41
These Item's are now available from the GP Drug name Form Strength Status Bath Additive Topical Cream AZELAIC ACID Cream 20% BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets 10mg COAL TAR Topical Solution 5% EPADERM Topical Cream LEVETIRACETAM Injection 500mg in 5mL Palliative Care MEASLES, MUMPS AND RUBELLA (MMR) Vaccine Injection TESTOSTERONE Topical Gel 50mg/5g; TIMOLOL Single Use Eye Gel 1mg in 1g WHITE SOFT PARAFFIN These Item's are no longer available from the GP Drug name Form Strength Status RIFAMPICIN WITH ISONIAZID Tablets 150mg / 100mg; 300mg / 150mg Hospital Only ISONIAZID/PYRAZINAMIDE/RIFAMPICIN Tablets 50mg / 300mg / 120mg Hospital Only ETHAMBUTOL Tablets 100mg; 400mg Hospital Only New Additions to Hospital Formulary Drug name Form Strength Status ABATACEPT Injection 250mg Hospital only ABATACEPT Pre-Filled Pen 125mg in 1mL Hospital only AFATINIB Tablets 20mg; 40mg Hospital Only ARIPIPRAZOLE Depot Injection 400mg Hospital only ATOMOXETINE Oral Liquid 20mg in 5mL Hospital only BRINZOLAMIDE with BRIMONIDINE Eye Drops 10mg/2mg in 1mL BRINZOLAMIDE with TIMOLOL Eye Drops 10mg/5mg in 1mL CABAZITAXEL Injection 60mg in 1.5mL Hospital only CEFUROXIME (APROKAM) Powder for solution for injection 50mg Hospital only COAL TAR SOLUTION 6% SALICYLIC ACID Cream Hospital only CLOMETHIAZOLE Oral Solution 31.5mg in 1mL Hospital only EMTRICITABINE / RILRIVIRINE / TENOFOVIR (ODEFSEY) Tablets 200mg / 25mg / 25mg Hospital only ETOPOSIDE Injection 100mg in 5mL Hospital only FLUOROURACIL Injection 2.5g in 50mL Hospital only GEMCITABINE Injection 1600mg in 160mL, 1800mg in Hospital only GLYCOPYRRONIUM BROMIDE Oral Solution 1mg in 5mL Hospital only INSULIN DEGLUDEC Penfils 100units/ml Jersey General Hospital Formulary - November 2016 Hospital only = can only be prescribed within the hospital. A maximum of 3 months supply will be issued on an outpatient prescription Shared care = medication initiated by the hospital. Prescribing and monitoring may be transferred to the GP in accordance with approved shared care guidelines. A maximum of 3 months supply will be issued on an outpatient prescription. Blank status = can be prescribed both in hospital and by GPs. A maximum of 1 month supply will be issued on an outpatient prescription. For non urgent and repeat items complete a 'Request for Non-Urgent Prescription' form and give to the patient to take to their GP who will write a prescription. Items not listed in the hospital formulary should not be prescribed. Requests for new items should be made to the Drugs and Therapeutics Committee. AVEENO

Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

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Page 1: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

These Item's are now available

from the GP

Drug name Form Strength StatusBath Additive

Topical Cream

AZELAIC ACID Cream 20%

BIMATOPROST Single Use Drops 0.03%

CETRABEN Topical Cream

CLOBAZAM Tablets 10mg

COAL TAR Topical Solution 5%

EPADERM Topical Cream

LEVETIRACETAM Injection 500mg in 5mL Palliative Care

MEASLES, MUMPS AND RUBELLA (MMR) Vaccine Injection

TESTOSTERONE Topical Gel 50mg/5g;

TIMOLOL Single Use Eye

Gel

1mg in 1g

WHITE SOFT PARAFFIN

These Item's are no longer

available from the GP

Drug name Form Strength StatusRIFAMPICIN WITH ISONIAZID Tablets 150mg / 100mg; 300mg /

150mgHospital Only

ISONIAZID/PYRAZINAMIDE/RIFAMPICIN Tablets 50mg / 300mg / 120mg Hospital Only

ETHAMBUTOL Tablets 100mg; 400mg Hospital Only

New Additions to Hospital

Formulary

Drug name Form Strength StatusABATACEPT Injection 250mg Hospital only

ABATACEPT Pre-Filled Pen 125mg in 1mL Hospital only

AFATINIB Tablets 20mg; 40mg Hospital Only

ARIPIPRAZOLE Depot Injection 400mg Hospital only

ATOMOXETINE Oral Liquid 20mg in 5mL Hospital only

BRINZOLAMIDE with BRIMONIDINE Eye Drops 10mg/2mg in 1mL

BRINZOLAMIDE with TIMOLOL Eye Drops 10mg/5mg in 1mL

CABAZITAXEL Injection 60mg in 1.5mL Hospital only

CEFUROXIME (APROKAM) Powder for

solution for

injection

50mg

Hospital only

COAL TAR SOLUTION 6% SALICYLIC ACID

6% IN UNGUENTUM MERCK

Cream Hospital only

CLOMETHIAZOLE Oral Solution 31.5mg in 1mL Hospital only

EMTRICITABINE / RILRIVIRINE / TENOFOVIR

(ODEFSEY)

Tablets 200mg / 25mg / 25mgHospital only

ETOPOSIDE Injection 100mg in 5mL Hospital only

FLUOROURACIL Injection 2.5g in 50mL Hospital only

GEMCITABINE Injection 1600mg in 160mL, 1800mg in

180mL, 2000mg in 200mL

Hospital only

GLYCOPYRRONIUM BROMIDE Oral Solution 1mg in 5mL Hospital only

INSULIN DEGLUDEC Penfils 100units/ml

Jersey General Hospital Formulary - November 2016

Hospital only = can only be prescribed within the hospital. A maximum of 3 months supply will be

issued on an outpatient prescription

Shared care = medication initiated by the hospital. Prescribing and monitoring may be transferred

to the GP in accordance with approved shared care guidelines. A maximum of 3 months supply

will be issued on an outpatient prescription.

Blank status = can be prescribed both in hospital and by GPs. A maximum of 1 month supply will

be issued on an outpatient prescription. For non urgent and repeat items complete a 'Request for

Non-Urgent Prescription' form and give to the patient to take to their GP who will write a

prescription.

Items not listed in the hospital formulary should not be prescribed. Requests for new items should

be made to the Drugs and Therapeutics Committee.

AVEENO

Page 2: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

INSULIN DEGLUDEC Pre-Filled Pen 100 units in 1mL; 200 units in

1mL

INSULIN GLARGINE (TOUJEO) SoloStar Pen 300 units in 1mL

PHENOBARBITAL Suspension 50mg in 5mL Hospital only

RAMUCIRUMAB Infusion 100mg in 10mL; 500mg in 5mL Hospital only

RILUZOLE Oral Suspension 5mg in1mL Hospital only

RITUXIMAB Subcutaneous

Injection

1400mg in 11.7mLHospital only

SACUBITRIL with VALSARTAN Tablets 24/26mg; 49/51mg; 97/103mg

SOFOSBUVIR/VELPATASIVIR Tablets 400mg/100mg Hospital only

SODIUM CHLORIDE Infusion 2.7% Hospital only

SODIUM VALPROATE MR Granules 50mg; 100mg Hospital Only

SODIUM THIOSULFATE Injection 12.5g in 50mL Hospital only

TAFLUPROST with TIMOLOL Single Use Eye

Drops

15 micrograms /5mg in 1mL

TOBRAMYCIN with DEXAMETHASONE Eye Drops 3mg/1mg in 1mL

VERNAKALANT Concentrate for

Solution for

Injection

20mg/mL

Hospital only

Item's removed from the Hospital

Formulary

Drug name Form Strength StatusERGOCALCIFEROL Capsule 250 micrograms (10,000 units)

DISODIUM EDITATE (PRESERVATIVE FREE) Sterile Solution 0.37%Hospital Only

BRIMONIDINE / TIMOLOL Drops 0.2% / 0.5% Hospital Only

Drug name Form Strength StatusABACAVIR / LAMIVUDINE Tablets 600mg/300mg Hospital Only

ABACAVIR Tablets 300mg Hospital Only

Pre-filled syringe 125mg in 1mL

Injection 250mg

Pre-Filled Pen 125mg in 1mL

ABIRATERONE Tablets 250mg Hospital Only

ACAMPROSATE E/C Tablets 333mg

ACARBOSE Tablets 50mg, 100mg

ACEBUTOLOL Capsules 100mg; 200mg

ACENOCOUMAROL Tablets 1mg

M/R Capsules 250mg

Tablets 250mg

Injection 500mg

ACETIC ACID Solution for

Irrigation

5%Hospital Only

ACETONE BPC Hospital Only

ACETYLCHOLINE CHLORIDE Intraocular

irrigation

20mgHospital Only

Preservative-Free

Eye Drops

5%

Injection 2g in 10mL

Tablets 600mg

Oral Suspension 200mg in 5mL

Tablets 200mg, 400mg, 800mg

Infusion 250mg, 500mg Hospital Only

Eye Ointment 3%

Topical Cream 5%

ACITRETIN Capsules 10mg, 25mg Hospital Only

ACRIVASTINE Capsules 8mg Hospital Only

ADALIMUMAB (PRE-FILLED PEN) Injection 40mg in 0.8mL Hospital Only

ADALIMUMAB (PRE-FILLED SYRINGE) Injection 40mg in 0.8mL Hospital Only

Gel 0.1%

Topical Cream 0.1%

ADDIPHOS Infusion Hospital Only

ADDITRACE Infusion Hospital Only

Hospital Only

ABATACEPT

ACETAZOLAMIDE

ACETYLCYSTEINE

Hospital Only

ACICLOVIR

ADAPALENE

Jersey General Hospital Formulary - November 2016

Page 3: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

ADENOSINE Injection 6mg in 2mL Hospital Only

Eye Drops 1%

Injection 1mL

ampoule

1mg in 1mL (1 in 1000)

Injection

(Ampoule)

1mg in 10mL (1 in 10000)

Injection

(Syringe)

1mg in 10mL (1 in 10000)

