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Cost
Packs
Items
Other - Cost: £698,391,255.38 Trimbow - Cost: £10,324,890.00 Atorvastatin - Cost: £12,062,751.27 Empagliflozin (Jardiance) - Cost: £13,056,158.02 Beclometasone / Formoterol MDI (Fostair) - Cost: £15,201,921.56 Rivaroxaban - Cost: £19,148,081.40 FreeStyle Libre 2 Sensor  - Cost: £19,152,735.00 Edoxaban (Lixiana) - Cost: £20,533,835.00 Dapagliflozin (Forxiga) - Cost: £22,535,048.30
Formulary Notes (BNF Chapter)
Formulary Notes (BNF Section)
Formulary Notes (BNF Sub Paragraph)
NICE Guidance (15)
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Important Local Documents (10)

Cornwall Joint Formulary Recommended Choices     (...Top)
Displaying 46 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
Ertugliflozin (Steglatro)
5 mg tablets Pack of 28
£29.40PCT FORMULARY STATUS: First Line Drugs Other AntidiabeticsView BNF Article on 'Ertugliflozin'View SPC on 'Ertugliflozin'View PIL on 'Ertugliflozin'
Dapagliflozin (Forxiga)
5 mg tab Pack of 28
£36.59PCT FORMULARY STATUS: First Line Drugs [Notes:] May be initiated in primary care for people with type 2 diabetes and no heart failure.  Dapagliflozin remains as specialist recommended in the treatment of chronic heart failure (with or without T2D) - in line with NICE TA679 and specialist initiated in the management of chronic kidney disease as per TA775  Other AntidiabeticsView BNF Article on 'Dapagliflozin'View SPC on 'Dapagliflozin'View PIL on 'Dapagliflozin'
May be initiated in primary care for people with type 2 diabetes and no heart failure. Dapagliflozin remains as specialist recommended in the treatment of chronic heart failure (with or without T2D) - in line with NICE TA679 and specialist initiated in the management of chronic kidney disease as per TA775
Dapagliflozin (Forxiga)
10 mg tab Pack of 28
£36.59PCT FORMULARY STATUS: First Line Drugs [Notes:] May be initiated in primary care for people with type 2 diabetes and no heart failure.  Dapagliflozin remains as specialist recommended in the treatment of chronic heart failure (with or without T2D) - in line with NICE TA679 and specialist initiated in the management of chronic kidney disease as per TA775  Other AntidiabeticsView BNF Article on 'Dapagliflozin'View SPC on 'Dapagliflozin'View PIL on 'Dapagliflozin'
May be initiated in primary care for people with type 2 diabetes and no heart failure. Dapagliflozin remains as specialist recommended in the treatment of chronic heart failure (with or without T2D) - in line with NICE TA679 and specialist initiated in the management of chronic kidney disease as per TA775
Empagliflozin (Jardiance)
10 mg tab Pack of 28
£36.59PCT FORMULARY STATUS: First Line Drugs [Notes:] May be initiated in primary care for people with type 2 diabetes and no heart failure.  Empagliflozin remains as specialist recommended in the treatment of chronic heart failure (with or without T2D) - in line with NICE TA773 and TA929 and specialist recommended in the management of chronic kidney disease in line with TA942 Other AntidiabeticsView BNF Article on 'Empagliflozin'View SPC on 'Empagliflozin'View PIL on 'Empagliflozin'
May be initiated in primary care for people with type 2 diabetes and no heart failure. Empagliflozin remains as specialist recommended in the treatment of chronic heart failure (with or without T2D) - in line with NICE TA773 and TA929 and specialist recommended in the management of chronic kidney disease in line with TA942
Empagliflozin (Jardiance)
25 mg tab Pack of 28
