Report : A-Z HCD items in Formulary 03/11/2025 18:30:08

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Section Status HCD Name 05.03.01 Formulary Abacavir  05.03.01 Formulary Abacavir & Lamivudine  05.03.01 Formulary Abacavir & Lamivudine & Dolutegravir  05.03.01 Formulary Abacavir & Lamivudine & Zidovudine  08.03.04.01 Formulary Abemaciclib Verzenios® 08.03.04.02 Formulary Abiraterone  13.05.03 Formulary Abrocitinib Cibinqo® 08.01.05 Formulary Acalabrutinib Calquence® 01.05.03 Formulary Adalimumab  11.04.02 Formulary Adalimumab   13.05.03 Formulary Adalimumab  05.03.03.01 Formulary Adefovir Dipivoxil Hepsera® 08.01.05 Formulary Afatinib   08.01.05 Formulary Aflibercept Zaltrap® 11.08.02 Formulary Aflibercept  Eylea® 09.08.01 Formulary Agalsidase Alfa   09.08.01 Formulary Agalsidase Beta  08.01.05 Formulary Alectinib Alecensa® 09.08.01 Formulary Alglucosidase Alfa Myozyme® 02.12 Formulary Alirocumab  13.05.01 Formulary Alitretinoin Toctino® 08.03.04.01 Formulary Alpelisib Piqray® 02.05.01 Formulary Ambrisentan  05.02.03 Formulary Amphotericin  05.02.04 Formulary Anidulafungin  02.11 Formulary Antithrombin III Kybernin® 08.02.02 Formulary Antithymocyte immunoglobulin (rabbit)  Thymoglobuline® 10.01.03 Formulary Apremilast Otezla® 13.05.03 Formulary Apremilast Otezla® 08.01.05 Formulary Asciminib Scemblix® 09.08.01 Formulary Asfotase alfa Strensiq® 05.03.01 Formulary Atazanavir  05.03.01 Formulary Atazanavir sulfate and cobicistat  08.01.05 Formulary Atezolizumab  08.01.05 Non Formulary Atezolizumab  08.01.05 Formulary Autologous CD34+ enriched cell fraction Strimvelis® 09.08.01 Formulary Avalglucosidase alfa Nexviadyme® 08.01.05 Formulary Avapritinib Ayvakyt® 09.01.04 Formulary Avatrombopag Doptelet® 08.02.03 Formulary Avelumab Bavencio® 08.01.05 Formulary Axicabtagene ciloleucel Yescarta® 08.01.05 Formulary Axitinib  Inlyta® 05.01.02.03 Formulary Aztreonam nebuliser solution Cayston® 10.01.03 Formulary Baricitinib  05.01.09 Formulary Bedaquiline  08.02.02 Formulary Belumosudil Rezurock® 08.01.05 Formulary Belzutifan Welireg® 03.04.02 Formulary Benralizumab Fasenra® 03.05.02 Formulary Beractant Survanta® 08.01.05 Formulary Bevacizumab Avastin® 05.03.01 Formulary Bictegraivr/emtricitabine/tenofovir alafenamide Biktarvy® 10.01.03 Formulary Bimekizumab  Bimzelx® 13.14.07 Formulary Birch bark extract Filsuvez® 08.02 Formulary Blinatumomab Blincyto® 08.01.05 Formulary Bortezomib   02.05.01 Formulary Bosentan  08.01.05 Formulary Bosutinib Bosulif® 04.07.03 Formulary Botulinum Toxin Type A Botox® 04.09.03 Formulary Botulinum Toxin Type A Vistabel® 04.09.03 Formulary Botulinum Toxin Type A Dysport® 04.09.03 Formulary Botulinum Toxin Type A Botox® 04.09.03 Formulary Botulinum Toxin Type A injection Xeomin ® 04.09.03 Formulary Botulinum Toxin Type B NeuroBloc® 08.01.05 Formulary Brentuximab vedotin Adcetris® 08.01.05 Formulary Brigatinib Alunbrig® 13.05.03 Formulary Brodalumab Kyntheum® 11.08.02 Formulary Brolucizumab Beovu® 05.03.03.02 Formulary Bulevirtide Hepcludex® 03.04.03 Formulary C1 Esterase Inhibitor  08.01.05 Formulary Cabozantinib Cometriq® 04.06 Formulary Cannabidiol  Epidyolex® 