ADRENALINE (1 IN 2,000) Injection Pen 150 micrograms in 0.3mL; 300

micrograms in 0.3mL

AFATINIB Tablets 20mg; 40mg Hospital Only

AFLIBERCEPT Injection 2mg in 0.05mL Hospital Only

AJMALINE Injection 50mg in 10mL Hospital Only

200mg

400mg Hospital only

ALCOHOL Injection 90% Hospital Only

ALENDRONIC ACID Tablets 5mg; 10mg, 70mg

250 nanograms

1 micrograms

Oral Drops 2 micrograms in 1mL

ALFENTANIL Injection 1mg in 2mL; 5mg in 1mL Hospital Only

M/R Tablets 10mg

Tablets 2.5mg

Tablets

7.5mg in 5mL

30mg in 5mL

ALITRETONIN Capsules 10mg, 30mg Hospital Only

Tablets 100mg 300mg

Oral Suspension 100mg in 5mL Hospital Only

ALMOTRIPTAN Tablets 12.5mg

Tablets 100mg

Capsules 100 international units; 400

international UnitsHospital Only

Suspension 500mg in 5mL

ALPHOSYL HC Cream

100 micrograms

500 micrograms

10 micrograms

20 micrograms

ALPROSTADIL Cream 3mg / g Hospital Only

ALTEPLASE Injection 2mg; 20mg; 50mg Hospital Only

ALUMINIUM ACETATE Ear Drops 8% Hospital Only

ALUMINIUM CHLORIDE HEXAHYDRATE Topical Solution 20%

Capsules 475mg

Tablets 500mg

ALVERINE CITRATE Capsules 60mg

Capsules 100mg

Oral Solution 50mg in 5mL

AMIKACIN Injection 100mg in 2mL; 500mg in 2mLHospital Only

Oral Solution 5mg in 5mL Hospital Only

Tablets 5mg

Injection 250mg in 10mL

225mg

350mg Hospital Only

Tablets 100mg; 200mg

Injection 150mg in 3mL Hospital Only

Pre-filled syringe 300mg in 10mL Hospital Only

Oral Solution 100mg in 1mL

Tablets 50mg; 200mg

Tablets 10mg; 25mg; 50mg

Oral Solution 50mg in 5mL

AMLODIPINE Tablets 5mg; 10mg

AMOROLFINE Nail Lacquer 5% Hospital Only

Oral Suspension 125mg in 5ml; 250mg in 5mL

Capsules 250mg; 500mg

Powder 3g

ADRENALINE

Hospital Only

ALFACALCIDOL Capsules

ALBENDAZOLE Tablets

ALFUZOSIN

ALIMEMAZINE

Oral Solution

ALLOPURINOL

ALPHA TOCOPHERYL

ALPROSTADIL Transurethral

StickHospital Only

Dual Chamber

ALUMINIUM HYDROXIDE

AMANTADINE

AMILORIDE

AMINOPHYLLINE

M/R Tablets

AMIODARONE

AMISULPRIDE Shared Care

AMITRIPTYLINE

AMOXICILLIN

Page 4: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

Injection 500mg

AMPHOTERICIN Injection 50mg Hospital Only

AMPHOTERICIN (PRESERVATIVE FREE) Eye Drops 0.15% Hospital Only

AMPHOTERICIN LIPOSOMAL Injection 50mg Hospital Only

ANAGRELIDE Capsules 500 micograms Hospital Only

ANASTROZOLE Tablets 1mg

ANCORA 375 Ag

ANCORA 375 Cu

ANTACID WITH OXETACAINE Oral suspension Hospital Only

ANTISEPTIC THROAT Lozenges Hospital Only

Cream

Ointment

Suppositories

Ointment

Suppositories

APIXABAN Tablets 2.5mg; 5mg

30mg in 3mL

50mg in 10mL

50mg in 5mL

Eye Drops 0.5%

Single Use Drops 1.0%

Initiation pack

30mg

APREPITANT Capsules 125mg/80mg Hospital Only

AQUEOUS Cream Topical Cream

ARGATROBAN Infusion 250mg in 2.5mL Hospital Only

ARGIPRESSIN (SYNTHETIC VASOPRESSIN) Injection 20 units in 1mLHospital Only

Oral Solution 1mg in 1mL Hospital Only

Tablets 5mg; 10mg; 15mg; 30mg Shared Care

Depot Injection 400mg Hospital only

ASCORBIC ACID Tablets 50mg; 100mg; 500mg

APARAGINASE (PEGYLATED) Injection 3750 units Hospital Only

75mg

300mg

E/C Tablets 75mg; 300mg

Suppositories 300mg Hospital Only

ASPIRIN / METOCLOPRAMIDE Powder for Oral

Solution

900mg / 10mg

ATAZANAVIR Capsules 150mg; 200mg; 300mg Hospital Only

Tablets 25mg; 50mg; 100mg

Oral Solution 25mg in 5mL

Injection 5mg in 10mL

Capsules 10mg; 25mg; 40mg; 60mg Hospital Only

Oral Liquid 20mg in 5mL Hospital only

ATORVASTATIN Tablets 10mg; 20mg; 40mg; 80mg

Infusion 37.5mg in 5mL

Injection 6.75mg in 0.9mL

ATOVAQUONE Oral Suspension 750mg in 5mL Hospital Only

25mg in 2.5mL

50mg in 5mL

250mg in 25mL

600 microgram in 1mL

1mg in 5mL

3mg in 10mL

Drops 1%

Single Use Drops 1%

ATROPINE SULPHATE Tablets 600micrograms

AURECORT Ointment Hospital Only

Bath Additive

Topical Cream

AXITINIB Tablets 1mg; 5mg Hospital Only

AZACITIDINE Injection 100mg Hospital Only

Tablets 25mg; 50mg Shared Care

Injection 50mg Hospital Only

ARIPIPRAZOLE

ATOMOXETINE

Intrauterine

contraceptive

ANUSOL

AMOXICILLIN

ASPIRIN Dispersible

tablets

ANUSOL HC

APOMORPHINE Injection

Hospital Only

APRACLONIDINE

Hospital Only

APREMILAST

ATENOLOL

ATOSIBANHospital Only

ATRACURIUM BESYLATE Injection

Hospital Only

ATROPINE Injection

Hospital Only

AVEENO

AZATHIOPRINE

Tablets Hospital Only

Page 5: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

AZELAIC ACID Cream 20%

AZELASTINE Nasal Spray 140 micrograms per spray

Oral Solution 200mg in 5mL

Tablets 250mg; 500mg

AZTREONAM Injection 1g; 2g Hospital Only

Intrathecal

Injection

10mg in 20mLHospital Only

Tablets 10mg

Oral Solution 5mg in 5mL

BALANCED SALT SOLUTION Irrigation 15mL; 500mL Hospital Only

BALNEUM Bath Additive

Bath Additive

Topical Cream

BALSALAZIDE Capsules 750mg Hospital Only

BCG Vaccine Injection Injection Hospital Only

BCG (IMMUCYST) Bladder

Instillation

81mgHospital Only

BCG (ONCOTICE) + MERCI SYSTEM Bladder

InstillationHospital Only

50 microgram

100 microgram

200 microgram

250 microgram

BECLOMETASONE DIPROPRIONATE with

FORMOTEROL FUMARATE

Metered Dose

Inhaler

100 micrograms / 6

micrograms

BECLOMETASONE Nasal Spray 50 micrograms per dose

BECLOMETHASONE DIPROPIONATE IN

WHITE SOFT PARAFFIN

Ointment 0.0025%Hospital Only

BENDAMUSTINE Injection for

Infusion

25mg; 100mgHospital Only

BENDROFLUMETHIAZIDE Tablets 2.5mg; 5mg

BENZATHINE PENICILLIN Injection 2.4 Million Units Hospital Only

BENZOIC ACID Compound

Ointment

BENZOIN COMPOUND TINCTURE BPC

(FRIAR'S BALSAM)

LiquidHospital Only

BENZOYL PEROXIDE / CLINDAMYCIN Topical Gel 3% / 1%; 5% / 1%

BENZOYL PEROXIDE Topical Gel 5%; 10%

Mouthwash 0.15%

Spray 0.15%

BENZYL BENZOATE Application

BENZYLPENICILLIN Injection 600mg; 1.2g Hospital Only

BETAHISTINE Tablets 8mg; 16mg

BETAMETHASONE Injection 4mg in 1mL

BETAMETHASONE Tablets 0.5mg

BETAMETHASONE (BETACAP) Scalp Application 0.1%

BETAMETHASONE (BETTAMOUSSE) Foam Scalp

Application

0.1%Hospital Only

Topical Cream 0.025%; 0.1%

Topical Ointment 0.025%; 0.1%

Topical Lotion 0.1%

Drops 0.1%

Eye Ointment 0.1%

Drops 0.1% / 0.5%

Topical Cream 0.1% / 0.5%

Topical Ointment 0.1% / 0.5%

Scalp Application 0.05% / 2%

Ointment 0.05% / 3%

Drops 0.25%; 0.5%

Single Use Drops 0.25%

BEVACIZUMAB Intravitreal

Injection

5mg in 0.2mLHospital Only

Tablets 200mg

AZITHROMYCIN

BACLOFEN

BALNEUM PLUS

BECLOMETASONE (CLENIL MODULITE) Metered Dose

Inhaler

BENZYDAMINE

BETAMETHASONE

BETAMETHASONE WITH NEOMYCIN

BETAMETHASONE WITH SALICYCLIC ACID

Hospital Only

BETAXOLOL

BEZAFIBRATE

Page 6: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

M/R Tablets 400mg

BICALUTAMIDE Tablets 50mg; 150mg

Single Use Drops 0.03% / 0.5%

Drops 0.03% / 0.5%

Eye Drops 0.01%

Single Use Drops 0.03%

BIOXTRA Oral Gel

Suppositories 5mg; 10mg

Tablets 5mg

BISMUTH SUBSALICYLATE Oral Suspension 87.5 mg in 5mL Hospital Only

Topical Paste

Gauze 1.25cm x100cm

BISOPROLOL Tablets 1.25mg; 2.5mg; 3.75mg; 5mg;

7.5mg; 10mg

BLEOMYCIN Injection (15mg) 1500 units Hospital Only

BOCEPREVIR Capsules 200mg Hospital Only

BORTEZOMIB Injection 3.5mg Hospital Only

BOSENTAN Tablets 62.5mg; 125mg Hospital Only

BOTULINUM TOXIN TYPE A (BOTOX) Injection 100 units Hospital Only

BOTULINUM TOXIN TYPE A (DYSPORT) Injection 500 units Hospital Only

BOTUNINUM TOXIN TYPE B (NEUROBLOC) Injection 5000 units in 1mLHospital Only

BRIMONIDINE Drops 0.2%

BRINZOLAMIDE Drops 10mg in 1mL

BRINZOLAMIDE with BRIMONIDINE Eye Drops 10mg/2mg in 1mL

BRINZOLAMIDE with TIMOLOL Eye Drops 10mg/5mg in 1mL

BROMFENAC Drops 900 micrograms in 1mL Hospital Only

1mg Hospital Only

2.5mg

Capsules 10mg

100/6 micrograms

200/6 micrograms

400/12 micrograms

Novolizer 200 micrograms

1mg in 2mL

500 micrograms in 2mL

100 micrograms

200 micrograms

400 micrograms

50 micrograms

200 micrograms

M/R Capsules 3mg

Nasal Spray 64 micrograms per dose

Tablets 1mg; 5mg

Injection 2mg in 4mL

BUPIVACAINE AND FENTANYL Injection 10mg/20 microgram in 10mL Hospital Only

BUPIVACAINE AND FENTANYL in 0.9% NaCl Infusion 1mg/2 micrograms in 1mLHospital Only

BUPIVACAINE IN GLUCOSE Injection 0.5% / 8% in 4mL Hospital Only

5 micrograms

10 micrograms

S/L Tablets 200 micrograms Hospital Only

S/L Tablets 400 micrograms; 2mg; 8mg

2mg/500 micrograms

8mg/2mg

BUSERELIN (SUPRECUR) Injection 5.5mg in 5.5mL Hospital Only

BUSERELIN (SUPREFACT) Injection 5.5mg in 5.5mL Hospital Only

BUSERELIN Nasal Spray 150 micrograms Hospital Only

BUSPIRONE Tablets 5mg, 10mg

BUSULPHAN Tablets 2mg Hospital Only

CABERGOLINE Tablets 500 micrograms, 1mg, 2mg

CABAZITAXEL Injection 60mg in 1.5mL Hospital only

5mg in 1mL (5mL)

