REMEDY : BNSSG referral pathways & Joint Formulary

BNSSG Paediatric Joint Formulary
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Decisions 16th March 2021

At the meeting on the 16th March the following decisions were agreed

 

New Drug Requests

Approved

OralVac®(TLS Red)

  • for grass, tree pollen and house dust mite allergy, for use by immunology only, commissioned by NHS England

Potassium Chloride 600mg (8mmol) modified release tablets (TLS Red)

  • for short courses for patients where other preparations are not suitable or tolerated 

Potassium Chloride 600mg (8mmol) modified release tablets  (TLS Amber, no SCP)

  •  for long term treatment courses for patients where other preparations are not suitable or tolerated 

Qlaira ® (estradiol valerate, dienogest) (TLS Amber, no SCP)

  •  as an option for patients with premature ovarian insufficiency requiring contraception and HRT cover where standard oral contraceptives are not suitable and patients have completed puberty.
  • JFG did not approve this as a standard contraception for other patients outside of this cohort

Shared Care Protocols/TLS changes

New SCPs:

Nil

Updated SCPs:

Nil

Other Formulary Decisions:

  • Aminophylline (Phyllocontin brand) removed as discontinued. Parental aminophylline changed from TLS Green to TLS Red
  • Ulipristal (Esmya) changed from TLS Amber to TLS Red and SCP removed due to MHRA alert and formulary review required
  • Hyoscine hydrobromide patches changed from TLS Green to TLS Amber no SCP and agreement to amend Botox Pathway to reflect this TLS change
  • Melatonin review of current formulary and non formulary indications will commence this year in conjunction with all relevant parties across the BNSSG system