£36.59PCT FORMULARY STATUS: First Line Drugs [Notes:] May be initiated in primary care for people with type 2 diabetes and no heart failure.  Empagliflozin remains as specialist recommended in the treatment of chronic heart failure (with or without T2D) - in line with NICE TA773 and TA929 and specialist recommended in the management of chronic kidney disease in line with TA942 Other AntidiabeticsView BNF Article on 'Empagliflozin'View SPC on 'Empagliflozin'View PIL on 'Empagliflozin'
May be initiated in primary care for people with type 2 diabetes and no heart failure. Empagliflozin remains as specialist recommended in the treatment of chronic heart failure (with or without T2D) - in line with NICE TA773 and TA929 and specialist recommended in the management of chronic kidney disease in line with TA942
Pioglitazone
15 mg tab Pack of 28
£1.01PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Pioglitazone'View SPC on 'Pioglitazone'View PIL on 'Pioglitazone'
Repaglinide
0.5 mg tab Pack of 30
£1.18PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Repaglinide'View SPC on 'Repaglinide'View PIL on 'Repaglinide'
Pioglitazone
30 mg tab Pack of 28
£1.37PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Pioglitazone'View SPC on 'Pioglitazone'View PIL on 'Pioglitazone'
Pioglitazone
45 mg tab Pack of 28
£1.89PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Pioglitazone'View SPC on 'Pioglitazone'View PIL on 'Pioglitazone'
Sitagliptin
25 mg tablets Pack of 28
£3.06PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Sitagliptin'View SPC on 'Sitagliptin'View PIL on 'Sitagliptin'
Sitagliptin
50 mg tablets Pack of 28
£3.52PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Sitagliptin'View SPC on 'Sitagliptin'View PIL on 'Sitagliptin'
Sitagliptin
100 mg tablets Pack of 28
£3.66PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Sitagliptin'View SPC on 'Sitagliptin'View PIL on 'Sitagliptin'
Repaglinide
1 mg tab Pack of 90
£7.94PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Repaglinide'View SPC on 'Repaglinide'View PIL on 'Repaglinide'
Repaglinide
2 mg tab Pack of 90
£8.71PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Repaglinide'View SPC on 'Repaglinide'View PIL on 'Repaglinide'
Alogliptin (Vipidia)
6.25 mg tablets Pack of 28
£26.60PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Alogliptin'View SPC on 'Alogliptin'View PIL on 'Alogliptin'
Alogliptin (Vipidia)
12.5 mg tablets Pack of 28
£26.60PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Alogliptin'View SPC on 'Alogliptin'View PIL on 'Alogliptin'
Alogliptin (Vipidia)
25 mg tablets Pack of 28
£26.60PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Alogliptin'View SPC on 'Alogliptin'View PIL on 'Alogliptin'
Linagliptin (Trajenta)
5 mg tab Pack of 28
£33.26PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Linagliptin'View SPC on 'Linagliptin'View PIL on 'Linagliptin'
Canagliflozin (Invokana)
100 mg tab Pack of 30
£39.20PCT FORMULARY STATUS: Second Line Drugs [Notes:] May only be initiated in primary care for people with type 2 diabetes and no heart failure. Other AntidiabeticsView BNF Article on 'Canagliflozin'View SPC on 'Canagliflozin'View PIL on 'Canagliflozin'
May only be initiated in primary care for people with type 2 diabetes and no heart failure.
Canagliflozin (Invokana)
300 mg tab Pack of 30
£39.20PCT FORMULARY STATUS: Second Line Drugs [Notes:] May only be initiated in primary care for people with type 2 diabetes and no heart failure. Other AntidiabeticsView BNF Article on 'Canagliflozin'View SPC on 'Canagliflozin'View PIL on 'Canagliflozin'
May only be initiated in primary care for people with type 2 diabetes and no heart failure.