04.08.01 Formulary Cannabidiol Epidyolex® 09.01.04 Formulary Caplacizumab Cablivi ® 08.01.05 Formulary Carfilzomib Kyprolis® 09.08.01 Formulary Carglumic Acid Carbaglu® 09.08.01 Formulary Carnitine   05.02.04 Formulary Caspofungin  08.01.05 Formulary Cemiplimab Libtayo® 08.01.05 Formulary Ceritinib   06.07 Formulary Cerliponase alfa Brineura® 09.08.01 Formulary Chenodexoycholic acid Xenbilox® 01.09.01 Formulary Cholic acid Orphacol® 05.03.02.02 Formulary Cidofovir infusion  09.05.01.02 Formulary Cinacalcet  08.01.03 Formulary Clofarabine  05.03.01 Formulary Cobicistat Tybost® 03.04.03 Formulary Conestat Alfa Ruconest® 08.01.05 Formulary Crizotinib   09.01.03 Formulary Crovalimab Piasky® 08.01.05 Formulary Dabrafenib  Tafinlar® 05.03.03.02 Formulary Daclatasvir   08.02.04 Formulary Daclizumab Zinbryta® 08.01.05 Formulary Dacomitinib Vizimpro® 09.01.03 Formulary Danicopan Voydeya® 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  05.03.01 Formulary Darunavir and Cobicistat  20 Non Formulary DAUNORUBICIN saline pre-filled syringe  08.01.03 Formulary Daunorubicin/cytarabine Vyxeos® 09.01.03 Formulary Deferasirox  09.01.03 Formulary Deferiprone Ferriprox® 20 Non Formulary DEFIBROTIDE  20 Non Formulary DEFIBROTIDE Capsules 400 mg  05.01.09 Formulary Delamanid  09.01.03 Formulary Desferrioxamine Mesilate  13.05.03 Formulary Deucravacitinib Sotyktu 11.04.01 Formulary Dexamethasone 700 microgram intravitreal implant Ozurdex® 05.03.01 Formulary Didanosine  13.14.07 Formulary Difelikefalin Kapruvia® 08.02.04 Formulary Dimethyl fumarate Tecfidera® 13.05.03 Formulary Dimethyl fumarate Skilarence® 08.01.05 Formulary Dinutuximab beta Qarziba® 08.02.04 Formulary Diroximel fumarate Vumerity® 05.03.01 Formulary Dolutegravir  05.03.01 Formulary Dolutegravir Sodium & Lamivudine Dovato® 05.03.01 Formulary Dolutegravir Sodium & Rilpivirine Hydrochloride Juluca® 03.07 Formulary Dornase Alfa  08.01.05 Formulary Dostarlimab  Jemperli 03.04.02 Formulary Dupilumab Dupixent® 13.05.03 Formulary Dupilumab Dupixent® 13.05.03 Non Formulary Dupilumab Dupixent® 08.01.05 Formulary Durvalumab Imfinzi® 09.01.03 Formulary Eculizumab   05.03.01 Formulary Efavirenz Sustiva® 09.08.01 Formulary Eladocagene exuparvovec Upstaza® 01.09.01 Formulary Elafibranor  Iqirvo® 05.03.03.02 Formulary Elbasvir & grazoprevir Zepatier® 09.08.01 Formulary Eliglustat Cerdelga® 09.01.04 Formulary Eltrombopag  05.03.01 Formulary Emtricitabine  05.03.01 Formulary Emtricitabine & Elvitegravir & Cobicistat & Tenofovir alafenamide Genvoya® 05.03.01 Formulary Emtricitabine & Rilpivirine & Tenofovir alafenamide Odefsey® 05.03.01 Formulary Emtricitabine & Rilpivirine & Tenofovir disoproxil Eviplera® 05.03.01 Formulary Emtricitabine & Tenofovir alafenamide Descovy® 05.03.01 Formulary Emtricitabine & Tenofovir Disoproxil  08.01.05 Formulary Encorafenib Braftovi® 05.03.01 Formulary Enfuvirtide  05.03.03.01 Formulary Entecavir  08.01.05 Formulary Entrectinib Rozlytrek® 08.01.05 Formulary Epcoritamab Tepkinly® 04.12 Formulary Eplontersen  Wainzua ® 09.01.03 Formulary Epoetin alfa Eprex® 09.01.03 Formulary Epoetin beta NeoRecormon® 02.05.01 Formulary Epoprostenol  