHSE OTC dandruff

NHS England Guidance for CCGs on prescribing OTC products (Mar-18):

  • Prescriptions should not be routinely offered for common scalp conditions such cradle cap or dandruff 
  • Specific exception for cradle cap - if causing distress to infant and not improving

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  cetrimide with undecenoic acid FORMULARY PRODUCT
  coal tar SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Shampoo
Coal tar (Non-proprietary) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
COAL TAR PRODUCTS FORMULARY STATUS

Coal tar containing products are established treatment options used in dermatology endorsed by NICE CKS Click here

Please note, Coal Tar products should not be routinely prescribed for minor dermatological conditions - patients  should be encouraged self-care and to buy over the counter, where appropriate. Coal Tar products can be prescribed as formulary treatment options for moderate-severe cases.
Neutrogena T/Gel Therapeutic (Johnson & Johnson Ltd) NON-FORMULARY
NHSE OTC dandruff

NHS England Guidance for CCGs on prescribing OTC products (Mar-18):

  • Prescriptions should not be routinely offered for common scalp conditions such cradle cap or dandruff 
  • Specific exception for cradle cap - if causing distress to infant and not improving

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
Polytar Scalp (Thornton & Ross Ltd) FORMULARY PRODUCT
NHSE OTC dandruff

NHS England Guidance for CCGs on prescribing OTC products (Mar-18):

  • Prescriptions should not be routinely offered for common scalp conditions such cradle cap or dandruff 
  • Specific exception for cradle cap - if causing distress to infant and not improving

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  Cutaneous emulsion
Exorex (Teva UK Ltd) NON-FORMULARY
  ketoconazole NON-FORMULARY
  Shampoo
Ketoconazole (Non-proprietary) NON-FORMULARY
NHSE OTC dandruff

NHS England Guidance for CCGs on prescribing OTC products (Mar-18):

  • Prescriptions should not be routinely offered for common scalp conditions such cradle cap or dandruff 
  • Specific exception for cradle cap - if causing distress to infant and not improving

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
Dandrazol (Transdermal Ltd) NON-FORMULARY
NHSE OTC dandruff

NHS England Guidance for CCGs on prescribing OTC products (Mar-18):

  • Prescriptions should not be routinely offered for common scalp conditions such cradle cap or dandruff 
  • Specific exception for cradle cap - if causing distress to infant and not improving

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
Nizoral (Thornton & Ross Ltd) NON-FORMULARY
NHSE OTC dandruff

NHS England Guidance for CCGs on prescribing OTC products (Mar-18):

  • Prescriptions should not be routinely offered for common scalp conditions such cradle cap or dandruff 
  • Specific exception for cradle cap - if causing distress to infant and not improving

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  selenium NON-FORMULARY
Skin / Alopecia
  finasteride NON-FORMULARY
  minoxidil NON-FORMULARY
  Liquid
Minoxidil (Non-proprietary) NON-FORMULARY
Regaine (Johnson & Johnson Ltd, McNeil Products Ltd) NON-FORMULARY
Skin / Hirsutism
  co-cyprindiol SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  eflornithine SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
Skin / Superficial soft-tissue injuries and superficial thrombophlebitis
  heparinoid NON-FORMULARY
Skin / Dry and scaling skin disorders
  barrier creams and ointments FORMULARY PRODUCT
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  emollient bath and shower products, antimicrobial-containing NON-FORMULARY
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  Bath additive
Dermol 600 (Dermal Laboratories Ltd) NON-FORMULARY
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
Emulsiderm (Dermal Laboratories Ltd) NON-FORMULARY
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
Oilatum Plus (Thornton & Ross Ltd) NON-FORMULARY
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  emollient bath and shower products, paraffin-containing
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  Bath additive
Emollient bath and shower products, paraffin-containing (Non-proprietary) NON-FORMULARY
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
Dermalo (Dermal Laboratories Ltd) FIRST-LINE FORMULARY PRODUCT
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
Zerolatum (Thornton & Ross Ltd) NON-FORMULARY
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  Cutaneous wash
Emollient bath and shower products, paraffin-containing (Non-proprietary) NON-FORMULARY
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
E45 emollient wash (Karo Pharma UK Ltd) NON-FORMULARY
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  emollient bath and shower products, soya-bean oil-containing
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  Bath additive
Zeroneum (Thornton & Ross Ltd) NON-FORMULARY
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  emollient creams and ointments, colloidal oatmeal-containing
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  Form unstated
Emollient creams and ointments, colloidal oatmeal-containing (Non-proprietary) NON-FORMULARY
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  emollient creams and ointments, paraffin-containing
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  Spray
Emollin (C D Medical Ltd) NON-FORMULARY
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  emollients, urea-containing FORMULARY PRODUCT
Formulary choices for urea-containing products