5mg in 1mL (20mL)

BEZAFIBRATE

BIMATOPROST / TIMOLOL

BISACODYL

BIMATOPROST

BISMUTH AND IODOFORM Hospital Only

BROMOCRIPTINE Tablets

BUDESONIDE / FORMOTEROL Turbohaler

BUDESONIDE

Nebuliser solution

Turbohaler

Inhaler

BUMETANIDE

BUPRENORPHINE Transdermal

Patch

BUPRENORPHINE

BUPRENORPHINE AND NALOXONE S/L Tablets

CAFFEINE Oral SolutionHospital Only

Page 7: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

Injection 250mg in 2mL; 500mg in 2mL;

10mg in 1mLHospital Only

Cream

Topical Lotion

Scalp Solution 50 micrograms in 1mL

Topical Ointment 50 micrograms per gram

Topical Gel 0.005% / 0.05%

Topical Ointment 0.005% / 0.05%

CALCITONIN (SALMON) Injection 100 units in 1mL; 400 units in

2mLHospital Only

CALCITRIOL Capsules 250 nanograms Hospital Only

CALCIUM Syrup 0.51mmol in 1mL Hospital Only

CALCIUM ACETATE Tablets 1g

CALCIUM AND ERGOCALCIFEROL Tablets

CALCIUM CARBONATE (500mg CALCIUM) Tablets 1.25g

CALCIUM CARBONATE Suspension 600mg in 5mL Hospital Only

1.25g / 200 units

1.25g / 400 units

Granules 1.25g / 440 units Hospital Only

CALCIUM CHLORIDE Injection 10%

15mg in 2mL

50mg in 5mL

300mg in 30mL

Tablets 15mg Hospital Only

Injection 10% (10mL)

Topical Gel 2.5%

Effervescent

Tablets

1000mg

CALCIUM PHOSPHATE AND

COLECALCIFEROL

Powder 3.1g / 800 units

CALCIUM POLYSTYRENE SULPHONATE Powder

CALCIUM RESONIUM Retention Enema 30g in 100mL

CALICUM SANDOZ Oral Solution 2.7mmol in 5mL Hospital Only

CANAGLIFLOZIN Tablets 100mg; 300mg

CANAGLIFLOZIN/METFORMIN Tablets 50mg/850mg; 50mg/1g

CANDESARTAN Tablets 2mg; 4mg; 8mg; 16mg; 32mg

CAPASAL Shampoo

CAPECITABINE Tablets 150mg; 500mg Hospital Only

CAPSAICIN Topical Cream 0.025%; 0.075% Hospital Only

Tablets 12.5mg; 25mg; 50mg

Oral Solution 5mg in 5mL

Chewable Tablet 100mg; 200mg Hospital Only

Oral suspension 100mg in 5mL

Suppositories 125mg; 250mg

M/R Tablets 200mg; 400mg

Tablets 100mg; 200mg; 400mg

CARBEX Granules Hospital Only

CARBIMAZOLE Tablets 5mg; 20mg

Oral Solution 125mg in 5ml; 250mg in 5mL

Capsules 375mg

Drops 2mg/g

Single Use Drops 2mg/g

50mg in 5mL

150mg in 15mL

450mg in 45mL

600mg in 60mL

CARBOPROST Injection 250 micrograms in 1mL Hospital Only

CARMELLOSE Single Use Drops 0.5%; 1%

CARNITINE Oral Solution 100mg in 1mL; 300mg in 1mLHospital Only

CARTEOLOL Drops 1%; 2%

CAFFEINE

CALAMINE

CALCIPOTRIOL

CALCIPOTRIOL WITH BETAMETHASONE

CALCIUM CARBONATE AND

COLECALCIFEROL

Tablets

CALCIUM FOLINATE Injection

Hospital Only

CALICUM GLUCONATEHospital Only

CAPTOPRIL

CARBAMAZEPINE

CARBOCISTEINE

CARBOMER 980 VISCOTEARS

CARBOPLATIN Injection

Hospital Only

Page 8: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

3.125mg; 6.25mg

12.5mg; 25mg

CASPOFUNGIN Infusion 50mg; 70mg Hospital Only

Oral suspension 125mg in 5ml; 250mg in 5mL

M/R Tablets 375mg

Oral suspension 125mg in 5ml; 250mg in 5mL

Capsules 250mg; 500mg

Tablets 500mg

CEFIXIME Tablet 200mg

Injection 1g Hospital Only

Injection 500mg; 2g

CEFTAZIDIME Injection 500mg; 1g; 2g

CEFTRIAXONE Injection 250mg; 1g; 2g

Injection 1.5g Hospital Only

Injection 250mg; 750mg

CEFUROXIME (APROKAM) Powder for

solution for

injection

50mg

Hospital only

new strength

CELECOXIB Capsules 100mg; 200mg

CERITINIB Capsules 150mg Hospital Only

CERTOLIZUMAB PEGOL Injection 200mg Hospital Only

CETALKONIUM CHLORIDE WITH CHOLINE

SALCICYLATE

Gel 8.7%

Tablets 10mg

Oral Solution 5mg in 5mL

CETRABEN Topical Cream

CETRORELIX Injection 250 micrograms Hospital Only

CHARCOAL ACTIVATED (CARBOMIX

POWDER)

Powder 50gHospital Only

CHARCOAL ACTIVATED Oral suspension 200mg in 1mL Hospital Only

Crystals Hospital Only

Oral Solution 500mg in 5mL

CHLORAMBUCIL Tablets 2mg

Drops 0.5%

Single Use Drops 0.5%

Eye Ointment 1%

Injection 1g Hospital Only

CHLORDIAZEPOXIDE Capsules 5mg; 10mg

Mouthwash 0.2%

Oromucosal

Spray

0.2%

CHLORHEXIDINE Drops 0.02% Hospital Only

CHLORHEXIDINE ACETATE (CLEAR) Irrigation 0.05% Hospital Only

CHLORHEXIDINE ACTETATE Irrigation 0.02%

CHLORHEXIDINE ACETATE STERILE Dusting Powder 1% Hospital Only

Dental Gel 1% Hospital Only

Liquid Cleanser 4%

Hard Surface

Spray

0.02% in 70% IMSHospital Only

Hydrex Spray

Pink

0.5% in 70% IMSHospital Only

CHLORHEXIDINE IN SPIRIT Pink 0.5% in 70% IMS Hospital Only

CHLORHEXIDINE OBSTETRIC Topical Cream 1% Hospital Only

CHLORHEXIDINE TULLE Dressing 10cm x 10cm; 15cm x 20cm;

5cm x 5cm Hospital Only

CHLOROQUINE PHOSPHATE Tablets (155mg BASE) 250mg Hospital Only

CHLOROTHIAZIDE Oral suspension 250mg in 5mL Hospital Only

Injection 10mg in 1mL

Oral Solution 2mg in 5mL

Tablets 4mg

Oral Solution 25mg in 5mL; 100mg in 5mL

Tablets 25mg; 50mg; 100mg

Injection 50mg in 2mL

CHLORTALIDONE Tablets 50mg

CHORIOGONADOTROPHIN ALFA Subcutaneous

Injection

250 micrograms in 0.5mLHospital Only

CARVEDILOL Tablets

CEFACLOR

CEFALEXIN

CEFOTAXIME

CEFUROXIME

CETIRIZINE

CHLORAL HYDRATE

CHLORAMPHENICOL

CHLORHEXIDINE (MINT)

CHLORHEXIDINE GLUCONATE

CHLORHEXIDINE GLUCONATE IN ALCOHOL

CHLORPHENAMINE

CHLORPROMAZINE

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1500 units

5000 units

Eye Ointment 0.2%

Capsules 10mg

Oral Solution 100mg in 1mL

Capsules 25mg; 50mg; 100mg

Injection 50mg in 1mL Hospital Only

Tablets 200mg; 400mg; 800mg

Oral Solution 200mg in 5mL

CINACALCET Tablets 30mg; 60mg; 90mg Hospital Only

CINCHOCIANE/PREDNISOLONE

(Scheriproct)

Suppositories 1mg / 1.3mg

CINNARIZINE Tablets 15mg

Drops 0.3%

Eye Ointment 0.3% Hospital Only

Infusion 200mg in 100mL; 400mg in

200mLHospital Only

Oral suspension 250mg in 5mL

Tablets 250mg; 500mg; 750mg

CISPLATIN Injection 50mg in 50mL; 100mg in

100mLHospital Only

Tablets 10mg; 20mg; 40mg; 80mg

Oral Drops 40mg in 1mL

CITRIC ACID MONOHYDRATE Granules Hospital Only

CLADRIBINE Injection 10mg in 10mL; 10mg in 5mL Hospital Only

Oral suspension 125mg in 5mL; 250mg in 5mL

Tablets 250mg; 500mg

Injection 500mg Hospital Only

Topical Solution 1%

Topical Gel 1%

Topical Cream 2%

Capsules 150mg

Injection 600mg in 4mL

Oral suspension 75mg in 5mL

Tablets 10mg

Suspension 2mg in 5mL; 5mg in 5mL Hospital Only

Scalp Application 0.05%

Topical Cream 0.05%

Topical Ointment 0.05%

Shampoo 0.05% Hospital Only

Cream 0.5mg/5mg/100000iu per g

Ointment 0.5mg/5mg/100000iu per g

Topical Cream 0.05%

Topical Ointment 0.05%

Capsules 192mg

Oral Solution 250mg in 5mL

CLOMETHIAZOLE Oral Solution 31.5mg in 1mL Hospital only

CLOMIFENE Tablets 50mg Hospital Only

CLOMIPRAMINE Capsules 10mg; 25mg; 50mg

Injection 1mg in 1mL

Tablets 500 micrograms; 2mg

Oral Solution 2mg in 5mL Hospital Only

Injection 150 micrograms in 1mL

Tablets 25 micrograms; 100

micrograms

Tablets 300mg

Oral suspension 5mg in 5mL; 37.5mg in 5mL;

Tablets 75mg

CLORAL BETAINE Tablets 707mg

Topical Cream 1%

Topical Solution 1%

Vaginal Cream 10%

Vaginal Tablet 100mg; 200mg; 500mg

CHORIONIC GONADOTRPOHIN Intramuscular or

Subcutaneous Hospital Only

CICLOSPORINHospital Only

Shared Care

CIMETIDINE

CIPROFLOXACIN

CITALOPRAM

CLARITHROMYCIN

CLINDAMYCIN

Hospital Only

CLOBAZAM

CLOBETASOL

CLOBETASOL PROPRIONATE/NEOMYCIN

SULPHATE/NYSTATINHospital Only

CLOBETASONE

CLOMETHIAZOLE

CLONAZEPAM

CLONIDINE

CLOPIDOGREL Hospital Only

CLOTRIMAZOLE

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CLOTRIMAZOLE WITH HYDROCORTISONE Topical Cream 1%/1%

