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Cost
Packs
Items
Other - Cost: £652,109,405.62 Empagliflozin (Jardiance) - Cost: £7,788,101.39 Edoxaban (Lixiana) - Cost: £8,056,980.75 Influenza vaccine (Fluad) - Cost: £13,930,057.90 Beclometasone / Formoterol MDI (Fostair) - Cost: £17,160,087.08 Rivaroxaban (Xarelto) - Cost: £20,491,468.20 Apixaban (Eliquis) - Cost: £33,811,997.20
Formulary Notes (BNF Chapter)
Formulary Notes (BNF Sub Paragraph)
NICE Guidance (24)
Other Links (7)
Important Local Documents (3)

Cornwall Joint Formulary Recommended Choices     (...Top)
Displaying 40 Drugs

Key:
First Line Drugs First Line Drugs
Second Line Drugs Second Line Drugs
Specialist Initiated Drugs Specialist Initiated Drugs
Hospital Only Drugs Hospital Only Drugs
Discouraged Discouraged
No comment available No comment available
Antibiotics Antibiotics

NameTariffBNF Sub Paragraph
Leflunomide
20 mg tab Pack of 30
£3.13PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Leflunomide'View SPC on 'Leflunomide'View PIL on 'Leflunomide'
Leflunomide
10 mg tab Pack of 30
£3.29PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Leflunomide'View SPC on 'Leflunomide'View PIL on 'Leflunomide'
Methotrexate
2.5 mg tab Pack of 100
£4.80PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Used as a weekly dose only Rheumatic Disease Suppressant Drugs
View BNF Article on 'Methotrexate'View SPC on 'Methotrexate'View PIL on 'Methotrexate'
Used as a weekly dose only
Hydroxychloroquine
200 mg tab Pack of 60
£5.65PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Do not initiate hydroxychloroquine for new patients with an inflammatory osteoarthritis.
Review the benefit in those currently on it for this indication. 
Patients prescribed it for other reasons should continue as before.
(Tamoxifen may interact with hydroxychloroquine – please advise rheumatologist of any patient on this combination.)
(Full details under ‘important local documents’ tab.)
 Rheumatic Disease Suppressant DrugsView BNF Article on 'Hydroxychloroquine'View SPC on 'Hydroxychloroquine'View PIL on 'Hydroxychloroquine'
Do not initiate hydroxychloroquine for new patients with an inflammatory osteoarthritis. Review the benefit in those currently on it for this indication. Patients prescribed it for other reasons should continue as before. (Tamoxifen may interact with hydroxychloroquine – please advise rheumatologist of any patient on this combination.) (Full details under ‘important local documents’ tab.)
Sulfasalazine (Sulphasalazine) (Salazopyrin EN-Tabs)
500 mg e/c tab Pack of 112
£8.43PCT FORMULARY STATUSSpecialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Sulfasalazine (Sulphasalazine)'View SPC on 'Sulfasalazine (Sulphasalazine)'View PIL on 'Sulfasalazine (Sulphasalazine)'
Methotrexate (Metoject PEN)
10 mg/0.2 ml solution for injection pre-filled pen Pack of 1
£13.26PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Methotrexate'View SPC on 'Methotrexate'View PIL on 'Methotrexate'
Methotrexate (Metoject PEN)
15 mg/0.3 ml solution for injection pre-filled pen Pack of 1
£14.41PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Methotrexate'View SPC on 'Methotrexate'View PIL on 'Methotrexate'
Methotrexate (Metoject PEN)
17.5 mg/0.35 ml solution for injection pre-filled pen Pack of 1
£15.25PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Methotrexate'View SPC on 'Methotrexate'View PIL on 'Methotrexate'
Methotrexate (Metoject PEN)
20 mg/0.4 ml solution for injection pre-filled pen Pack of 1
£15.56PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Methotrexate'View SPC on 'Methotrexate'View PIL on 'Methotrexate'
Methotrexate (Metoject PEN)
25 mg/0.5 ml solution for injection pre-filled pen Pack of 1
£16.13PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Methotrexate'View SPC on 'Methotrexate'View PIL on 'Methotrexate'
Sulfasalazine (Sulphasalazine) (Salazopyrin)
250 mg / 5mls Pack of 500
£18.84PCT FORMULARY STATUSSpecialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Sulfasalazine (Sulphasalazine)'View SPC on 'Sulfasalazine (Sulphasalazine)'View PIL on 'Sulfasalazine (Sulphasalazine)'
Leflunomide (Arava)
100 mg Pack of 3
£30.67PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Leflunomide'View SPC on 'Leflunomide'View PIL on 'Leflunomide'
Sodium aurothiomalate Injection (Myocrisin)
10 mg / 0.5ml Amp Pack of 10
£45.55PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Sodium aurothiomalate Injection'View SPC on 'Sodium aurothiomalate Injection'View PIL on 'Sodium aurothiomalate Injection'
Sodium aurothiomalate Injection (Myocrisin)
20 mg / 0.5ml Amp Pack of 10
