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Cost
Packs
Items
Other - Cost: £725,413,258.12 Influenza vaccine  (Adjuvanted trivalent ) - Cost: £10,057,862.10 Sacubitril / Valsartan - Cost: £11,336,405.04 Beclometasone / Formoterol MDI (Fostair) - Cost: £13,361,329.24 Trimbow - Cost: £13,847,732.50 Empagliflozin (Jardiance) - Cost: £16,770,362.50 Edoxaban (Lixiana) - Cost: £17,173,152.50 Glucose interstitial detection sensor (FreeStyle Libre 2 Plus Sensor) - Cost: £29,971,612.50 Tirzepatide (Mounjaro KwikPen) - Cost: £67,743,752.00
Formulary Notes (BNF Chapter)
NICE Guidance (3)
Other Links (4)
Important Local Documents (19)
Notes for: Nutrition & blood
Last edited [14/01/2026 11:04:17]
Last edited [12/02/2026 15:46:57]

Oral Nutritional Supplements (ONS)

Oral Nutritional Supplement (ONS) formulary flowchart

Adult ONS quick reference formulary 2025

6 steps to appropriate prescribing of oral nutritional supplements (ONS) for adults 2025

6 steps to appropriate prescribing of oral nutritional supplements (ONS) video

ONS available to buy over the counter for adults

Food First Resources

First line advice for managing malnutrition 1, 2, 3 

Food first advice for adults with a small appetite 2022

Food first advice for adults with a small appetite - vegan and plant - based diets 2024

Food first advice for adults with a small appetite and diabetes 2022

Homemade fortified drinks - Information leaflet 2022

Eating well with dementia - Patient leaflet

Care Homes Nutrition

Managing malnutrition in care homes resource pack (2025)

Guidance on the prescribing of oral nutritional supplements in care homes 2023

Managing malnutrition in care homes first line advice 1, 2, 3 (2025)

Malnutrition care pathway for care home residents 2023

Factsheets

Vitamin B compound and compound strong factsheet (V1.1)

Vitamin D for adults - information leaflet

Paediatric vitamin D guidelines (RCHT doc library)

Cornwall and the Isles of Scilly Probiotics position statement 2025

 

Cornwall Joint Formulary Recommended Choices     (...Top)
Displaying 5 Drugs

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

NameTariffBNF Sub Paragraph
Folic acid
5 mg tab Pack of 28
£0.71PCT FORMULARY STATUS: First Line Drugs Drugs used in Megaloblastic AnaemiasView BNF Article on 'Folic acid'View SPC on 'Folic acid'View PIL on 'Folic acid'
Folic acid
400 mcg tab Pack of 90
£1.48PCT FORMULARY STATUS: First Line Drugs Drugs used in Megaloblastic AnaemiasView BNF Article on 'Folic acid'View SPC on 'Folic acid'View PIL on 'Folic acid'
Hydroxocobalamin Injection
1 mg / 1ml amp Pack of 5
£8.40PCT FORMULARY STATUS: First Line Drugs Drugs used in Megaloblastic AnaemiasView BNF Article on 'Hydroxocobalamin Injection'View SPC on 'Hydroxocobalamin Injection'View PIL on 'Hydroxocobalamin Injection'
Folic Acid Solution (Lexpec)
2.5 mg/5ml SF Pack of 150
£9.16PCT FORMULARY STATUS: First Line Drugs Drugs used in Megaloblastic AnaemiasView BNF Article on 'Folic Acid Solution'View SPC on 'Folic Acid Solution'View PIL on 'Folic Acid Solution'
Cyanocobalamin (Orobalin)
1 mg tabs Pack of 30
£9.99PCT FORMULARY STATUS: First Line Drugs [Notes:] Licensed oral vitamin B12 formulation for non-dietary related deficiency.   Drugs used in Megaloblastic Anaemias
View BNF Article on 'Cyanocobalamin'View SPC on 'Cyanocobalamin'View PIL on 'Cyanocobalamin'
Licensed oral vitamin B12 formulation for non-dietary related deficiency.

 
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