CLOZAPINE Tablets 25mg; 100mg Hospital Only

COAL TAR Topical Solution 5%

COAL TAR AND SALICYCLIC ACID BP Topical Ointment

COAL TAR SOLUTION 6% SALICYLIC ACID

6% IN UNGUENTUM MERCK

CreamHospital only

CO-AMILOFRUSE Tablets 2.5mg/20mg; 5mg/40mg

CO-AMILOZIDE Tablets 2.5mg/25mg; 5mg/50mg

Injection 1000mg/200mg

Tablets 250/125mg; 500/125mg

Suspension 400mg / 57mg in 5mL

Injection 500mg/100mg Hospital Only

Capsules 12.5/50mg; 25/100mg;

50/200mg

Dispersible

tablets

12.5/50mg; 25/100mg

Modified-Release

Capsules

25/100mg

COCAINE Nasal Spray Solution 10% Hospital Only

Tablets 10/100mg; 12.5/50mg;

25/100mg; 25/250mg

Modified-Release

Tablets

25/100mg; 50/200mg

Intestinal Gel 5mg/20mg/mL Hospital Only

50mg/12.5mg/200mg

75mg/18.75mg/200mg

100mg/25mg/200mg

125mg/31.25mg/200mg

150mg/37.5mg/200mg

175mg / 43.75mg / 200mg

200mg/50mg/200mg

Effervescent

Tablets

8/500mg; 30/500mg

Tablets 8/500mg; 30/500mg

COCOIS Topical Ointment

Capsules 25/200mg Hospital Only

Oral suspension 25/200mg in 5mL; 75/1000mg

in 5mL

CO-DANTHRUSATE Capsules 50/60mg

Oral Solution 15mg in 5mL

Tablets 15mg; 30mg

Injection 60mg in 1mL

CO-DYDRAMOL Tablets 10/500mg

COLCHICINE Tablets 500 micrograms

COLECALCIFEROL Oral Solution 3000 units in 1mL Hospital Only

COLECALCIFEROL Tablets 20micrograms (800 units)

COLESEVELAM Tablets 625mg Hospital Only

COLESTIPOL 5 g Granules Granules 5g Hospital Only

COLESTYRAMINE Oral Powder 4g

Injection 1 Million Units; 2 Million Units

Inhaler 125mg

COLLAGENASE CLOSTRIDIUM

HISTOLYTICUM

Injection 0.9mgHospital Only

CONJUGATED OESTROGENS Tablets 300 micrograms; 625

micrograms; 1.25mg

CONJUGATED OESTROGENS WITH

NORGESTREL

Tablets 625 micrograms/150

micrograms; 1.25mg/150

micrograms

CO-PHENOTROPE Tablets 2.5mg/25 micrograms

COPPER T 380A Intrauterine

contraceptive

device

COSTA RICA VIPER POLYVALENT

ANTISERUM Injection

InjectionHospital Only

CO-AMOXICLAV

CO-BENELDOPA

CO-CARELDOPA

CO-CARELDOPA with ENTACAPONE

(LEVODOPA / CARBIDOPA / ENTACAPONE)

Shared Care

CO-CODAMOL

CO-DANTHRAMER

CODEINE

COLISTIMETHATEHospital Only

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Oral Suspension 40mg/200mg in 5mL;

80mg/400mg in 5mL

Tablets 80mg/400mg; 160mg/800mg

Injection 80mg/400mg in 5mL Hospital Only

Capsules 10000 units

25000 units

40000 units

CREON MICRO Granules 100mg per measure

CRISANTASPASE Injection 10000 units Hospital Only

Topical Cream 10%

Topical Lotion 10%

CROTAMITON WITH HYDROCORTISONE Topical Cream 10%/0.25% Hospital Only

Cu-Safe T300 Intrauterine

contraceptive

device

CYANOCOBALAMIN Injection 1mg in 1 mL

Injection 50mg in 1mL

Tablets 50mg

Drops 0.5%; 1%

Single Use Drops 0.5%; 1%

Injection 1g

Oral suspension 40mg in 5mL

Tablets 50mg Shared Care

CYCLO-PROGYNOVA Tablets 1mg; 2mg

CYPROHEPTADINE Tablets 4mg Hospital Only

CYPROTERONE Tablets 50mg; 100mg

CYPROTERONE WITH ETHINYLESTRADIOL Tablets 2mg / 35 micrograms

CYTARABINE (LIPOSOMAL) Injection 50mg in 5mL Hospital Only

CYTARABINE Injection 100mg in 5mL; 2g in 20mL Hospital Only

DABIGATRAN Capsules 110mg; 150mg

DABRAFENIB Capsules 50mg; 75mg Hospital Only

DACARBAZINE Injection 200mg; 500mg; 1g Hospital Only

DACLATASVIR Tablets 60mg Hospital Only

DANAPAROID Injection 750 units in 0.6mL Hospital Only

DANAZOL Capsules 100mg; 200mg

Injection 20mg

Capsules 25mg; 100mg

DAPAGLIFLOZIN Tablets 5mg; 10mg

DAPAGLIFLOZIN/METFORMIN Tablets 5mg/850mg; 5mg/1g

DAPSONE Tablets 50mg; 100mg

DAPTOMYCIN Infusion 500mg Hospital Only

DARUNAVIR Tablets 400mg; 600mg Hospital Only

DASABUVIR Tablets 250mg Hospital Only

DASATINIB Tablets 20mg; 50mg Hospital Only

DAUNORUBICIN (LIPOSOMAL) Injection 50mg Hospital Only

DAUNORUBICIN Injection 20mg Hospital Only

DEFERASIROX Dispersible

tablets

125mg; 250mg; 500mgHospital Only

DEFLAZACORT Tablets 6mg Hospital Only

DEMECLOCYCLINE Capsules 150mg

Injection 120mg in 1.7mL Hospital Only

Subcutaneous

Injection

60mg in 1mL

DERMOL Topical Cream

DERMOL 200 Shower Emollient

DERMOL 500 Lotion

DERMOL 600 Bath Additive

DESFERASIROX Tablet 125mg; 250mg; 500mg Hospital Only

DESFERRIOXAMINE Injection 500mg; 2g Hospital Only

DESFLURANE Hospital Only

DESLORATADINE Tablets 5mg Hospital Only

Nasal Spray 10 micrograms per spray

Tablets 100 micrograms; 200

micrograms

CO-TRIMOXAZOLE

CREON

CROTAMITON

CYCLIZINE

CYCLOPENTOLATE

CYCLOPHOSPHAMIDEHospital Only

DANTROLENE Hospital Only

DENOSUMAB

DESMOPRESSIN

Page 12: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

Drops 100 micrograms in 1mL Hospital Only

Melt Tablets 60 micrograms; 120

micrograms; 240 micrograms

4 micrograms in 1mL Hospital Only

15 micrograms in 1mL

DESOGESTREL Tablets 75 micrograms

Drops 0.1%

Single Use Drops 0.1%

Tablets 500 micrograms; 2mg

Oral Solution 2mg in 5mL

Injection 6.6mg in 2mL

Intravitreal

Impant

700 microgramsHospital Only

DEXAMETHASONE WITH ACETIC ACID AND

NEOMYCIN

Spray

DEXRAZOXANE Intravenous

Infusion

500mgHospital Only

DEXTROMETHORPHAN Oral suspension 7.5mg in 5mL; 30mg in 5mL Hospital Only

DIAMORPHINE Injection 5mg; 10mg; 30mg; 100mg;

500mg

Injection 10mg in 2mL

Oral suspension 2mg in 5mL

Tablets 2mg; 5mg

Enema 2.5mg; 5mg; 10mg

Oral Solution 5mg in 5mL Hospital Only

DIAZEPAM EMULSION Injection 10mg in 2mL

Injection 300mg in 20mL

Oral Liquid 50mg in 5mL

Tablets 50mg

Drops 0.1%

Single Use Drops 0.1%

Topical Gel 1.16%

Topical Gel 3%

Modified-Release

Tablets

75mg; 100mg

Suppositories 12.5mg; 25mg; 50mg; 100mg

Tablets 25mg

Enteric-Coated

Tablets

50mg

Modified-Release

Capsules

75mg

Injection 25mg in 1ml

Dispersible

tablets

50mg

DICLOFENAC / MISOPROSTOL Tablets 50mg / 200 micrograms

DICOBALT EDETATE Injection 300mg in 20mL Hospital Only

Tablets 10mg

Oral Liquid 10mg in 5mL

DIDANOSINE Enteric-Coated

Capsules

400mgHospital Only

DIETHYLSTILBETROL Tablets 1mg; 5mg

Topical Cream 0.1%; 0.3%

Topical Ointment 0.3%

DIGIFAB Injection 40mg Hospital Only

Oral Solution 250 micrograms in 5mL

Injection 500 micrograms in 2mL

Tablets 62.5 micrograms;

125 micrograms; 250

micrograms

DIGOXIN PAEDIATRIC Injection 100 micrograms in 1mL

Oral Solution 10mg in 5mL

Tablets 30mg

DESMOPRESSIN

Injection

DEXAMETHASONE

DIAZEPAM

DIAZOXIDE

Hospital Only

DICLOFENAC

Hospital Only

DICYCLOVERINE

DIFLUCORTOLONE VALERATE

DIGOXIN

DIHYDROCODEINE

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M/R Tablets 60mg; 90mg; 120mg

Injection 50mg in 1ml

DIHYDROERGOTAMINE Injection 1mg in 1mL Hospital Only

DILOXANIDE Tablets 500mg Hospital Only

DILTIAZEM Topical Cream 2% Hospital Only

M/R Capsules 200mg; 300mg

M/R Tablets 60mg; 90mg; 120mg

DIMERCAPROL Injection 100mg in 2mL Hospital Only

DIMETHYL SULFOXIDE Solution 50% Hospital Only

DIMETICONE Lotion 4%

DIMETICONE WITH CETRIMIDE Topical Cream 10% / 0.3% Hospital Only

Injection 1mg in 1mL

Pessaries 10mg over 24 hours

Vaginal Tablets 3mg

DIORALYTE (BLACKCURRANT) Sachets

DIOALYTE RELIEF Sachets

DIMETHYL FUMARATE Capsules 120mg; 240mg Hospital Only

Powder Hospital Only

0.025%

0.05%

0.1%

0.25%

1%

1%

2%

DIPHTHERIA / TETANUS / POLIO (REVAXIS) Vaccine Injection

DIPHTHERIA/TETANUS/PERTUSSIS &

POLIO VACCINE (REPEVAX)

Vaccine InjectionHospital Only

DIPHTHERIA/TETANUS/PERTUSSIS/POLIO/

HAEMOPHILUS INFLUENZAE

Vaccine InjectionHospital Only

DIPIPANONE WITH CYCLIZINE Tablets Hospital Only

Topical Cream;