First line formulary choices are as follows: 

  • ImuDERM® Emollient (in the absence of itching)
  • Balneum®  cream or Balneum ® Plus cream  
  • Hydromol Intensive® Cream 
  • Nutraplus® cream 
  • Aquadrate® cream

Second line formulary choices are as follows:

  • Calmurid® cream
  • Dermatonicss® Once Heel Balm

Non-formulary: Flexitol

 

Further information:

    • To access Emollient Guidelines and Formulary Click here

MHRA DRUG SAFETY UPDATE: Risk of severe and fatal burns with emollients, data suggest there is also a risk for paraffin-free emollients.  click here
Emollient Guidelines

The emollient guidelines were developed in collaboration with Medicines Management, Consultant Dermatologists and General Practitioners with specialist interest in dermatology.

Click here to access the guidelines
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  Products without form
Emollients, urea-containing (Non-proprietary) FORMULARY PRODUCT
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
Dermatonics Once (Dermatonics Ltd) FORMULARY PRODUCT
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
Flexitol (Thornton & Ross Ltd) NON-FORMULARY
NHSE OTC- Mild dry skin

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescription for treatment of mild dry skinshould not be routinely offered - appropriate for self-care
  • OTC treatments can help moisturise mild dry skin

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
Skin / Acne
  adapalene FORMULARY PRODUCT
  azelaic acid FORMULARY PRODUCT
  benzoyl peroxide FORMULARY PRODUCT
  clindamycin SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
CLINDAMYCIN

PARENTERAL FORMULATION IS FOR HOSPITAL PRESCRIBING ONLY
  Solution for injection
Clindamycin (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Dalacin C (Pfizer Ltd) HOSPITAL ONLY PRESCRIBING
  co-cyprindiol SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  doxycycline FORMULARY PRODUCT
  Modified-release capsule
Efracea (Galderma (UK) Ltd) NON-FORMULARY
  erythromycin
  Powder for solution for infusion
Erythromycin (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  isotretinoin HOSPITAL ONLY PRESCRIBING
  minocycline HOSPITAL ONLY PRESCRIBING
HOSPITAL USE

HOSPITAL ONLY for all indications
  Modified-release capsule
Acnamino MR (Dexcel-Pharma Ltd) HOSPITAL ONLY PRESCRIBING
Minocin MR (Viatris UK Healthcare Ltd) HOSPITAL ONLY PRESCRIBING
  nicotinamide NON-FORMULARY
Skin / Rosacea
  azelaic acid FORMULARY PRODUCT
  ivermectin FORMULARY PRODUCT
Skin / Sun protection and photodamage
  fluorouracil HOSPITAL ONLY PRESCRIBING
FORMULARY STATUS FOR SKIN KERATOSES, BOWEN'S DISEASE AND BASAL CELL CARCINOMA

Topical 5-Fluorouracil (5-FU) cream is SHARED CARE for Skin Keratoses, Bowen’s Disease and basal cell carcinoma. It can be prescribed in primary care under shared care following initiation from specialist. 
  Solution for injection
Fluorouracil (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Fluorouracil (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  ingenol mebutate NON-FORMULARY
Skin / Warts and calluses
  formaldehyde NON-FORMULARY
  Liquid
Formaldehyde (Non-proprietary) NON-FORMULARY
  imiquimod SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
A formal Shared Care Guideline (SCG) may be available.

If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records.