Semaglutide (Ozempic)
0.25 mg /0.19ml solution for injection 1.5ml pre-filled disposable device Pack of 1
£73.25PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Semaglutide'View SPC on 'Semaglutide'View PIL on 'Semaglutide'
Semaglutide (Ozempic)
0.5 mg /0.37ml solution for injection 1.5ml pre-filled disposable device Pack of 1
£73.25PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Semaglutide'View SPC on 'Semaglutide'View PIL on 'Semaglutide'
Semaglutide (Ozempic)
1 mg /0.74ml solution for injection 3ml pre-filled disposable device Pack of 1
£73.25PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Semaglutide'View SPC on 'Semaglutide'View PIL on 'Semaglutide'
Exenatide (Bydureon BCise)
2 mg/0.85ml prolonged-release suspension for injection pre-filled pens Pack of 4
£73.36PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Exenatide  'View SPC on 'Exenatide  'View PIL on 'Exenatide  '
Liraglutide Injection (Victoza)
6 mg/ml 3ml prefilled pen Pack of 2
£78.48PCT FORMULARY STATUS: Second Line Drugs Other AntidiabeticsView BNF Article on 'Liraglutide Injection'View SPC on 'Liraglutide Injection'View PIL on 'Liraglutide Injection'
Semaglutide (Rybelsus)
3 mg tabs Pack of 30
£78.48PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Specialist initiated or advised only Other AntidiabeticsView BNF Article on 'Semaglutide'View SPC on 'Semaglutide'View PIL on 'Semaglutide'
Specialist initiated or advised only
Semaglutide (Rybelsus)
7 mg tabs Pack of 30
£78.48PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Specialist initiated or advised only Other AntidiabeticsView BNF Article on 'Semaglutide'View SPC on 'Semaglutide'View PIL on 'Semaglutide'
Specialist initiated or advised only
Semaglutide (Rybelsus)
14 mg tabs Pack of 30
£78.48PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Specialist initiated or advised only Other AntidiabeticsView BNF Article on 'Semaglutide'View SPC on 'Semaglutide'View PIL on 'Semaglutide'
Specialist initiated or advised only
Tirzepatide (Mounjaro KwikPen)
2.5 mg/0.6ml solution for injection (2.4ml pre-filled pens) Pack of 1
£92.00PCT FORMULARY STATUS: Specialist Initiated Drugs Other AntidiabeticsView BNF Article on 'Tirzepatide'View SPC on 'Tirzepatide'View PIL on 'Tirzepatide'
Tirzepatide (Mounjaro KwikPen)
5 mg/0.6ml solution for injection (2.4ml pre-filled pens) Pack of 1
£92.00PCT FORMULARY STATUS: Specialist Initiated Drugs Other AntidiabeticsView BNF Article on 'Tirzepatide'View SPC on 'Tirzepatide'View PIL on 'Tirzepatide'
Tirzepatide (Mounjaro KwikPen)
7.5 mg/0.6ml solution for injection (2.4ml pre-filled pens) Pack of 1
£107.00PCT FORMULARY STATUS: Specialist Initiated Drugs Other AntidiabeticsView BNF Article on 'Tirzepatide'View SPC on 'Tirzepatide'View PIL on 'Tirzepatide'
Tirzepatide (Mounjaro KwikPen)
10 mg/0.6ml solution for injection (2.4ml pre-filled pens) Pack of 1
£107.00PCT FORMULARY STATUS: Specialist Initiated Drugs Other AntidiabeticsView BNF Article on 'Tirzepatide'View SPC on 'Tirzepatide'View PIL on 'Tirzepatide'
Tirzepatide (Mounjaro KwikPen)
12.5 mg/0.6ml solution for injection (2.4ml pre-filled pens) Pack of 1
£122.00PCT FORMULARY STATUS: Specialist Initiated Drugs Other AntidiabeticsView BNF Article on 'Tirzepatide'View SPC on 'Tirzepatide'View PIL on 'Tirzepatide'
Tirzepatide (Mounjaro KwikPen)
15 mg/0.6ml solution for injection (2.4ml pre-filled pens) Pack of 1
£122.00PCT FORMULARY STATUS: Specialist Initiated Drugs Other AntidiabeticsView BNF Article on 'Tirzepatide'View SPC on 'Tirzepatide'View PIL on 'Tirzepatide'
Semaglutide (Wegovy FlexTouch)
0.25 mg/0.37ml solution for injection 1.5ml pre-filled pens Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs [Notes:] Prescribing to remain within secondary care specialist weight management service as per NICE TA 875 Other AntidiabeticsView BNF Article on 'Semaglutide'View SPC on 'Semaglutide'View PIL on 'Semaglutide'
Prescribing to remain within secondary care specialist weight management service as per NICE TA 875
Semaglutide (Wegovy FlexTouch)
0.5 mg/0.37ml solution for injection 1.5ml pre-filled pens Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs [Notes:] Prescribing to remain within secondary care specialist weight management service as per NICE TA 875 Other AntidiabeticsView BNF Article on 'Semaglutide'View SPC on 'Semaglutide'View PIL on 'Semaglutide'
Prescribing to remain within secondary care specialist weight management service as per NICE TA 875