Topical Ointment

DIPYRIDAMOLE / ASPIRIN Capsules 200mg/25mg

M/R Capsules 200mg

Tablets 25mg; 100mg

Injection 5mg in 1mL

Oral suspension 50mg in 5mL Hospital Only

DISODIUM EDITATE WITH PRESERVATIVE Drops 0.37%Hospital Only

Capsules 100mg; 150mg

M/R Tablets 250mg

Injection 50mg in 5mL

DISULFIRAM Tablets 200mg

DITHRANOL (MICANOL) Topical Cream 1% Hospital Only

DITHRANOL Topical Cream 0.1%; 0.25%; 0.5%; 1%; 2%

DOBUTAMINE Injection 250mg in 20mL; 250mg in

50mLHospital Only

DOCETAXEL Injection 20mg; 80mg; 20mg in 1mL;

80mg in 4mL; 160mg in 8mLHospital Only

Capsules 100mg

Oral Solution 12.5mg in 5mL; 50mg in 5mLHospital Only

Tablets 10mg

Suspension 5mg in 5mL

Orodispersible

Tablets

10mgHospital Only

Tablets 5mg; 10mg Shared Care

DOPAMINE Injection 200mg in 5mL Hospital Only

DORNASE ALFA Nebuliser

Solution

2500 units in 2.5mLHospital Only

Drops 2%

Single Use Drops 2%

Drops 2% / 0.5%

DIHYDROCODEINE

DILTIAZEM HYDROCHLORIDE

DINOPROSTONE

Hospital Only

DIPHENYLCYCLOPROPENONE

Solution

Hospital Only

DIPROBASE

DIPYRIDAMOLE

DISOPYRAMIDE

DOCUSATE SODIUM

DOMPERIDONE

DONEPEZIL

DORZOLAMIDE

DORZOLAMIDE / TIMOLOL

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Single Use Drops 2% / 0.5%

Capsules 25mg

Tablets 75mg

DOTAREM Injection Hospital Only

Shower Gel

Topical Gel

DOUBLEBASE (DAYLEVE) Topical Gel

DOXAPRAM Injection 100mg in 5mL Hospital Only

DOXAZOSIN Tablets 1mg; 2mg; 4mg

DOXEPIN Capsules 25mg; 50mg

DOXEPIN HYDROCHLORIDE Topical Cream 5% Hospital Only

DOXORUBICIN (LIPOSOMAL) Infusion 20mg in 10mL; 50mg in 25mLHospital Only

DOXORUBICIN Injection 10mg in 5mL; 50mg in 25mL Hospital Only

Capsules 50mg; 100mg

Dispersible

tablets

100mgHospital Only

DRONEDARONE Tablets 400mg Shared Care

DULOXETINE Capsules 30mg; 60mg

E45 Cream

ECHOVIST Injection 3g Hospital Only

Pessaries 150mg

Cream 1%

EFAVIRENZ / EMTRICITABINE / TENOFOVIR Tablets 600mg / 200mg / 245mgHospital Only

Capsules 200mg

Tablets 600mg

EFLORNITHINE Cream 11.5% Hospital Only

ELLEST Conti Duet 1mg; 2mg

EMOLLIN Aerosol Spray

EMTRICITABINE Capsules 200mg Hospital Only

EMTRICITABINE / RILPIVIRINE / TENOFOVIR

(EVIPLERA)

Tablets 200mg / 25mg / 245mg

Hospital Only

EMTRICITABINE / RILRIVIRINE / TENOFOVIR

(ODEFSEY)

Tablets 200mg / 25mg / 25mgHospital only

EMULSIDERM Bath Additive Hospital Only

EMULSIFYING Topical Ointment

ENALAPRIL Tablets 2.5mg; 5mg; 10mg; 20mg

20mg in 0.2mL

40mg in 0.4mL

60mg in 0.6mL

80mg in 0.8mL

100mg in 1mL

120mg in 0.8mL

150mg in 1mL

ENTACAPONE Tablets 200mg Shared Care

ENZALUTAMIDE Capsules 40mg Hospital Only

Topical Cream

Topical Ointment

Drops 0.5%; 1%

Tablets 15mg

Injection 30mg in 1mL

EPIRUBICIN Injection 50mg in 25mL; 100mg in 50mLHospital Only

EPLERENONE Tablets 25mg; 50mg Shared Care

1000 units in 0.5mL

2000 units in 0.5mL

3000 units in 0.3mL

4000 units in 0.4mL

5000 units in 0.5mL

6000 units in 0.6mL

8000 units in 0.8mL

10000 units in 1mL

30000 units in 0.75mL

DORZOLAMIDE / TIMOLOL

DOSULEPIN

DOUBLEBASE

DOXYCYCLINE

ECONAZOLE

EFAVIRENZ Hospital Only

ENOXAPARIN Pre-filled syringe

EPADERM

EPHEDRINE

EPOETIN ALFA Injection

Hospital Only

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EPOETIN ALFA (PREFILLED SYRINGE) Injection 40000 units in 1mL Hospital Only

3000 units in 0.3mL

6000 units in 0.3mL

2000 units in 0.3mL

3000 units in 0.3mL

4000 units in 0.3mL

5000 units in 0.3mL

6000 units in 0.3mL

20000 units in 0.6mL

EPOPROSTENOL Injection 500 micrograms Hospital Only

Capsules 1.25mg (50,000 units)

Tablets 1.25mg (50,000 units)

ERGOMETRINE Injection 500 micrograms in 1mL Hospital Only

ERLOTINIB Tablets 25mg; 100mg; 150mg Hospital Only

ERTAPENEM Infusion 1g Hospital Only

ERYTHROMYCIN / ZINC ACETATE Topical Solution 4% /1.2%

Injection 1g Hospital Only

Oral Suspension 125mg in 5ml; 250mg in 5mL;

500mg in 5mL

Tablets 250mg; 500mg

Oral Drops 20mg in 1mL Hospital Only

Tablets 10mg Hospital Only

ESMOLOL Injection 100mg in 10mL Hospital Only

Capsules 20mg; 40mg Hospital Only

Tablets 20mg; 40mg Hospital Only

25 micrograms over 24 hours

50 micrograms over 24 hours

100 micrograms over 24 hours

Tablets 1mg; 2mg

Transdermal Gel 0.06%

Vaginal Tablets 10 micrograms

Vaginal Ring 7.5 micrograms over 24 hoursHospital Only

ESTRADIOL with LEVONORGESTREL -

FEMSEVEN SEQUI (COMBINATION PACK)

Transdermal

Patch Hospital Only

ESTRADIOL / DYDROGESTONE Tablets 1/5mg; 1/10mg; 2/10mg

ESTRADIOL / MEDROXYPROGESTERONE Tablets 1/2.5mg; 1/5mg; 2/5mg;

2/20mg

ESTRADIOL / NORETHISTERONE Tablets 1/1mg; 2/1mg

ESTRADIOL / NOMEGESTROL Tablets 1.5/2.5mg

ESTRADIOL / DIENOGEST Tablets

ESTRIOL Cream 0.1%; 0.01%

Pre-filled syringe 25mg; 50mg

Pre-filled pen 50mg

Vial 25mg

ETHAMBUTOL Tablets 100mg; 400mg Hospital Only

ETHANOL (PRESERVATIVE FREE) Eye Drops 18% Hospital Only

ETHANOLAMINE OLEATE Injection 5% Hospital Only

Tablets 10 micrograms; 1mg Hospital Only

Capsules 2 micrograms Hospital Only

20 micrograms / 150

micrograms

30 micrograms / 150

micrograms

ETHINYLESTRADIOL with DROSPIRENONE Tablets 30 micrograms / 150

micrograms

ETHINYLESTRADIOL with ETONOGESTREL Vaginal ring 15 micrograms / 120

micrograms / 24 hours

20 micrograms / 75

micrograms

30 micrograms / 75

micrograms

30 micrograms / 50

micrograms

EPOETIN BETA (NEORECORMON) Injection

EPOETIN BETA Injection

Hospital Only

ERGOCALCIFEROL

ETHINYLESTRADIOL

ETHINYLESTRIDIOL with DESOGESTREL Tablets

ERYTHROMYCIN

ESCITALOPRAM

ESOMEPRAZOLE

ESTRADIOL Patches

ETHINYLESTRIDIOL with GESTODENE Tablets

Hospital Only

Hospital Only

ETANERCEPT

Page 16: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

40 micrograms / 70

micrograms

30 micrograms / 100

micrograms

30 micrograms / 50

micrograms

30 micrograms / 150

micrograms

40 micrograms / 75

micrograms

30 micrograms / 125

micrograms

ETHINYLESTRADIOL with

NORELGESTROMIN

Patches 33.9 micrograms / 203

micrograms / 24 hours

ETHINYLESTRADIOL with NORGESTIMATE Tablets 35 micrograms / 250

micrograms

20 micrograms / 1mg

30 micrograms / 1.5mg

35 micrograms / 500

microgramsg

35 micrograms / 750

microgramsg

35 micrograms / 1mg

Capsules 250mg

Oral Solution 250mg in 5mL

ETHYL CHLORIDE Aerosol Spray

ETIDRONATE DISODIUM Tablets 200mg Hospital Only

ETOMIDATE Injection 20mg in 10mL Hospital Only

ETONOGESTREL Implant 68mg

Capsules 50mg; 100mg

Injection 100mg;