Click here for the Shared Care Guideline Repository


If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' .
 
  podophyllotoxin NON-FORMULARY
  Liquid
Warticon (Phoenix Labs Ltd) NON-FORMULARY
  salicylic acid NON-FORMULARY
NHSE OTC Warts and Varrucas

NHS England Guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescriptions for treatment of warts or verrucae should not be routinely offered - appropriate for self-care. Example OTC Products:* salicyclic acid, lactic acid products; freeze treatments
  • OTC Product restrictions: Diabetic patients • Face, neck, ano-genital area • Moles, birthmarks, hairy warts or skin lesions • Broken skin• Impaired peripheral blood circulation • (Scholl® Freeze and Bazuka® Sub zero freeze treatments as above and also including children <4y). General exceptions in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  • Resources: 1-page patient information sheet.    *PrescQIPP's Self-care and OTC Items - Quick Reference Guide for GPs
  Liquid
Occlusal (Alliance Pharmaceuticals Ltd) NON-FORMULARY
NHSE OTC Warts and Varrucas

NHS England Guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescriptions for treatment of warts or verrucae should not be routinely offered - appropriate for self-care. Example OTC Products:* salicyclic acid, lactic acid products; freeze treatments
  • OTC Product restrictions: Diabetic patients • Face, neck, ano-genital area • Moles, birthmarks, hairy warts or skin lesions • Broken skin• Impaired peripheral blood circulation • (Scholl® Freeze and Bazuka® Sub zero freeze treatments as above and also including children <4y). General exceptions in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  • Resources: 1-page patient information sheet.    *PrescQIPP's Self-care and OTC Items - Quick Reference Guide for GPs
  silver nitrate HOSPITAL ONLY PRESCRIBING
  Stick
Avoca (Bray Group Ltd) HOSPITAL ONLY PRESCRIBING
Skin / Eczema and psoriasis
  abrocitinib HOSPITAL ONLY PRESCRIBING NICE TA814
  acitretin HOSPITAL ONLY PRESCRIBING
  adalimumab HOSPITAL ONLY PRESCRIBING NICE TA187
NICE TA329
NICE TA199
NICE TA195
NICE TA375
NICE TA715
NICE TA383
NICE TA392
NICE TA146
NICE TA460
  Solution for injection
Humira (AbbVie Ltd) HOSPITAL ONLY PRESCRIBING
  alclometasone dipropionate NON-FORMULARY
  alitretinoin HOSPITAL ONLY PRESCRIBING NICE TA177
  apremilast HOSPITAL ONLY PRESCRIBING NICE TA433
NICE TA419
  azathioprine SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
AZATHIOPRINE - HOSPITAL ONLY INDICATIONS

Azathioprine is HOSPITAL ONLY for SEVERE ATOPIC DERMATITIS and RENAL TRANSPLANTATION
  baricitinib HOSPITAL ONLY PRESCRIBING NICE TA466
NICE TA681
NICE TA926
  beclometasone dipropionate FORMULARY PRODUCT
  betamethasone FORMULARY PRODUCT
  Liquid
Betacap (Dermal Laboratories Ltd) FORMULARY PRODUCT
Betnovate (GlaxoSmithKline UK Ltd) FORMULARY PRODUCT
Diprosone (Organon Pharma (UK) Ltd) NON-FORMULARY
  Medicated plaster
Betesil (Derma UK Ltd) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
Betesil medicated plaster for Chronically scratched areas of the skin which causes inflammation and thickening of the epidermis.

GP can prescribe on the recommendation of a GPSI or dermatologist. Suitable for chronic plaque psoriasis localized in difficult to treat areas (e.g. knees, elbows and anterior face of the tibia on an area not greater than 5% of the body surface). Condition for approval: Barts Health to produce a one-page pathway/ prescribing guide to aid clinicians prescribing in primary care (will include flowchart/ treatment pathway/referral details).

  betamethasone with clioquinol NON-FORMULARY
  betamethasone with fusidic acid FORMULARY PRODUCT
  betamethasone with neomycin NON-FORMULARY
  calcipotriol FORMULARY PRODUCT
  Liquid
Calcipotriol (Non-proprietary) FORMULARY PRODUCT
  calcitriol NON-FORMULARY
  Oral solution
Calcitriol (Non-proprietary) NON-FORMULARY
  ciclosporin SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines NICE TA369
CICLOSPORIN (NEORAL)

