Drug Status Key

  • Preferred in Class
  • On Formulary
  • Specialist Initiation
  • Shared Care
  • Hospital Only

Preferences

  • First Line
  • Second Line
  • Third Line
  • No Preference

Using the Formulary

This formulary has been designed to match the structure of the British National Formulary (BNF). Drugs are listed by their licensed therapeutic area, which are listed underneath the 'Theraputic Sections' link in the menu on the left-hand side of the screen.

Some therapeutic areas have been combined or moved in order to minimise the number of ‘clicks’ required to find the relevant information. Some sections have been renamed to make navigation easier e.g. sections for low, medium and high potency topical steroids have been added with the relevant preparations shown in each. Sections have not been included if all of the drugs within that category are already shown in other categories e.g. diabetes in pregnancy.

The formulary status for each drug is in line with the licensed indication unless otherwise stated.

Not all available drugs are included in this formulary. There are thousands of medications and devices and local resources are limited. Medicines and appliances are only included if they; 

  • Have documented local approval to use
  • Are widely accepted as standard treatment 

If an item cannot be found on the formulary it has not been approved for use within the EKPG. Where there is a need to explicitly state that a drug is not recommended, it will be included in the 'Not Recommended' list. If in doubt, please check with your local medicines management or pharmacy team. 

 

Requests from tertiary centres following an NHS consultation may be for items outside of the east Kent formulary but would be expected to be included on the tertiary centre formulary for that indication to provide reassurance the drug/appliance has been through their governance process and approved for use 

 

 Items are included in the ‘Not Recommended’ section where 

-an active decision has been made that an item is not been recommended (locally or nationally)

-is under consideration but not yet approved

 

The category of drug may vary depending on indication so the relevant therapeutic area should be selected

 

Medication should be prescribed generically 

Brand names are included for ease of identification but medication should only be prescribed by brand due to: 

• bioavailability issues  

• ensure a consistent preparation is provided when there are different options such as inhaler devices 

• controlled drug modified release 

• combination products such as oral contraceptives 

• cost efficiency in a small number of preparations

This website is currently under development. Documents in the ‘Local Recommendations’ pages in each Therapeutic Section are current but the drug pages are still under construction. For the current East Kent formulary please see the note on the homepage.