Injection 100mg in 5mL

ETRAVIRINE Tablets 100mg Hospital Only

EVOREL CONTI Transdermal

Patch

EVOREL SEQUI Transdermal

Patch

EXEMESTANE Tablets 25mg

Injection 2mg

Pre-filled pen 10 micrograms per dose

E-Z CAT Kit Hospital Only

E-Z HD HIGH DENSITY MEAL Kit Hospital Only

E-Z PAQUE FOLLOW THROUGH Kit Hospital Only

EZETIMIBE Tablets 10mg

FAMCICLOVIR Tablets 125mg; 250mg

FEBUXOSTAT Tablets 80mg; 120mg

FELODIPINE M/R Tablets 2.5mg; 5mg; 10mg

FEMOSTON Tablets 1/10; 2/10

FENOFIBRATE (MICRONISED) Capsules 67mg; 200mg

Buccal Tablets 100 micrograms; 200

micrograms Hospital Only

Injection 100 micrograms in 2mL

12 micrograms per hour

25 micrograms per hour

50 micrograms per hour

75 micrograms per hour

100 micrograms per hour

Oral Suspension 140mg in 5mL

Tablets 210mg; 322mg

FERROUS GLUCONATE Tablets 300mg

FERROUS SULPHATE / FOLIC ACID Modified-Release

Tablets

325mg / 350 micrograms

FERROUS SULPHATE Tablets 200mg

FEXOFENADINE Tablets 30mg; 120mg; 180mg

FIDAXOMICIN Tablets 200mg Hospital Only

300 micrograms in 1mL

480 micrograms in 0.5mL

300 micrograms in 0.5mL

FENTANYL

Transdermal

Patch

Shared Care

ETHINYLESTRIDIOL with GESTODENE Tablets

ETHINYLESTRADIOL / LEVONORGESTREL Tablets

ETHINYLESTRADIOL with

NORETHISTERONE

Tablets

FERROUS FUMARATE

FILGRASTIM (NEUPOGEN) Injection

Hospital OnlyFILGRASTIM (ZARZIO) Injection

ETOPOSIDE

Hospital Only

EXENATIDE

ETHOSUXIMIDE

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480 micrograms in 0.5mL

FINASTERIDE Tablets 5mg

FINGOLIMOD Capsules 500 micrograms Hospital Only

FLAVOXATE Tablets 200mg

Injection 10mg in 1mL

Oral Liquid 25mg in 5mL

Tablets 50mg; 100mg

Flexi-T + 380 Intrauterine

contraceptive

device

Flexi-T 300 Intrauterine

contraceptive

device

Injection 1000mg Hospital Only

Injection 250mg; 500mg

Oral Suspension 125mg in 5mL; 250mg in 5mL

Capsules 250mg ; 500mg

Capsules 50mg; 150mg; 200mg

Oral Suspension 50mg in 5mL; 200mg in 5mL

Infusion 50mg in 25mL; 200mg in

100mLHospital Only

Infusion 2500mg in 250mL

Tablets 500mg

Tablets 100mg

Injection 50mg

FLUDROCORTISONE Tablets 100 micrograms

Topical Cream 0.0125%

Topical Ointment 0.0125%

Bandage 4 micrograms per sq cm Hospital Only

FLUMAZENIL Injection 500 micrograms in 5mL

FLUMETASONE WITH CLIOQUINOL Drops 0.02%/1%

FLUNARIZINE (FLUNARIZINUM) Tablets 5mg Hospital Only

Ointment 0.025%; 0.00625%

Topical Cream 0.025%; 0.00625%

Topical Gel 0.025%

Topical Cream 0.025% / 0.5%

Topical Ointment 0.025% / 0.5%

Topical Cream

Topical Ointment

Single Use Drops 1%Hospital Only

Injection 10% Hospital Only

Single Use Drops 2%

FLUOROMETHOLONE Eye Drops 0.1%

Injection 500mg in 20mL; 2.5g in

100mL; 2.5g in 50mLHospital Only

Topical Cream 5%

FLUOROURACIL SUREFUSER SFS-5-25P Infusion Multiple strengths Hospital Only

FLUOROURACIL FOLfusor Multiple strengths Hospital Only

Capsules 20mg

Oral Solution 20mg in 5mL

Tablets 3mg Hospital Only

Tablets 500 micrograms; 1mg

20mg in 1mL

50mg in 0.5mL

100mg in 1mL

200mg in 1mL

25mg in 1mL

50mg in 0.5mL

100mg in 1mL

FLURAZEPAM Capsules 15mg; 30mg

FLURBIPROFEN Capsules 50mg; 100mg

Hospital OnlyFILGRASTIM (ZARZIO) Injection

FLECAINIDE Hospital Only

FLUCLOXACILLIN

FLUCONAZOLE

FLUDARABINEHospital Only

FLUDROXYCORTIDE

FLUOCINOLONE

FLUOCINOLONE WITH NEOMYCIN

SULPHATE

FLUOCORTOLONE

FLUORESCEIN

FLUOROURACIL

FLUOXETINE

FLUPENTIXOL

FLUPENTIXOL DECANOATE Injection

FLUPHENAZINE DECANOATE Injection

FLUCYTOSINE Hospital only

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Topical Cream 0.05% Hospital Only

Topical Ointment 0.05%Hospital Only

Nasal drops 400 micrograms / unit dose

0.5mg in 2ml

2mg in 2ml

50 micrograms

100 micrograms

250 micrograms

500 micrograms

50 micrograms

125 micrograms

250 micrograms

50/5 micrograms

125/5 micrograms

250/10 micrograms

Accuhaler 100 micrograms; 250

micrograms; 500

micrograms;

Metered Dose

Inhaler

50 micrograms; 125

micrograms; 250

micrograms;

FLUTICASONE FUROATE Nasal Spray 27.5 micrograms

FLUTICASONE FUROATE/VILANTEROL

(RELVAR ELLIPTA)

Dry powder

inhaler

92 micrograms/22 micrograms;

184 micrograms/22

micrograms

Capsules 20mg; 40mg

M/R Tablets 80mg

FLUVOXAMINE Tablets 50mg; 100mg

Oral Solution 2.5mg in 5mL

Tablets 5mg

FOLLITROPIN ALFA 450 units; 900 units

FOLLITROPIN ALFA (BEMFOLA) 75 units in 0.125mL; 150 units

in 0.25mL; 225units in

0.375mL; 300 units in 0.5mL

FOMEPIZOLE Infusion 1.5g in 1.5mL Hospital Only

FONDAPARINUX Injection 2.5mg in 0.5mL Hospital Only

FORMALDEHYDE Solution 3% Hospital Only

6 micrograms per metered

dose

12 micrograms per metered

dose

Metered Dose

Inhaler

12 micrograms per metered

dose

FOSFOMYCIN Granules 3g Hospital Only

FOSINOPRIL Tablets 10mg; 20mg;

FOSTAIR NEXTHALER

(BECLOMETASONE/FORMOTEROL)

Inhaler 100 micrograms/6 micrograms

FROVATRIPTAN Tablets 2.5mg

FULVESTRANT Injection 250mg in 5mL Hospital Only

FUMARIC ACID ESTERS Enteric Coated

Tablets

30mg; 120mgHospital Only

Injection 20mg in 2mL; 250mg in 25mL

Tablets 20mg; 40mg; 500mg

Oral Solution 40mg in 5mL

FUSIDIC ACID / BETAMETHASONE

VALERATE

Topical Cream 2% / 0.1%

Eye Drops 1%

Topical Cream 2%

Oral Suspension 250mg in 5mL

Capsules 100mg; 300mg; 400mg

Oral Solution 50mg in 1mL Hospital Only

Tablets 8mg; 12mg

Oral Solution 4mg in 1mL

FLUTICASONE

Nebules

Accuhaler

Metered dose

Inhaler

FLUTICASONE / FORMOTEROL Inhaler

FLUTICASONE/SALMETEROL (SERETIDE )

FLUVASTATIN

FOLIC ACID

FORMOTEROL Turbohaler

FUROSEMIDE

Injection Hospital Only

FUSIDIC ACID

GABAPENTIN

GALANTAMINEHospital Only

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Modified-Release

Capsules

8mg; 16mg; 24mg

Shared Care

Opthalmic Gel 0.15%

Infusion 500mg

GASTROGRAFIN Oral Solution Hospital Only

Oral suspension

Tablets

GAVISCON INFANT Powder

GELSPAN Infusion Hospital Only

GEMCITABINE Injection 200mg; 1g; 2g; 2g in 20mL Hospital Only

GEMCITABINE in SODIUM CHLORIDE 0.9% Intravenous

Infusion

1500mg; 1600mg; 1700mg;

1800mg, 1900mg;

2000mg;2400mg

Hospital Only

GEMCITABINE Injection 1600mg in 160mL, 1800mg in

180mL, 2000mg in 200mL

Hospital only

GEMEPROST Pessaries 1mg Hospital Only

GEMFIBROZIL Capsules 300mg

GENTAMICIN (AMPOULE) Injection 20mg in 2mL Hospital Only

GENTAMICIN (PRESERVATIVE FREE) Drops 0.3% Hospital Only

Drops 0.3%

Intrathecal

Injection

5mg in 1mL

Injection 80mg in 2mL

GENTAMICIN FORTE Drops 1.5% Hospital Only

GENTAMICIN WITH HYDROCORTISONE Ear Drops 0.3% / 1%

GLANDOSANE Aerosol spray

GLATIRAMER Injection 20mg; 40mg Hospital Only

GLIBENCLAMIDE Tablets 2.5mg; 5mg

GLICLAZIDE Tablets 80mg

GLUCAGON Injection 1mg

Powder Hospital Only

Vial 50%

Infusion 5%; 10%; 20%; 50%

Prefilled-syringe 50%

Oral Gel 40%

GLUCOSE WITH LIDOCAINE Infusion 5% / 0.2% Hospital Only

GLUTAMINE Injection 10g in 50mL; 20g in 100mL Hospital Only

GLUTARALDEHYDE Application 10%

Liquid Hospital Only

Suppositories 1g; 2g; 4g

GLYCERIN STERILE Liquid Hospital Only

5mg over 24 hours;

10mg over 24 hours

Rectal Ointment 0.4%

Spray 400 micrograms

5mg in 5mL

25mg in 5mL

50mg in 10mL

Sublingual

Tablets

300 micrograms;

500 micrograms; 600

micrograms

GLYCINE Bladder Irrigation 1.5% Hospital Only

Topical Solution 0.05%

Tablets 1mg; 2mg

Oral Solution 2mg in 5mL

GLYCOPYRRONIUM BROMIDE Oral Solution 1mg in 5mL Hospital only

GLYCOPYRRONIUM Inhalation

Capsules

44 micrograms

GLYCOPYRRONIUM / INDACATEROL Inhalation

Capsules

110 / 44 micrograms

GLYCOPYRRONIUM / NEOSTIGMINE

METHYLSULPHATE

Injection 0.5mg/2.5mg Hospital Only

200 micrograms in 1mL

600 micrograms in 3mL

GOLIMUMAB Pre-filled Pen 50mg; 100mg Hospital Only

GONADORELIN Injection 100 micrograms Hospital Only

GOSERELIN Implant 3.6mg; 10.8mg

GAVISCON ADVANCE

GENTAMICIN

Hospital Only

GALANTAMINE

GANCICLOVIRHospital Only

GLUCOSE

Hospital Only

GLYCERIN

GLYCERYL TRINITRATE Transdermal

Patch

InjectionHospital Only

GLYCOPYRROLATE

Hospital Only

GLYCOPYRRONIUM InjectionHospital Only

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Tablets 1mg; 2mg

Injection 3mg in 3mL

GRISEOFULVIN Oral Suspension 125mg in 5mL

GUANETHIDINE Injection 10mg in 1mL Hospital Only

GYNEFIX Intrauterine

contraceptive

device

HAEMOPHILUS TYPE B AND NEISSERIA

MENINGITIDIS C

Vaccine InjectionHospital Only

Tablets 20mg Hospital Only

Tablets 500microrams; 1.5mg; 5mg;

10mg

Oral Solution 10mg in 5mL

Injection 5mg in 1mL; 100mg in 1mL

Capsules 500 micrograms

HEMOSOL BO - HAEMODIAFILTRATION

SOLUTION

Solution Lactate freeHospital Only

HEPARIN CALCIUM Injection 5000 units in 0.2mL

HEPARIN SODIUM (PRESERVATIVE FREE) Injection 25000 units in 5mL

200 units in 2mL Hospital Only

1000 units in 1mL

5000 units in 1mL

25000 units in 1mL

HEPARINISED SALINE Injection 50 units in 5mL Hospital Only

HEPATITIS A Vaccine Injection 720 units in 0.5mL; 1440 units

in 1mLHospital Only

HEPATITIS A AND B ADULT Vaccine Injection 20 micrograms in 1mL Hospital Only

Vaccine Injection 10 micrograms in 0.5mL

Vaccine Injection 5 micrograms in 0.5mL; 40

micrograms in 1mL

Vaccine Injection 10 micrograms in 1mL; 20

micrograms in 1mL

HEXETIDINE Mouthwash

HUMAN PAPILLOMA VIRUS (TYPES 6. 11.