02.08.01 Formulary Epoprostenol  04.07.04.02 Formulary Eptinezumab Vyepti® 20 Non Formulary Eptotermin Alfa  Osigraft® 04.07.04.02 Formulary Erenumab Aimovig® 08.01.05 Formulary Eribulin Halaven® 10.01.03 Formulary Etanercept  13.05.03 Formulary Etanercept Enbrel®, Benapali® & Erelzi® 09.05.01.02 Formulary Etelcalcetide Parsabiv® 02.11 Formulary Etranacogene dezaparvovec Hemgenix® 01.05.03 Formulary Etrasimod Velsipity® 05.03.01 Formulary Etravirine Intelence® 02.12 Formulary Evinacumab Evkeeza® 02.12 Formulary Evolocumab  09.01 Formulary Exagamglogene Autotemcel Casgevy® 02.11 Formulary Factor IX  02.11 Formulary Factor VIIa  02.11 Formulary Factor VIII   02.11 Formulary Factor VIII   02.11 Formulary Factor XIII  08.01.05 Formulary Fedratinib  04.08.01 Formulary Fenfluramine Fintepla® 05.01.07 Formulary Fidaxomicin Dificlir® 01.05.03 Formulary Filgotinib Jyseleca® 10.01.03 Formulary Filgotinib Jyseleca® 09.01.06 Formulary Filgrastim (G-CSF) Neupogen® 08.02.04 Formulary Fingolimod  11.04.01 Formulary Fluocinolone 190 microgram intravitreal implant  16 Formulary Fomepizole  05.03.01 Formulary Fosamprenavir  05.03.02.02 Formulary Foscarnet Sodium  04.09.01 Formulary Foslevidopa/foscarbidopa  Produodopa® 05.03.01 Formulary Fostemsavir Rukobia® 04.07.04.02 Formulary Fremanezumab Ajovy® 08.01.05 Formulary Fruquintinib Fruzaqla® 04.07.04.02 Formulary Galcanezumab Emgality® 05.03.02.02 Formulary Ganciclovir  08.01.05 Formulary Gemtuzumab ozogamicin Mylotarg® 08.01.05 Formulary Gilteritinib Xospata® 08.02.04 Formulary Glatiramer Acetate  05.03.03.02 Formulary Glecaprevir & Pibrentasvir Maviret® 08.01.05 Formulary Glofitamab Columvi® 01.05.03 Formulary Golimumab  10.01.03 Formulary Golimumab Simponi® 01.05.03 Formulary Guselkumab Tremfya® 13.05.03 Formulary Guselkumab Tremfya® 11.08.02.04 Formulary Holoclar®  08.01.05 Formulary Ibrutinib Imbruvica® 03.04.03 Formulary Icatibant Firazyr® 08.01.05 Formulary Idelalisib   02.05.01 Formulary Iloprost   09.08.01 Formulary Imiglucerase Cerezyme® 08.01.05 Formulary Imlifidase Idefirix® 05.03.01 Formulary Indinavir  01.05.03 Formulary Infliximab Remicade®, Inflectra®, Remsima® 13.05.03 Formulary Infliximab Remsima®, Inflectra®, Remicade® 04.12 Formulary Inotersen  Tegsedi® 08.01.05 Formulary Inotuzumab ozogamicin Besponsa® 08.02.04 Formulary Interferon Alfa-2b Roferon-A® 08.02.04 Formulary Interferon Beta Avonex® 08.02.04 Formulary Interferon Beta Rebif® 08.02.04 Formulary Interferon Beta Betaferon® 08.02.04 Formulary Interferon beta Extavia® 08.01.05 Formulary Ipilimumab Yervoy® 09.01.03 Formulary Iptacopan Fabhalta® 05.02.01 Formulary Isavuconazole Cresemba® 03.07 Formulary Ivacaftor  08.01.05 Formulary Ivosidenib Tibsovo® 10.01.03 Formulary Ixekizumab Taltz® 13.05.03 Formulary Ixekizumab Taltz® 05.03.03.01 Formulary Lamivudine  09.05.02.02 Formulary Lanthanum Carbonate  09.08.01 Formulary Laronidase Aldurazyme® 08.01.05 Formulary Larotrectinib  13.05.03 Formulary Lebrikizumab Ebglyss® 09.08.01 Formulary Leniolisib  Joenja® 09.01.06 Formulary Lenograstim (rHuG-CSF) Granocyte® 08.01.05 Formulary Lenvatinib Kisplyx® 04.09.01 Formulary Levidopa/carbidopa