Report : A-Z HCD items in Formulary 03/03/2021 11:31:11

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Section Status HCD Name 10.01.03 Formulary Abatacept Orencia® 08.03.04.02 Formulary Abiraterone Zytiga® 01.05.03 Formulary Adalimumab Humira® 10.01.03 Formulary Adalimumab Humira® 11.99.99.99 Formulary Adalimumab  13.05.03 Formulary Adalimumab Humira® 05.03.03.01 Formulary Adefovir Dipivoxil Hepsera® 08.01.05 Non Formulary Aflibercept Zaltrap® 11.08.02 Formulary Aflibercept Eylea® 09.08.01 Non Formulary Agalsidase Alfa and Beta Fabrazyme® 09.08.01 Non Formulary Agalsidase Alfa and Beta Replagal® 08.02.04 Formulary Aldesleukin Proleukin® 08.02.03 Formulary Alemtuzumab Lemtrada® 09.08.01 Non Formulary Alglucosidase Alfa Myozyme® 02.12 Formulary Alirocumab Praluent® 13.05.01 Formulary Alitretinoin Toctino® 02.05.01 Non Formulary Ambrisentan  05.02 Non Formulary Amphotericin Abelcet® 05.02 Formulary Amphotericin AmBisome® 10.01.03 Restricted Use Anakinra Kineret® 05.02.04 Non Formulary Anidulafungin Ecalta® 02.11 Formulary Antithrombin III Kybemin® 08.02.02 Non Formulary Antithymocyte immunoglobulin (Rabbit)  Thymoglobuline® 09.01.03 Formulary Antithymocyte Immunoglobulin (Rabbit)   13.05.03 Formulary Apremilast Otezla® 10.02 Formulary Ataluren Translarna® 05.03.01 Formulary Atazanavir Reyataz® 08.01.05 Formulary Avelumab Bavencio® 08.01.05 Formulary Axitinib Inlyta® 08.01.03 Formulary Azacitidine Vidaza® 05.01.02.03 Non Formulary Aztreonam nebuliser solution Cayston® 10.01.03 Formulary Baricitinib Olumiant® 08.02.02 Formulary Basiliximab Simulect® 05.01.09 Formulary Bedaquiline Sirturo® 08.02.02 Formulary Belatacept Nulojix® 10.01 Formulary Belimumab Benlysta® 08.01.01 Formulary Bendamustine Levact® 03.05.02 Non Formulary Beractant Survanta® 05.03.03.02 Formulary Boceprevir Victrelis® 08.01.05 Formulary Bortezomib Velcade® 02.05.01 Non Formulary Bosentan Tracleer® 04.07.04.02 Formulary Botulinum Toxin Type A  08.01.05 Formulary Brentuximab vedotin Adcetris® 13.05.03 Formulary Brodalumab Kyntheum® 10.01.03 Formulary Burosumab Crysvita® 03.04.03 Non Formulary C1 esterase inhibitor Cinryze® 03.04.03 Non Formulary C1 Esterase Inhibitor Berinert® 08.01.05 Formulary Cabazitaxel Jevtana® 08.01.05 Formulary Cabozantinib Cabometyx® 08.02.04 Non Formulary Canakinumab Ilaris® 08.01.05 Formulary Carfilzomib Kyprolis® 09.08.01 Non Formulary Carglumic Acid Carbaglu® 05.02.04 Non Formulary Caspofungin Cancidas® 02.11 Non Formulary Catridecacog NovoThirteen® 10.01.03 Formulary Certolizumab Pegol Cimzia® 08.01.05 Formulary Cetuximab Erbitux® 08.02.02 Formulary Ciclosporin  05.03.02.02 Non Formulary Cidofovir infusion Vistide® 08.01.03 Formulary Clofarabine Evoltra® 05.03.01 Non Formulary Cobicistat Tybost® 04.09.01 Non Formulary Co-Careldopa Intestinal gel Duodopa® 09.05.02.02 Non Formulary Colestilan BindRen® 03.04.03 Formulary Conestat Alfa Ruconest® 08.01.05 Formulary Crizotinib Xalkori® 08.01.05 Formulary Dabrafenib Tafinlar® 05.03.03.02 