16. 18)

Vaccine InjectionHospital Only

HUMAN SURGICAL SEALANT Hospital Only

HYALURONIC ACID Injection 60mg in 3mL Hospital Only

HYALURONIDASE Injection 1500 units

Injection 20mg Hospital Only

Tablets 25mg; 50mg

Topical Cream 0.5%; 1%; 2.5%

Topical Ointment 0.5%; 1%; 2.5%

Tablets 10mg; 20mg

Foam Enema 10%

Pellets 2.5mg

Suppositories 100mg Hospital Only

Injection 25mg in 1mL

Oral Suspension 5mg in 5mL Hospital Only

Topical Cream 0.1%

Topical Ointment 0.1%

Lipocream 0.1%

Scalp lotion 0.1%

HYDROCORTISONE BUTYRATE Lipocream 0.10%

HYDROCORTISONE BUTYRATE Ointment 0.10%

HYDROCORTISONE SODIUM PHOSPHATE Injection 100mg in 1mL

HYDROCORTISONE SODIUM SUCCINATE Injection 100mg

Topical Cream 1%

Topical Solution 6% (20 volume) Hospital Only

HYDROXOCOBALAMIN Injection 1mg in 1mL

HYDROXYCARBAMIDE Capsules 500mg Hospital Only

HYDROXYCHLOROQUINE Tablets 200mg Hospital Only

HYDROXYZINE Tablets 10mg; 25mg

GRANISETRON Hospital Only

HALOPERIDOL

HEPARIN SODIUM Injection

HEPATITIS B

Hospital Only

HYDRALAZINE

HYDROCORTISONE

HYDROCORTISNE BUTYRATE

HYDROGEN PEROXIDE

HYDROCORTISONE ACETATE

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HYDROXYZINE Oral Solution 10mg in 5mL Hospital Only

HYLAN G-F 20 Injection 16mg in 2mL Hospital Only

HYOSCINE Transdermal

Patch

1mg over 72 hours

Tablets 10mg

Injection 20mg in 1mL

Tablets 300 micrograms

Injection 400 micrograms in 1mL; 600

micrograms in 1mL

Eye Drops 0.3%; 0.5%; 1%

Unit dose eye

drops

0.3%

Tablets 150mg

Injection 3mg in 3mL Hospital Only

Oral suspension 100mg in 5mL

Tablets 200mg; 400mg; 600mg

Modified-Release

Tablets

800mg

Gel 5%; 10%

ICATIBANT Injection 30mg in 3mL Hospital only

ICTHAMMOL GLYCERIN Liquid Hospital Only

ICHTHAMMOL Ointment

ICHTHOPASTE Bandage 7.5cm x 6m Hospital Only

IDARUCIZUMAB Injection 2.5g in 50mL Hospital Only

IDARUBICIN Capsules 5mg; 10mg Hospital Only

ILOPROST Injection 50 micrograms in 0.5mL; 100

micrograms in 1mLHospital Only

IMATINIB Tablets 400mg Hospital Only

IMIPRAMINE Tablets 10mg; 25mg

IMIQUIMOD Topical Cream 5% Hospital Only

INDACATEROL Powder for

Inhalation

150 micrograms; 300

micrograms

INDACTEROL/GLYCOPYRRONIUM

BROMIDE (ULTIBRO BREEZHALER)

Inhalation

Powder Capsules

110 micrograms/50

micrograms

M/R Tablets 1.5mg

Tablets 2.5mg

Capsules 25mg; 50mg

M/R Capsules 75mg

Suppositories 100mg

INDUSTRIAL METHYLATED SPIRIT Volatile Liquid 70% Hospital Only

INFLIXIMAB Injection 100mg Hospital Only

INFLIXIMAB (INFLECTRA) Injection 100mg Hospital Only

INFLUENZA Vaccine Injection

150 micrograms per g

500 micrograms per g

INSTILLAGEL Topical Gel 6mL; 11mL

INSULIN ASPART (NOVORAPID) Injection;

FlexPen; Penfill

100 units in 1mL

INSULIN BIPHASIC ASPART (NOVOMIX 30) Injection; Flexpen 100 units in 1mL

INSULIN BIPHASIC ISOPHANE (HUMULIN

M3)

Injection;

Cartidge; Pre-

Filled Pen

100 units in 1mL

INSULIN BIPHASIC ISOPHANE (INSUMAN

COMB 50)

Cartidges 100 units in 1mL

INSULIN BIPHASIC LISPRO (HUMALOG MIX

25)

Cartidges 100 units in 1mL

Cartridges

Pre-filled Pen

Penfils 100units/ml

Pre-Filled Pen 100 units in 1mL; 200 units in

1mL

INSULIN DETEMIR (LEVEMIR) Cartridges;

FlexPen

100 units in 1mL

Cartridges

Injection

SoloStar Pen

HYOSCINE BUTYLBROMIDE

HYOSCINE HYDROBROMIDE

HYPROMELLOSE

IBANDRONIC ACID

IBUPROFEN

INDAPAMIDE

INDOMETHACIN

INGENOL MEBUTATE GelHospital Only

INSULIN BIPHASIC LISPRO (HUMALOG MIX

50)

100 units in 1mL

INSULIN GLARGINE (LANTUS) 100 units in 1mL

INSULIN DEGLUDEC

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INSULIN GLARGINE (TOUJEO) SoloStar Pen 300 units in 1mL

INSULIN HUMULIN R U500 Injection 500 units in 1mL Hospital Only

INSULIN HYPURIN PORCINE ISOPHANE Cartridges;

Injection

100 units in 1mL

INSULIN HYPURIN PORCINE MIX 30/70 Cartridges;

Injection

100 units in 1mL

INSULIN HYPURIN PORCINE NEUTRAL Cartridges;

Injection

100 units in 1mL

INSULIN ISOPHANE (HUMULIN I) Cartridges; Pre-

Filled Pen

100 units in 1mL

HUMAN ISOPHANE (INSULATARD) Cartridges;

Injection; Pre-

Filled Pen

100 units in 1mL

INSULIN LISPRO (HUMALOG) Cartridges;

Injection

100 units in 1mL

INSULIN SOLUBLE (ACTRAPID) Injection 100 units in 1mL

INSULIN SOLUBLE (HUMULIN S) Cartridges;

Injection

100 units in 1mL

INSULIN SOLUBLE PORCINE (HYPURIN

PORCINE NEUTRAL)

Injection 100 units in 1mL

INTERFERON ALFA-2A (ROFERON-A) Injection 3 Mega units in 0.5mL; 6 Mega

units in 0.5mL; 9 Mega units in

0.5mL; 18 Mega units in 0.5mLHospital Only

22 micrograms in 0.5mL

44 micrograms in 0.5mL

22 micrograms in 0.5mL

44 micrograms in 0.5mL

22 micrograms in 0.5mL

44 micrograms in 0.5mL

INTERFERON BETA-1B (BETAFERON) Injection 300 micrograms (9.6 million

units)Hospital Only

INTRALIPID Infusion 20% Hospital Only

IODINE AQUEOUS BP Oral Solution Hospital Only

IODINE WEAK Topical Solution Topical Solution Hospital Only

IPILIMUMAB Injection 50mg in 10mL; 200mg in 40mLHospital Only

IPRATROPIUM Nasal Spray 21 micrograms per dose

Metered dose

Inhaler

20 micrograms

Nebuliser

Solution

500 micrograms in 2mL

IRBESARTAN Tablets 75mg; 150mg; 300mg

IRINOTECAN Injection 100mg in 5mL; 300mg in 15mLHospital Only

IRON DEXTRAN Injection 100mg in 2mL

IRON SUCROSE Injection 100mg in 5mL

ISOFLURANE Volatile Liquid Hospital Only

Tablets 100mg

Injection 50mg in 2mL

Oral Solution 50mg in 5mL

ISONIAZID/PYRAZINAMIDE/RIFAMPICIN Tablets 50mg / 300mg / 120mg Hospital Only

ISOPRENALINE SULPHATE (EQUIVALENT

TO 2mg in 2mL HCl)

Injection 2.25mg in 2mLHospital Only

ISOSORBIDE DINITRATE Tablets 10mg; 20mg

Tablets 10mg; 20mg; 40mg

M/R Tablets 25mg; 40mg; 60mg

ISOTRETINON / ERYTHROMYCIN Topical Gel 0.05% / 2% Hospital Only

Topical Gel 0.05%

Capsules 5mg; 20mg Hospital Only

ISOVUE 370 Hospital Only

ISPAGHULA HUSK Granules 3.5g

Capsules 100mg

Oral Solution 50mg in 5mL

IVABRADINE Tablets 5mg; 7.5mg

IVERMECTIN Tablets 3mg Hospital Only

KABIVEN Infusin 9g; 14g Hospital Only

200mg in 20mL

INTERFERON BETA-1A (REBIF) Cartridge

injectionHospital Only

Pre-Filled Pen

Injection

Pre-Filled Syringe

Injection

IPRATROPIUM BROMIDE

ISONIAZID

Hospital Only

ISOSORBIDE MONONITRATE

ISOTRETINOIN

ITRACONAZOLE

KETAMINE Injection

Hospital Only

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500mg in 5mL

1g in 10mL

Shampoo 2%

Topical Cream 2%

Capsules 50mg

Modified-Release

Capsules

100mg; 200mg

Topical Gel 2.5%

Injection 30mg in 1mL

Drops 0.5%

Oral Solution

Tablets

KLEAN-PREP Sachets

Injection 100mg in 20mL

Tablets 100mg; 400mg

Oral Solution 10mg in 1mL; 15mg in 1mL Hospital Only

Tablets 50mg; 100mg; 150mg; 200mgHospital Only

Injection 200mg in 20mL Hospital Only

LACRI-LUBE (PRESERVATIVE FREE) Eye Ointment

LACTULOSE Oral Solution 3.35g in 5mL

LAMIVUDINE / ZIDOVUDINE Tablets 150mg / 300mg Hospital Only

Tablets 100mg; 150mg

Oral Solution 50mg in 5mL

Tablets 25mg; 50mg; 100mg; 200mg

Dispersible

tablets

2mg; 5mg; 25mg;100mg

LANREOTIDE Injection 60mg; 120mg Hospital Only

Capsules 15mg; 30mg

Orodispersible

Tablets

15mg; 30mg

LAPATINIB Tablets 250mg Hospital Only

Drops 50 micrograms in 1mL

(0.005%)

Single Use Drops 50 micrograms in 1mL

(0.005%)

LATANOPROST / TIMOLOL Drops 0.005% / 0.5%

LEFLUNOMIDE Tablets 10mg; 20mg; 100mg Hospital Only

LENALIDOMIDE Capsules 5mg; 10mg; 15mg; 25mg Hospital Only

LENOGRASTIM Injection 263mg in 1mL Hospital Only

LERCANIDIPINE Tablets 10mg; 20mg

LETROZOLE Tablets 2.5mg

LEUPRORELIN Injection 3.75mg; 11.25mg Hospital Only

LEVAMISOLE Tablets 50mg Hospital Only

Tablets 250mg; 500mg; 750mg

Oral Solution 500mg in 5mL

Injection 500mg in 5mL

Drops 0.5%

Single Use Drops 0.5%

LEVOBUPIVACAINE / FENTANYL in 0.9%

NaCl Infusion

Infusion 1mg/2 micrograms in 1mLHospital Only

Epidural Infusion 625 micrograms in 1mL

1.25mg in 1mLHospital Only

Injection 25mg in 10mL; 50mg in 10mL;