Intestinal Gel Duodopa® 05.01.12 Formulary Levofloxacin Nebuliser Solution Quinsair® 08.01.05 Non Formulary Lisocabtagene maraleucel  08.01.05 Formulary Lisocabtagene maraleucel Breyanzi® 08.01.05 Formulary Loncastuximab tesirine Zynlonta® 05.03.01 Formulary Lopinavir and Ritonavir Kaletra® 08.01.05 Formulary Lorlatinib Lorviqua® 03.07 Formulary Lumacaftor and Ivacaftor Orkambi® 09.08.01 Formulary Lumasiran  Oxlumo® 02.05.01 Formulary Macitentan  03.07 Formulary Mannitol inhalation Bronchitol ® 05.03.01 Formulary Maraviroc  05.03.02.02 Formulary Maribavir Livtencity® 02.11 Formulary Marstacimab  Hympavzi® 02.11 Non Formulary Marstacimab  Hympavzi® 06.07.04 Formulary Mecasermin Increlex® 03.04.02 Formulary Mepolizumab Nucala® 09.08.01 Formulary Mercaptamine   11.08 Formulary Mercaptamine hydrocholride  09.01.03 Formulary Methoxy Polyethylene Glycol-Epoetin Beta Mircera®, Pegzerepoetin® alfa 06.08 Formulary Metreleptin  10.02 Formulary Mexiletine Namuscla® 05.02.04 Formulary Micafungin  01.05.03 Formulary Mirikizumab Omvoh® 08.01.05 Formulary Mogamulizumab  Poteligeo® 08.01.05 Formulary Momelotinib Omjjara® 08.02.04 Formulary Natalizumab  08.01.03 Formulary Nelarabine Atriance® 05.03.01 Formulary Nelfinavir  08.01.05 Formulary Neratinib Nerlynx® 05.03.01 Formulary Nevirapine  03.11 Formulary Nintedanib Ofev® 08.01.05 Formulary Niraparib Zejula® 20 Non Formulary Nitazoxanide  08.01.05 Formulary Nivolumab  Opdivo® 08.01.05 Formulary Nivolumab-relatlimab Opdualag® 14.05.01 Formulary Normal Immunoglobulin  10.02 Formulary Nusinersen Spinraza® 01.09.01 Formulary Obeticholic acid  08.02.03 Formulary Obinutuzumab  08.02.03 Formulary Ocrelizumab  11.08.02 Formulary Ocriplasmin Jetrea® 08.01.05 Formulary Olaparib  Lynparza® 03.04.02 Formulary Omalizumab Xolair® 08.03.04.01 Formulary Palbociclib Ibrance® 05.03.05 Formulary Palivizumab  08.01.05 Formulary Panitumumab Vectibix® 08.01.05 Formulary Panobinostat   08.03.04.03 Formulary Pasireotide Signifor® 04.12 Formulary Patisiran Onpattro® 09.01.06 Formulary Pegfilgrastim (G-CSF)  08.02.04 Formulary Peginterferon Beta-1a Plegridy® 06.05.01 Formulary Pegvisomant Somavert® 08.01.05 Formulary Pembrolizumab  Keytruda® 08.01.05 Formulary Pertuzumab Perjeta® 03.11 Formulary Pirfenidone  09.01.07 Formulary Plerixafor Mozobil® 08.01.05 Formulary Polatuzumab vedotin Polivy® 08.02.04 Formulary Pomalidomide Imnovid® 08.01.05 Formulary Ponatinib Iclusig® 08.02.04 Formulary Ponesimod Ponvory® 03.05.02 Formulary Poractant Alfa  05.02.01 Formulary Posaconazole  Noxafil® 02.11 Formulary Protein C Concentrate Ceprotin® 02.11 Formulary Prothrombin Complex Concentrate  Octaplex® 08.01.05 Formulary Quizartinib Vanflyta® 08.03.04.02 Formulary Radium-223 dichloride  05.03.01 Formulary Raltegravir  08.01.05 Formulary Ramucirumab Cyramza® 11.08.02 Formulary Ranibizumab 10mg/1ml injection Lucentis® 08.01.05 Formulary Regorafenib Stivarga® 03.04.02 Formulary Reslizumab Cinquil® 05.02.04 Formulary Rezafungin  Rezzayo ® 05.03.03.02 Formulary Ribavirin  08.03.04.01 Formulary Ribociclib Kisqali® 05.03.01 Formulary Rilpivirine hydrochloride  04.09.03 Formulary Riluzole  02.05.01 Formulary