Formulary Daclatasvir  Daklinza® 08.01.05 Formulary Daratumumab Darzalex® 09.01.03 Formulary Darbepoetin alfa Aranesp® 08.03.04.02 Formulary Darolutamide Nubeqa® 05.03.01 Formulary Darunavir Prezista® 05.03.03.02 Formulary Dasabuvir Exviera® 08.01.05 Formulary Dasatinib Sprycel® 20 Non Formulary DAUNORUBICIN saline pre-filled syringe  08.01.03 Non Formulary Decitabine Dacogen® 09.01.03 Formulary Deferasirox Exjade® 09.01.03 Formulary Deferiprone Ferriprox® 20 Non Formulary DEFIBROTIDE Capsules 400 mg  20 Non Formulary DEFIBROTIDE Injection 200 mg  05.01.09 Formulary Delamanid Deltyba® 11.04.01 Formulary Dexamethasone Intravitreal Implant Ozurdex® 08.01 Formulary Dexrazoxane Savene® 02.01.01 Formulary Digoxin specific antibody fragments Digifab® 08.02.04 Formulary Dimethyl fumarate Tecfidera® 13.05.03 Formulary Dimethyl fumarate Skilarence® 05.03.01 Formulary Dolutegravir Tivicay® 05.03.01 Formulary Dolutegravir and Rilpivirine  Juluca® 05.03.01 Formulary Dolutegravir, abacavir & lamivudine Triumeq® 03.07 Formulary Dornase Alfa Pulmozyme® 08.01.02 Formulary Doxorubicin Caelyx® 13.05.03 Formulary Dupilumab Dupixent® 09.01.03 Formulary Eculizumab Soliris® 05.03.01 Formulary Efavirenz Sustiva® 09.08.01 Non Formulary Eliglustat Cerdelga® 09.01.04 Formulary Eltrombopag Revolade® 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® 09.01.03 Non Formulary Epoetin zeta Retacrit® 02.08.01 Formulary Epoprostenol Flolan® 20 Non Formulary Eptotermin Alfa  Osigraft® 08.01.05 Formulary Eribulin Halaven® 08.01.05 Formulary Erlotinib Tarceva® 10.01.03 Formulary Etanercept Enbrel® 13.05.03 Formulary Etanercept  05.03.01 Formulary Etravirine Intelence® 08.01.05 Formulary Everolimus  02.12 Formulary Evolocumab Repatha® 02.11 Formulary Factor IX Fraction, Dried  02.11 Formulary Factor VIIa (Recombinant) Novo 7® 02.11 Formulary Factor VIII Fraction, Dried  02.11 Formulary Factor VIII Inhibitor Bypassing Fraction (FEIBA)  02.11 Formulary Factor XIII Fraction, Dried  08.02.04 Non Formulary Fampridine  09.01.06 Formulary Filgrastim  08.02.04 Formulary Fingolimod  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 Foscavir® 04.07.04.02 Formulary Galcanezumab Emgality® 05.03.02.02 Formulary Ganciclovir Cymevene® 08.01.05 Formulary Gefitinib Iressa® 08.02.04 Formulary Glatiramer Acetate Copaxone® 18 Non Formulary Glucarpidase Carboxypeptidase 01.05.03 Formulary Golimumab Simponi® 10.01.03 Formulary Golimumab Simponi® 13.05.03 Formulary Guselkumab Tremfya® 09.08.02 Formulary Haem Arginate Normosang® 08.01.05 Formulary Ibrutinib Imbruvica® 03.04.03 Non Formulary Icatibant Firazyr® 02.05.01 Formulary Iloprost injection   08.01.05 Non Formulary Imatinib Gilvec® 08.01.05 Formulary Imatinib Gilvec® 09.08.01 Non Formulary Imiglucerase Cerezyme® 05.03.01 Formulary Indinavir Crixivan® 01.05.03 Formulary Infliximab  10.01.03 Formulary Infliximab  13.05.03 Formulary Infliximab Remicade® 09.08.01 Formulary Inotersen Tegsedi® 08.02.04 Non Formulary Interferon