£55.21PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Sodium aurothiomalate Injection'View SPC on 'Sodium aurothiomalate Injection'View PIL on 'Sodium aurothiomalate Injection'
Penicillamine
125 mg tab Pack of 56
£62.52PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Penicillamine'View SPC on 'Penicillamine'View PIL on 'Penicillamine'
Penicillamine
250 mg tab Pack of 56
£113.70PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Penicillamine'View SPC on 'Penicillamine'View PIL on 'Penicillamine'
Sodium aurothiomalate Injection (Myocrisin)
50 mg / 0.5ml Amp Pack of 10
£134.80PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Sodium aurothiomalate Injection'View SPC on 'Sodium aurothiomalate Injection'View PIL on 'Sodium aurothiomalate Injection'
Methotrexate
10 mg / 5 ml mixture Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Methotrexate'View SPC on 'Methotrexate'View PIL on 'Methotrexate'
Tocilizumab (RoActemra)
80 mg in 4 mL vial Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Tocilizumab'View SPC on 'Tocilizumab'View PIL on 'Tocilizumab'
Rituximab
100 mg in 10 mL vial Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Rituximab'View SPC on 'Rituximab'View PIL on 'Rituximab'
Tocilizumab (RoActemra)
200 mg in 10 mL vial Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Tocilizumab'View SPC on 'Tocilizumab'View PIL on 'Tocilizumab'
Abatacept
125 mg pre-filled syringe Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Abatacept'View SPC on 'Abatacept'View PIL on 'Abatacept'
Abatacept
250 mg vial, poweder for reconstitution Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Abatacept'View SPC on 'Abatacept'View PIL on 'Abatacept'
Adalimumab Injection (Humira)
40 mg prefilled pen Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant Drugs
View BNF Article on 'Adalimumab Injection'View SPC on 'Adalimumab Injection'View PIL on 'Adalimumab Injection'
Adalimumab Injection (Humira)
40 mg prefilled syringe Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Adalimumab Injection'View SPC on 'Adalimumab Injection'View PIL on 'Adalimumab Injection'
Certolizumab (Cimzia)
200 mg pre-filled syringe Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Certolizumab'View SPC on 'Certolizumab'View PIL on 'Certolizumab'
Infliximab (Remsima)
100 mg powder for concentrate for solution for infusion vials Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Infliximab'View SPC on 'Infliximab'View PIL on 'Infliximab'
Infliximab (Remicade)
100 mg vial Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant Drugs
View BNF Article on 'Infliximab'View SPC on 'Infliximab'View PIL on 'Infliximab'
Tocilizumab (RoActemra)
400 mg in 20 mL vial Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Tocilizumab'View SPC on 'Tocilizumab'View PIL on 'Tocilizumab'
Apremilast (Otezla)
30 mg tablets Pack of 56
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant Drugs
View BNF Article on 'Apremilast'View SPC on 'Apremilast'View PIL on 'Apremilast'
Etanercept (Benepali)
50 mg/1ml solution for injection pfs Pack of 4
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Etanercept'View SPC on 'Etanercept'View PIL on 'Etanercept'
Tofacitinib (Xeljanz)
5 mg tablets Pack of 56
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Tofacitinib'View SPC on 'Tofacitinib'View PIL on 'Tofacitinib'
Golimumab
50 mg prefilled pen or syringe Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Golimumab'View SPC on 'Golimumab'View PIL on 'Golimumab'
Baricitinib (Olumiant)
2 mg tablets Pack of 28
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Baricitinib'View SPC on 'Baricitinib'View PIL on 'Baricitinib'
Baricitinib (Olumiant)
4 mg tablets Pack of 28
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Baricitinib'View SPC on 'Baricitinib'View PIL on 'Baricitinib'
Upadacitinib (Rinvoq)
15 mg MR tabs Pack of 28
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Upadacitinib 'View SPC on 'Upadacitinib 'View PIL on 'Upadacitinib '
Filgotinib (Jyseleca )
100 mg tablets Pack of 30
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Filgotinib'View SPC on 'Filgotinib'View PIL on 'Filgotinib'
Filgotinib (Jyseleca )
200 mg tablets Pack of 30
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Filgotinib'View SPC on 'Filgotinib'View PIL on 'Filgotinib'
Rituximab
500 mg in 50 mL vial Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Rituximab'View SPC on 'Rituximab'View PIL on 'Rituximab'
Secukinumab (Cosentyx)
150 mg prefilled pen/syringe Pack of 2
- PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Secukinumab'View SPC on 'Secukinumab'View PIL on 'Secukinumab'

 
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