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Decisions 3rd March 2020
At the meeting on the 3rd March the following decisions were agreed
New Drug Requests
Approved
Plenvu Powder for Oral Solution (TLS Red)
- For NBT use only, as part of a 6 month trial ending Sept 2020 for patients over 18 years old requiring a bowel cleansing agent prior to any procedure requiring a clean bowel
Acetic Acid Solution (TLS Red)
- For use during a screening gastroscopy to enhance identification of dysplastic areas in patients with Barrett's Oesophagus
Lidocaine Patches (TLS Red)
- For new patients only- for the treatment of localised, neuropathic pain after other treatments have been tried. Existing patients prescribed lidocaine patches for this indication by Primary Care are to remain Primary Care responsibility
- TLS Red status to be reviewed in 12 months' time pending evaluation and development of treatment pathway (April 2021)
Cosopt iMulti (Dorzolamide/timolol preservative free eye drops) (TLS Blue)
- Cosopt iMulti (preservative free) is the preferred brand of Dorzolamide/Timolol eye drops
Shared Care Protocols/TLS changes
Salofalk® retention enema, suppositories and foam enema changed from TLS Blue to TLS Green
Hydrocortisone IV (TLS Green) added to gastro-intestinal chapter to induce remission in acute severe Ulcerative Colitis
Mercaptopurine
- TLS Amber for Adults with Autoimmune Hepatitis who are intolerant of azathioprine.
- Approved for NBT use only- still awaiting UHB approval
Methylphenidate (IR and MR); dexamfetamine, lisdexamfetamine and atomoxetine- SCPs approved at JFG, pending agreement of the Locally Enhanced Service with GP Practices. Once this is agreed the changes will be made to the formulary.
Further Updates post-JFG
Mycophenolate (TLS Red)
- For Rheumatological conditions
- Update 23.4.20 please note, this has been approved in principle for change from TLS Red to TLS Amber, pending approval of a Shared Care Protocol by the Joint Formulary Group. SCP awaiting approval to be discussed at next JFG -date TBC due to COVID-19