Alfa  08.02.04 Non Formulary Interferon Alfa Roferon-A® 08.02.04 Non Formulary Interferon Alfa Viraferon® 08.01.05 Formulary Ipilimumab Yervoy® 03.07 Formulary Ivacaftor  10.01.03 Formulary Ixekizumab Taltz® 08.03.04.03 Formulary Lanreotide  Somatuline Autogel® 09.05.02.02 Formulary Lanthanum Fosrenol® 08.01.05 Non Formulary Lapatinib Tyverb® 09.08.01 Non Formulary Laronidase Aldurazyme® 05.03.03.02 Formulary Ledipasvir and Sofosbuvir Harvoni® 08.02.04 Formulary Lenalidomide Revlimid® 09.01.06 Formulary Lenograstim Granocyte® 09.08.01 Formulary Levocarnitine Carnitor® 05.01.12 Formulary Levofloxacin Quinsair® 09.01.06 Non Formulary Lipegfilgrastim  Lonquex® 02.12 Non Formulary Lomitapide Lojuxta®▼ 05.03.01 Formulary Lopinavir and Ritonavir Kaletra® 02.05.01 Formulary Macitentan Opsumit® 03.07 Formulary Mannitol dry powder for inhalation  05.03.01 Formulary Maraviroc Celsentri® 06.07.04 Non Formulary Mecasermin Increlex® 09.08.01 Non Formulary Mercaptamine (Cysteamine) Cystagon® 09.01.03 Formulary Methoxy Polyethylene Glycol-Epoetin Beta Mircera® 05.02.04 Formulary Micafungin Mycamine® 09.08.01 Non Formulary Miglustat Zavesca® 08.02.04 Formulary Natalizumab Tysabri® 08.01.05 Non Formulary Necitumumab Portrazza® 08.01.03 Formulary Nelarabine Atriance® 05.03.01 Formulary Nevirapine Viramune® 08.01.05 Formulary Nilotinib Tasigna® 03.11 Formulary Nintedanib Ofev® 08.01.05 Formulary Nintedanib  Vargatef® 08.02.04 Formulary Nivolumab Opdivo® 14.05.01 Non Formulary Normal immunoglobulin Vigam® 14.05.01 Formulary Normal immunoglobulin Privigen® 14.05.01 Non Formulary Normal immunoglobulin Gammagard S/D® 08.02.03 Formulary Obinutuzumab Gazyvaro® 11.08.02 Formulary Ocriplasmin Jetrea® 08.03.04.03 Formulary Octreotide Sandostatin LAR® 08.03.04.03 Formulary Octreotide Sandostatin® 08.02.03 Formulary Ofatumumab Arzerra® 08.02.04 Formulary Olaparib Lynparza® 03.04.02 Formulary Omalizumab Xolair® 05.03.03.02 Formulary Ombitasvir - Paritaprevir - Ritonavir Viekirax® 08.01.05 Formulary Paclitaxel - Albumin Bound Formulation Abraxane® 05.03.05 Formulary Palivizumab Synagis® 08.01.05 Formulary Panitumumab Vectibix® 08.01.05 Non Formulary Panobinostat Farydak® 06.06.01 Non Formulary Parathyroid Hormone Preotact® 06.05 Non Formulary Pasireotide  08.01.05 Formulary Pazopanib Votrient® 11.08.02 Non Formulary Pegaptanib Sodium Macugen® 09.01.06 Non Formulary Pegfilgrastim Neulasta® 08.02.04 Formulary Peginterferon Alfa Pegasys® 08.02.04 Formulary Peginterferon Alfa ViraferonPeg® 08.02.04 Formulary Peginterferon Beta-1a Plegridy® 06.05.01 Non Formulary Pegvisomant Somavert® 08.01.05 Formulary Pembrolizumab Keytruda® 08.01.03 Formulary Pemetrexed Alimta® 08.01.05 Formulary Pertuzumab Perjeta® 03.11 Formulary Pirfenidone Esbriet® 08.01.02 Formulary Pixantrone  09.01.07 Formulary Plerixafor Mozobil® 08.02.04 Formulary Pomalidomide Imnovid® 08.01.05 Formulary Ponatinib Iclusig® 03.05.02 Formulary Poractant Alfa Curosurf® 05.02 Formulary Posaconazole Noxafil® 