Riociguat  01.05.03 Formulary Risankizumab Skyrizi® 13.05.03 Formulary Risankizumab Skyrizi® 13.05.03 Formulary Ritlecitinib Litfulo® 05.03.01 Formulary Ritonavir  09.01.04 Formulary Romiplostim  08.01.05 Formulary Sacituzumab govitecan Trodelvy® 05.03.01 Formulary Saquinavir  10.01.03 Formulary Sarilumab  Kevzara® 09.08.01 Formulary Sebelipase alfa Kanuma® 13.05.03 Formulary Secukinumab Cosentyx® 08.01.05 Formulary Selinexor Nexpovio® 08.01.05 Formulary Selpercatinib  08.01.05 Formulary Selumetinib Koselugo® 06.07 Formulary Setmelanotide Imcivree® 09.05.02.02 Formulary Sevelamer Carbonate  08.02.04 Formulary Siponimod Mayzent® 20 Non Formulary Sipuleucel- T  04.01.01 Formulary Sodium Oxybate 500mg/1ml oral solution  05.03.03.02 Formulary Sofosbuvir Sovaldi® 05.03.03.02 Formulary Sofosbuvir & Ledipasvir  Harvoni® 05.03.03.02 Formulary Sofosbuvir & velpatasvir  Epclusa® 05.03.03.02 Formulary Sofosbuvir, Velpatasvir & Voxilaprevir  Vosevi® 06.05.01 Formulary Somatrogon Ngenla® 08.01.05 Formulary Sorafenib Nexavar® 05.03.01 Formulary Stavudine  09.05.02.02 Formulary Sucroferric oxyhydroxide Velphoro® 08.01.05 Formulary Sunitinib  Sutent® 04.12 Formulary Tafamidis  Vyndaqel® 08.01.05 Formulary Talazoparib  Talzenna® 08.01.05 Formulary Talimogene laherparepvec  20 Non Formulary Taribavirin  08.01.05 Formulary Teclistamab Tecvayli® 01.04.02 Formulary Teduglutide Revestive® 05.03.03.01 Formulary Tenofovir Disproxil Viread® 05.03.01 Formulary Tenofovir Disproxil & Cobicistat & Elvitegravir & Emtricitabine  05.03.01 Formulary Tenofovir Disproxil & Efavirenz & Emtricitabine  08.02 Formulary Tepotinib Tepmetko® 08.02.04 Formulary Teriflunomide  20 Non Formulary TETRAHYDROBIOPTERIN Tablets 10 mg  03.07 Formulary Tezacaftor and ivacaftor  Symkevi® 03.07 Formulary Tezacaftor with ivacaftor and elexacaftor Kaftrio® 03.07 Formulary Tezacaftor with vanzacaftor and deutivacaftor Alyftrek® 03.04.02 Formulary Tezepelumab Tezspire® 05.03.01 Formulary Tipranavir  08.01.05 Formulary Tisagenlecleucel  08.01.05 Non Formulary Tisagenlecleucel  05.01.04 Formulary Tobramycin  10.01.03 Formulary Tofacitinib Xeljanz® 06.05.02 Formulary Tolvaptan  13.05.03 Formulary Tralokinumab Adtralza® 08.01.05 Formulary Trametinib   08.01.05 Formulary Trastuzumab emtansine Kadcyla® 20 Non Formulary Treprostinil   09.08.01 Formulary Trientine Dihydrochloride  08.01.05 Formulary Tucatinib Tukysa® 08.02.03 Formulary Ublituximab  Briumvi® 01.05.03 Formulary Upadacitinib Rinvoq® 10.01.03 Formulary Upadacitinib Rinvoq® 13.05.03 Formulary Upadacitinib Rinvoq® 01.05.03 Formulary Ustekinumab Stelara® 13.05.03 Formulary Ustekinumab Stelara® 05.03.02.02 Formulary Valganciclovir  10.02 Formulary Vamorolone Agamree® 01.05.03 Formulary Vedolizumab  09.08.01 Formulary Velmanase alfa Lamzede ® 08.01.05 Formulary Venetoclax Venclyxto® 08.02.02 Formulary Voclosporin  Lupkynis® 19 Formulary Volanesorsen  Waylivra® 11.08.02 Formulary Voretigene neparvovec Luxturna® 08.01.05 Formulary Zanubrutinib Brukinsa® 08.01.05 Non Formulary Zanubrutinib Brukinsa® 05.03.01 Formulary Zidovudine  05.03.01 Formulary Zidovudine & Lamivudine

North East and North Cumbria