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North Staffordshire Joint Formulary
North Staffordshire Clinical Commissioning Group
Stoke-on-Trent Clinical Commissioning Group
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 Formulary Chapter 1: Gastro-intestinal system - Full Chapter
01.09.01  Expand sub section  Drugs affecting biliary composition and flow
Ursodeoxycholic acid

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Formulary
Green

Ursodeoxycholic Acid Tablets 250mg - preferred option

Ursodeoxycholic Acid Capsules 250mg
Ursodeoxycholic Acid Suspension 250mg/5ml S/F
Ursodeoxycholic Acid Tablet 150mg
Ursodeoxycholic Acid Tablet 300mg 

500mg tablets are VERY EXPENSIVE - 250mg tablets are the preferred option as more cost effective( Applicable in Primary care only)

 
   
Obeticholic acid 
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Restricted Drug Restricted
Grey
High Cost Medicine

Restriction: In line with NICE Guidance only Not approved for inclusion in the North Staffordshire Joint Formulary: UHNM is not commissioned to provide this treatment. All appropriate patients should be referred to a tertiary specialist commissioned centre. 

 

 

 
Link  NICE TA443: Obeticholic acid for treating primary biliary cholangitis
   
01.09.01  Expand sub section  Other prepatations for biliary disorders
 ....
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
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
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
Blueteq
High Cost Drug Approval System

Traffic Light Status Information

Status Description

Red

Medicines that can only be prescribed within Secondary Care. Examples of medicines which fall into this category are: Certain new medicines and new indications for older medicines where there is at present no experience of use in Primary Care. Medicines or dressings not available or prescribable in Primary Care. Where a medicine has been classified as Amber E, but an approved shared-care guideline is not yet available   

Amber

Medicines which can be prescribed within Secondary Care, but are only suitable for prescribing in Primary Care after specialist referral. There is no need for approved shared care guidelines for medicines in this category. This replaces Amber 2 on the North Staffs Formulary.   

Amber E

Medicines which can be prescribed within Secondary Care, but are only considered suitable for prescribing in Primary Care under an approved shared-care agreement (ESCA) or Rationale for Initiation, Continuation and Discontinuation (RICaD). This replaces Amber 1 on the North Staffs Formulary  

Green

Medicines which can be prescribed in either Primary or Secondary Care.  

Grey

These medicines have been reviewed by the New Medicines Committee and the Area Prescribing Committee and found not to be suitable for inclusion in the Joint Formulary. Inadequate or weak evidence for efficacy No clearly defined local need Lack of long term safety data No perceived benefit over established formulary alternatives Prescribers can consider these medicines where formulary alternatives are unsuitable, ineffective or not tolerated.  

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