02.11 Formulary Protein C Concentrate Ceprotin® 02.11 Formulary Prothrombin Complex Concentrate  Octaplex® 08.03.04.02 Formulary Radium-223 dichloride  05.03.01 Formulary Raltegravir Isentress® 08.01.05 Non Formulary Ramucirumab Cyramza® 11.08.02 Formulary Ranibizumab Lucentis® 10.01.04 Formulary Rasburicase Fastertec® 08.01.05 Formulary Regorafenib Stivarga® 05.03.05 Formulary Ribavirin Rebetol® 05.03.05 Formulary Ribavirin Copegus® 05.01.07 Formulary Rifaximin Targaxan® 02.05.01 Non Formulary Riociguat Adempas® 08.02.03 Formulary Rituximab MabThera® 10.01.03 Formulary Rituximab  MabThera® 09.01.04 Formulary Romiplostim Nplate® 08.01.05 Formulary Ruxolitinib Jakavi® 09.04.01 Non Formulary Sapropterin Dihydrochloride  Kuvan® 05.03.01 Formulary Saquinavir Invirase® 10.01.03 Formulary Sarilumab Kevzara® 13.05.03 Formulary Secukinumab Cosentyx® 09.05.02.02 Formulary Sevelamer Carbonate 2.4g sachets Renvela® 09.05.02.02 Formulary Sevelamer Hydrochloride  Renagel® 02.05.01 Formulary Sildenafil Revatio® 05.03.03.02 Formulary Simeprevir Olysio® 08.02.04 Formulary Siponimod Mayzent® 20 Non Formulary Sipuleucel- T  08.02.02 Non Formulary Sirolimus Rapamune® 04.01.01 Formulary Sodium Oxybate Xyrem® 05.03.03.02 Formulary Sofosbuvir Sovaldi® 06.05.01 Formulary Somatropin  Zomacton® 06.05.01 Formulary Somatropin Omnitrope®, Genotropin® 06.05.01 Formulary Somatropin Saizen® 08.01.05 Formulary Sorafenib Nexavar® 08.01.05 Formulary Sunitinib Sutent® 20 Non Formulary Taribavirin  01.04.02 Non Formulary Teduglutide Revestive® 05.03.03.02 Formulary Telaprevir Incivo® 08.01.05 Formulary Temozolomide Temodal® 08.01.05 Non Formulary Temsirolimus Torisel® 08.02.04 Formulary Teriflunomide Aubagio® 06.06.01 Formulary Teriparatide Forsteo® 06.06.01 Formulary Teriparatide Movymia® 20 Non Formulary TETRAHYDROBIOPTERIN Tablets 10 mg  03.07 Formulary Tezacaftor with Ivacaftor and Elexacaftor Kaftrio ® 08.02.04 Formulary Thalidomide Celgene® 13.05.03 Formulary Tildrakizumab Ilumetri® 05.03.01 Formulary Tipranavir Aptivus® 08.01.05 Formulary Tivozanib Fotivda® 05.01.04 Formulary Tobramycin  05.01.04 Formulary Tobramycin inhaler TOBI Podhaler® 10.01.03 Formulary Tocilizumab RoActemra® 10.01.03 Formulary Tofacitinib citrate Xeljanz® 06.05.02 Non Formulary Tolvaptan Samsca® 06.05.02 Formulary Tolvaptan Jinarc® 08.01.05 Formulary Trametinib Mekinist® 08.01.05 Formulary Trastuzumab Herceptin® 08.01.05 Formulary Trastuzumab emtansine Kadcyla® 20 Non Formulary Treprostinil   10.01.03 Formulary Upadacitinib Rinvoq® 01.05.03 Formulary Ustekinumab Stelara® 13.05.03 Formulary Ustekinumab Stelara® 05.03.02.02 Formulary Valganciclovir Valcyte® 08.01.05 Non Formulary Vandetanib Caprelsa® 01.05.03 Formulary Vedolizumab Entyvio® 08.01.05 Formulary Vemurafenib Zelboraf® 11.08.02 Formulary Verteporfin Visudyne® 08.01.05 Non Formulary Vismodegib Erivedge® 05.02 Formulary Voriconazole Vfend® 08.01.05 Non Formulary Vosaroxin Qinprezo

Oxfordshire Clinical Commissioning Group