Semaglutide (Wegovy FlexTouch)
1 mg/0.75ml solution for injection 3ml pre-filled pens Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs [Notes:] Prescribing to remain within secondary care specialist weight management service as per NICE TA 875 Other AntidiabeticsView BNF Article on 'Semaglutide'View SPC on 'Semaglutide'View PIL on 'Semaglutide'
Prescribing to remain within secondary care specialist weight management service as per NICE TA 875
Semaglutide (Wegovy FlexTouch)
1.7 mg/0.75ml solution for injection 3ml pre-filled pens Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs [Notes:] Prescribing to remain within secondary care specialist weight management service as per NICE TA 875 Other AntidiabeticsView BNF Article on 'Semaglutide'View SPC on 'Semaglutide'View PIL on 'Semaglutide'
Prescribing to remain within secondary care specialist weight management service as per NICE TA 875
Semaglutide (Wegovy FlexTouch)
2.4 mg/0.75ml solution for injection 3ml pre-filled pens Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs [Notes:] Prescribing to remain within secondary care specialist weight management service as per NICE TA 875 Other AntidiabeticsView BNF Article on 'Semaglutide'View SPC on 'Semaglutide'View PIL on 'Semaglutide'
Prescribing to remain within secondary care specialist weight management service as per NICE TA 875
Liraglutide injection (Saxenda )
6 mg/ml solution for injection 3ml pre-filled pen Pack of 5
- PCT FORMULARY STATUS: Hospital Only Drugs [Notes:] To be prescribed via specialist weight management service only Other AntidiabeticsView BNF Article on 'Liraglutide injection'View SPC on 'Liraglutide injection'View PIL on 'Liraglutide injection'
To be prescribed via specialist weight management service only
Sitagliptin / Metformin (Janumet)
50 mg / 1000mg tab Pack of 56
£33.26PCT FORMULARY STATUS: Discouraged Other AntidiabeticsView BNF Article on 'Sitagliptin / Metformin'View SPC on 'Sitagliptin / Metformin'View PIL on 'Sitagliptin / Metformin'
Dulaglutide (Trulicity)
0.75 mg/0.5ml solution for injection pre-filled pen disposable injection Pack of 4
£73.25PCT FORMULARY STATUS: Discouraged [Notes:] Dulaglutide (Trulicity) is only to be prescribed for patients already on treatment. Please do not initiate new patients on this medication. Other AntidiabeticsView BNF Article on 'Dulaglutide'View SPC on 'Dulaglutide'View PIL on 'Dulaglutide'
Dulaglutide (Trulicity) is only to be prescribed for patients already on treatment. Please do not initiate new patients on this medication.
Dulaglutide (Trulicity)
1.5 mg/0.5ml solution for injection pre-filled pen disposable injection Pack of 4
£73.25PCT FORMULARY STATUS: Discouraged [Notes:] Dulaglutide (Trulicity) is only to be prescribed for patients already on treatment. Please do not initiate new patients on this medication. Other AntidiabeticsView BNF Article on 'Dulaglutide'View SPC on 'Dulaglutide'View PIL on 'Dulaglutide'
Dulaglutide (Trulicity) is only to be prescribed for patients already on treatment. Please do not initiate new patients on this medication.
Dulaglutide (Trulicity)
3 mg/0.5ml solution for injection pre-filled pen disposable injection Pack of 4
£73.25PCT FORMULARY STATUS: Discouraged [Notes:] Dulaglutide (Trulicity) is only to be prescribed for patients already on treatment. Please do not initiate new patients on this medication. Other AntidiabeticsView BNF Article on 'Dulaglutide'View SPC on 'Dulaglutide'View PIL on 'Dulaglutide'
Dulaglutide (Trulicity) is only to be prescribed for patients already on treatment. Please do not initiate new patients on this medication.
Dulaglutide (Trulicity)
4.5 mg/0.5ml solution for injection pre-filled pen disposable injection Pack of 4
£73.25PCT FORMULARY STATUS: Discouraged [Notes:] Dulaglutide (Trulicity) is only to be prescribed for patients already on treatment. Please do not initiate new patients on this medication. Other AntidiabeticsView BNF Article on 'Dulaglutide'View SPC on 'Dulaglutide'View PIL on 'Dulaglutide'
Dulaglutide (Trulicity) is only to be prescribed for patients already on treatment. Please do not initiate new patients on this medication.
Exenatide Injection (Byetta)
10 mcg/dose (250mcg/ml) (60 dose pfs) Pack of 1
£81.89PCT FORMULARY STATUS: Discouraged Other AntidiabeticsView BNF Article on 'Exenatide Injection'View SPC on 'Exenatide Injection'View PIL on 'Exenatide Injection'

 
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