Ciclosporin (Neoral) is HOSPITAL ONLY for renal transplant patients and severe resistant childhood psoriasis and atopic eczema
  Oral solution
Neoral (Novartis Pharmaceuticals UK Ltd) SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
Sandimmun (Novartis Pharmaceuticals UK Ltd) SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
  Solution for infusion
Sandimmun (Novartis Pharmaceuticals UK Ltd) HOSPITAL ONLY PRESCRIBING
  clobetasol propionate FORMULARY PRODUCT
  Liquid
Dermovate (GlaxoSmithKline UK Ltd) FORMULARY PRODUCT
  Shampoo
Etrivex (Galderma (UK) Ltd) NON-FORMULARY
  clobetasone butyrate FORMULARY PRODUCT
  coal tar SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Shampoo
Coal tar (Non-proprietary) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
COAL TAR PRODUCTS FORMULARY STATUS

Coal tar containing products are established treatment options used in dermatology endorsed by NICE CKS Click here

Please note, Coal Tar products should not be routinely prescribed for minor dermatological conditions - patients  should be encouraged self-care and to buy over the counter, where appropriate. Coal Tar products can be prescribed as formulary treatment options for moderate-severe cases.
Neutrogena T/Gel Therapeutic (Johnson & Johnson Ltd) NON-FORMULARY
Polytar Scalp (Thornton & Ross Ltd) FORMULARY PRODUCT
  Cutaneous emulsion
Exorex (Teva UK Ltd) NON-FORMULARY
  coal tar with calamine SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  coal tar with coconut oil and salicylic acid FORMULARY PRODUCT
  coal tar with salicylic acid SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  coal tar with zinc oxide SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  dimethyl fumarate HOSPITAL ONLY PRESCRIBING
Skilarence® NICE TA475
Tecfidera® NICE TA320
  Gastro-resistant tablet
Skilarence (Almirall Ltd) HOSPITAL ONLY PRESCRIBING
  Gastro-resistant capsule
Tecfidera (Biogen Idec Ltd) HOSPITAL ONLY PRESCRIBING
  dithranol SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
British Association of Dermatologists (BAD) list of preferred Specials

For many common dermatological diseases including psoriasis and eczema, the range of licensed medicines is limited.
 
As a result, Dermatology prescribing may rely significantly on unlicensed creams and ointments (known as ‘Specials’) containing tars, dithranol, salicylic acid, steroids and other active constituents in a range of concentrations and bases.
 
Adherence to the revised British Association of Dermatologists (BAD) list of preferred Specials is encouraged to ensure safe, consistent and cost-effective prescribing.
 
Click here to access the BAD preferred list and other guidelines
  etanercept HOSPITAL ONLY PRESCRIBING NICE TA103
NICE TA195
NICE TA375
NICE TA715
NICE TA199
NICE TA383
  Solution for injection
Benepali (Biogen Idec Ltd) HOSPITAL ONLY PRESCRIBING
Enbrel (Pfizer Ltd) HOSPITAL ONLY PRESCRIBING
Enbrel MyClic (Pfizer Ltd) HOSPITAL ONLY PRESCRIBING
Erelzi (Sandoz Ltd) HOSPITAL ONLY PRESCRIBING
  Powder and solvent for solution for injection
Enbrel (Pfizer Ltd) HOSPITAL ONLY PRESCRIBING
  fludroxycortide NON-FORMULARY
  Impregnated dressing
Fludroxycortide (Non-proprietary) NON-FORMULARY
  fluocinolone acetonide FORMULARY PRODUCT NICE TA301
NICE TA613
NICE TA590
  fluocinonide NON-FORMULARY
  fluticasone FORMULARY PRODUCT
  hydrocortisone FORMULARY PRODUCT
  Solution for injection
Hydrocortisone (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  hydrocortisone butyrate NON-FORMULARY
  Liquid
Locoid (Neon Healthcare Ltd) NON-FORMULARY
  ichthammol SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
British Association of Dermatologists (BAD) list of preferred Specials

For many common dermatological diseases including psoriasis and eczema, the range of licensed medicines is limited.
 
As a result, Dermatology prescribing may rely significantly on unlicensed creams and ointments (known as ‘Specials’) containing tars, dithranol, salicylic acid, steroids and other active constituents in a range of concentrations and bases.
 
Adherence to the revised British Association of Dermatologists (BAD) list of preferred Specials is encouraged to ensure safe, consistent and cost-effective prescribing.
 
Click here to access the BAD preferred list and other guidelines
  infliximab HOSPITAL ONLY PRESCRIBING NICE TA134
NICE TA195
NICE TA375
NICE TA715
NICE TA199
NICE TA187
NICE TA163
NICE TA329
NICE TA383
  methotrexate SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
METHOTREXATE FOR ARTHRITIS IN CHILDREN

Methotrexate is HOSPITAL ONLY for arthritis in children.

Injection formulations are HOSPITAL ONLY.
Shared Care Guideline

If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records. Click here for the Shared Care Guideline Repository

If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' .  

 
Shared Care Guideline

If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records. Click here for the Shared Care Guideline Repository

If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' .  

 
  Oral solution
Methotrexate (Non-proprietary) SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
  Solution for injection
Methotrexate (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Methofill (Accord-UK Ltd) HOSPITAL ONLY PRESCRIBING
Metoject PEN (medac UK) HOSPITAL ONLY PRESCRIBING
Nordimet (Nordic Pharma Ltd) HOSPITAL ONLY PRESCRIBING
Zlatal (Nordic Pharma Ltd) HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Methotrexate (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  mometasone furoate FORMULARY PRODUCT
  Liquid
Elocon (Organon Pharma (UK) Ltd) NON-FORMULARY
  pimecrolimus SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines NICE TA82
  tacalcitol NON-FORMULARY
  tacrolimus SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines NICE TA82
NICE TA481
NICE TA481
TACROLIMUS IN RENAL TRANSPLANTATION

Tacrolimus is HOSPITAL ONLY for use inr enal transplantation
TACROLIMUS

Tacrolimus is HOSPITAL ONLY for renal transplantation
  Modified-release tablet
Envarsus (Chiesi Ltd) SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
  Modified-release capsule
Advagraf (Astellas Pharma Ltd) SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
  Solution for infusion
Prograf (Astellas Pharma Ltd) HOSPITAL ONLY PRESCRIBING
  tralokinumab HOSPITAL ONLY PRESCRIBING NICE TA814
  ustekinumab HOSPITAL ONLY PRESCRIBING NICE TA180
NICE TA340
NICE TA456
NICE TA633
  Solution for injection
Stelara (Janssen-Cilag Ltd) HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Stelara (Janssen-Cilag Ltd) HOSPITAL ONLY PRESCRIBING
Skin / Urticaria
  acrivastine NON-FORMULARY
  alimemazine tartrate NON-FORMULARY
  Oral solution
Alimemazine tartrate (Non-proprietary) NON-FORMULARY
  fexofenadine hydrochloride FORMULARY PRODUCT
  levocetirizine hydrochloride NON-FORMULARY
  Oral solution
Xyzal (UCB Pharma Ltd) NON-FORMULARY
  loratadine FORMULARY PRODUCT
Hayfever OTC

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescriptions for treatment of mild to moderate hay fever should not be routinely offered - appropriate for self-care using OTC treatments

Link to 1-page patient information sheet to support discussions between patients and healthcare professionals. 

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  Oral solution
Loratadine (Non-proprietary) FORMULARY PRODUCT
  omalizumab HOSPITAL ONLY PRESCRIBING NICE TA278
NICE TA339
  Solution for injection
Xolair (Novartis Pharmaceuticals UK Ltd) HOSPITAL ONLY PRESCRIBING
  promethazine hydrochloride FORMULARY PRODUCT
  Oral solution
Phenergan (Sanofi Consumer Healthcare) FORMULARY PRODUCT
  Solution for injection
Phenergan (Sanofi Consumer Healthcare) HOSPITAL ONLY PRESCRIBING
Skin / Skin cleansers, antiseptics and desloughing agents
  alcohol NON-FORMULARY
  Form unstated
Alcohol (Non-proprietary) NON-FORMULARY
  chlorhexidine FORMULARY PRODUCT
  Liquid
Cepton (Dendron Brands Ltd) NON-FORMULARY
Hibi (Molnlycke Health Care Ltd) FORMULARY PRODUCT
Hibiscrub (Molnlycke Health Care Ltd) FORMULARY PRODUCT
Hydrex (Ecolab Healthcare Division) FORMULARY PRODUCT
  chlorhexidine gluconate with isopropyl alcohol
  Liquid
ChloraPrep (Becton, Dickinson UK Ltd) NON-FORMULARY
  hydrogen peroxide FORMULARY PRODUCT
  Liquid
Hydrogen peroxide (Non-proprietary) FORMULARY PRODUCT
  potassium permanganate FORMULARY PRODUCT
  Tablet for cutaneous solution
Potassium permanganate (Non-proprietary) FORMULARY PRODUCT
Permitabs (Alliance Pharmaceuticals Ltd) FORMULARY PRODUCT
  povidone-iodine FORMULARY PRODUCT
  Eye drops
Povidone-iodine (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  Liquid
Videne (Ecolab Healthcare Division) FORMULARY PRODUCT
  proflavine NON-FORMULARY
Skin / Pruritus
  alimemazine tartrate NON-FORMULARY
  Oral solution
Alimemazine tartrate (Non-proprietary) NON-FORMULARY
  chlorphenamine maleate FORMULARY PRODUCT
  Oral solution
Chlorphenamine maleate (Non-proprietary) FORMULARY PRODUCT
Allerief (Crescent Pharma Ltd) NON-FORMULARY
Piriton (Haleon UK Ltd) NON-FORMULARY
  Solution for injection
Chlorphenamine maleate (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  coal tar with calamine SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  crotamiton FORMULARY PRODUCT
  doxepin NON-FORMULARY
  hydroxyzine hydrochloride FORMULARY PRODUCT
  levocetirizine hydrochloride NON-FORMULARY
  Oral solution
Xyzal (UCB Pharma Ltd) NON-FORMULARY
  levomenthol NON-FORMULARY
Skin / Bacterial skin infections
  metronidazole FORMULARY PRODUCT
  mupirocin FORMULARY PRODUCT
  neomycin sulfate NON-FORMULARY
  silver sulfadiazine HOSPITAL ONLY PRESCRIBING
Skin / Fungal skin infections
  amorolfine FORMULARY PRODUCT
  benzoic acid with salicylic acid NON-FORMULARY
  clotrimazole FORMULARY PRODUCT
NHSE OTC: Athletes Foot/ Fungal

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescriptions for treatment of ringworm or athlete's foot should not be routinely offered - appropriate for self-care with OTC products
  • Specific Exceptions: Lymphoedema or history of lower limb cellulitis

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  Liquid
Canesten (Bayer Plc) FORMULARY PRODUCT
  econazole nitrate NON-FORMULARY
  griseofulvin NON-FORMULARY
  ketoconazole FORMULARY PRODUCT
  miconazole FORMULARY PRODUCT
  Spray
Daktarin (Johnson & Johnson Ltd) FORMULARY PRODUCT
NHSE OTC: Athletes Foot/ Fungal

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescriptions for treatment of ringworm or athlete's foot should not be routinely offered - appropriate for self-care with OTC products
  • Specific Exceptions: Lymphoedema or history of lower limb cellulitis

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  terbinafine FORMULARY PRODUCT
  tioconazole NON-FORMULARY
Skin / Parasitic skin infections
  benzyl benzoate NON-FORMULARY
  dimeticone NON-FORMULARY
  Liquid
Hedrin (Thornton & Ross Ltd) NON-FORMULARY
Lyclear (Omega Pharma Ltd) NON-FORMULARY
  Cutaneous spray solution
Hedrin (Thornton & Ross Ltd) NON-FORMULARY
  malathion FORMULARY PRODUCT
  permethrin FORMULARY PRODUCT
  Liquid
Lyclear (Omega Pharma Ltd) NON-FORMULARY
Skin / Viral skin infections
  aciclovir FORMULARY PRODUCT
  Oral suspension
Aciclovir (Non-proprietary) NON-FORMULARY
Zovirax (GlaxoSmithKline UK Ltd) NON-FORMULARY
  Solution for infusion
Aciclovir (Non-proprietary) HOSPITAL ONLY PRESCRIBING