75mg in 10mL

Injection 25mg in 1mL

Tablets 25mg

Oral Liquid 25mg in 5mL Hospital Only

Tablets 30 micrograms; 1.5mg

Intrauterine

Device

20 micrograms released over

24 hours

25 micrograms

50 micrograms

100 micrograms

Injection 0.5%; 1%; 2%

KETAMINE Injection

Hospital Only

KETOCONAZOLE

KETOPROFEN

KETOROLAC Hospital Only

KETOVITE

LABETALOL

LACOSAMIDE

LAMIVUDINEHospital Only

LAMOTRIGINE

LANSOPRAZOLE

LATANOPROST

LEVETIRACETAM

LEVOBUNOLOL

LEVOBUPIVACAINE

LEVOMEPROMAZINE

LEVONORGESTREL

LEVOTHYROXINE Tablets

LIDOCAINE

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Topical Cream 4%

Topical Ointment 5%

Injection 4% 5mL

Epidural Infusion 1%

Aerosol Spray 10%

Injection 100mg in 10mL

Epidural Infusion 2%

Oromucosal

Solution

4%

Plaster 5%

LIDOCAINE ISOTONIC NEUTRAL

PRESERVATIVE FREE

Injection 0.5%Hospital Only

LIDOCAINE WITH ADRENALINE Injection 2% /1 in 80000 1.8mL; 2% /1 in

80000 2.2mL

LIDOCAINE WITH EPINEPHRINE

(LIDOCAINE WITH ADRENALINE)

Injection 1% /1 in 200000; 2%/1 in

200000

LIDOCAINE WITH FLUORESCEIN Single Use Drops 4% / 0.25%Hospital Only

LIDOCAINE WITH HYDROCORTISONE Ointment 5% / 0.275%

LIDOCAINE WITH PHENYLEPHRINE Nasal Spray 5%/0.5%

LIDOCAINE WITH PRILOCAINE (SURGICAL

PACK)

Topical Cream 2.5%/2.5%Hospital Only

LIDOCAINE WITH PRILOCAINE (WITH

DRESSINGS)

Topical Cream 2.5%/2.5%

LIDOCAINE WITH PRILOCAINE (WITHOUT

DRESSINGS)

Topical Cream 2.5%/2.5%Hospital Only

Oral suspension 100mg in 5mL

Infusion 600mg in 300mL

Tablets 600mg

Tablets 20 micrograms

Capsules 2.5 micrograms

Injection 20 micrograms

Tablets 2.5 micrograms

LIPEGFILRASTIM injection 6mg in 0.6mL Hospital Only

LIPIODOL ULTRA FLUIDE Injection 480mg in 1mL Hospital Only

LIQUID PARAFFIN Eye Ointment

LIQUID PARAFFIN AND MAGNESIUM

HYDROXIDE

Emulsion

LIQUID PARAFFIN 50% IN WHITE SOFT

PARAFFIN

Topical OintmentHospital Only

LIQUIFILM TEARS Eye Drops

LIRAGLUTIDE Pre-Filled Pen 18mg in 3mL Shared Care

LISINOPRIL Tablets 2.5mg; 5mg; 10mg; 20mg

LITHIUM CARBONATE M/R Tablets 200mg; 400mg; 450mg

LITHIUM CARBONATE Tablets 250mg Shared Care

LITHIUM CHLORIDE Injection 1.5mmol in 10mL Hospital Only

LITHIUM CITRATE Oral Solution 520mg in 5mL Shared Care

LOAD 375 Intrauterine

Device

LODOXAMIDE Drops 0.10% Hospital Only

LOESTRIN 20 Tablets Hospital Only

Oral suspension 70mg in 5mL

Tablets 70mg

LOFEXIDINE Tablets 200 micrograms

LOMUSTINE Capsules 40mg Hospital Only

Oral Solution 1mg in 5mL

Capsules 2mg

Oral Solution 25mg in 5mL Hospital Only

LOPINAVIR WITH RITONAVIR Tablets 200mg / 50mg Hospital Only

Oral Solution 5mg in 5ml

Tablets 10mg

Tablets 1mg

Injection 4mg in 1mL

LOSARTAN Tablets 25mg; 50mg; 100mg

LOTEPREDNOL Drops 0.5% Hospital Only

LUBIPROSTONE Capsules 24 micrograms Hospital Only

LIDOCAINE

Hospital Only

LINEZOLID

Hospital Only

LIOTHYRONINE

Hospital Only

LOFEPRAMINE

LOPERAMIDE

LORATADINE

LORAZEPAM

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LUBRICATING JELLY Topical Gel Sachet; 42g; 82g Hospital Only

LUTROPIN ALFA Injection 75 units Hospital Only

LYMECYCLINE Capsules 408mg

MACROGOL COMPOUND Oral Powder Adult; Paediatric

MAGNESIUM ASPARTATE Oral Powder 263mg Hospital Only

Oral suspension 1mmol in 1mL

Tablets 4mmol

MAGNESIUM HYDROXIDE Oral suspension

MAGNESIUM OXIDE Capsules 160mg (4mmol) Hospital Only

Paste

Injection 1g (4mmol) in 2mL

Injection 5g (20mmol) in 10mL Hospital Only

MAGNESIUM SULPHATE BPC Oral suspension 4g in 10mL Hospital Only

MAGNESIUM TRISILICATE Oral suspension Hospital Only

MALATHION Topical Lotion 0.5%

MANNITOL Infusion 10%; 20% Hospital Only

MARVELON Tablets

MASTIC COMPOUND Paint Hospital Only

Drops

Eye Ointment

MEASLES, MUMPS AND RUBELLA (MMR) Vaccine Injection

Suspension 100mg in 5mL

Tablets 100mg

Tablets 135mg

M/R Capsules 200mg

Oral Solution 50mg in 5mL

Tablets 5mg; 10mg; 100mg; 200mg

Pre-Filled Syringe 150mg in 1mL; 104mg in

0.65ml

Capsules 250mg

Tablets 500mg

MEFLOQUINE Tablets 250mg Hospital Only

MEGESTROL Tablets 160mg

MEGLUMINE IOTROXATE 5 g in 100mL

Infusion

Infusion 5g in 100mLHospital Only

Oral Liquid 1mg in 1mL

M/R Tablets 2mg

Tablets 3mg

MELOXICAM Tablets 7.5mg; 15mg

Tablets 2mg

Injection 50mg

Tablets 10mg Shared Care

Oral Solution 5mg / pump actuation

MENADIOL Tablets 10mg

MENINGOCOCCAL A C W135 & Y

(NIMENRIX)

Vaccine InjectionHospital Only

MENINGOCOCCAL A C W135 &Y (MENVEO) Vaccine Injection

Hospital Only

MENINGOCOCCAL B (BEXSERO) Vaccine Injection Hospital Only

MENINGOCOCCAL C (MENJUGATE) Vaccine Injection Hospital Only

MENINGOCOCCAL C (NEISVAC-C) Vaccine Injection Hospital Only

MENOTROPHIN Injection 75 units Hospital Only

MENTHOL IN AQUEOUS CREAM Topical Cream 0.5%; 1%; 2%

MEPIVACAINE Injection 3% Hospital Only

MERCAPTOPURINE (XALUPRINE) Oral suspension 20mg in 1mL Hospital Only

MERCAPTOPURINE Tablets 10mg; 50mg Shared care

MEROPENEM Injection 500mg; 1g Hospital Only

M/R Granules 1g; 2g

Foam Enema 1g per metered application

M/R Tablets 400mg; 500mg; 800mg; 1g

Suppositories 500mg

Enema 1g in 100mL

Suppositories 250mg

Injection 400mg in 4mL; 1g in 10mL

Tablets 400mg

MESTRANOL / NORETHISTERONE Tablets 50 micrograms / 1mg

Oral Powder 500mg; 1g

MAGNESIUM GLYCEROPHOSPHATEHospital Only

MAGNESIUM SULPHATE

MAXITROL

MEBENDAZOLE

MEBEVERINE

MEDROXYPROGESTERONE

MEFENAMIC ACID

MELATONIN

Hospital Only

MELPHALANHospital Only

MEMANTINE

MESALAZINE

Hospital Only

MESNAHospital Only

METFORMIN

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Tablets 500mg; 850mg

M/R Tablets 500mg; 750mg; 1g

METHADONE Oral Solution 1mg in 1mL

METHENAMINE HIPPURATE Tablets 1g

Tablets 10mg Hospital Only

Tablets 2.5mg Shared Care

7.5mg in 0.15mL

10mg in 0.2mL

12.5mg in 0.25mL

15mg in 0.3mL

17.5mg in 0.35mL

20mg in 0.4mL

25mg in 0.5mL

30mg in 0.6mL

Oral Liquid 10mg in 5mL

Injection 50g in 2mL

5 METHOXYPSORALEN Tablets 20mg Hospital Only

8 METHOXYPSORALEN Tablets 10mg Hospital Only

METHYL-5-AMINOLEVULINATE Topical Cream 16% Hospital Only

Oral suspension 0.375%

Tablets 500mg

METHYLDOPA Tablets 125mg; 250mg; 500mg

METHYLNALTREXONE Injection 12mg/0.6ml Hospital Only

Tablets 5mg; 10mg

M/R Capsules 10mg; 20mg; 30mg

M/R Tablets 18mg; 27mg; 36mg

METHYLPREDNISOLONE Tablets 100mg

METHYLPREDNISOLONE ACETATE Injection 40mg in 1mL

40mg / 10mg in 1mL

80mg / 20mg in 2mL

METHYLPREDNISOLONE SODIUM

SUCCINATE

Injection 125mg; 500mg; 1g

METHYLTHIONIUM CHLORIDE (METHYLENE

BLUE)

Injection 50mg in 10mLHospital Only

METHYSERGIDE Tablets 1mg Hospital Only

Injection 10mg in 2mL

Tablets 10mg

Oral Solution 5mg in 5mL

Injection 5mg in 5mL Hospital Only

Tablets 50mg; 100mg

Gel 0.75%; 0.8%

Suppositories 500mg; 1g

Oral Solution 200mg in 5mL

Tablets 200mg; 400mg

Infusion 500mg in 100mL

METYRAPONE Capsules 250mg Hospital Only

MEXILETINE Capsules 50mg; 100mg; 200mg Hospital Only

MIANSERIN Tablets 10mg; 30mg

Vaginal Capsule 1.2g Hospital Only

Spray Powder 0.16%

Oral Gel 2%

Topical Cream 2%

Topical Cream 2% / 1%

Topical Ointment 2% / 1%

Injection 10mg in 2mL

Injection 5mg in 5mL; 50mg in 50mL Hospital Only

Buccal Solution 2.5mg in 0.5mL; 5mg in 1mL;

7.5mg in 1.5mL; 10mg in 2mL

MIDODRINE Tablets 5mg Hospital Only

MIFEPRISTONE Tablets 200mg Hospital Only

MINI TT 380 SLIMLINE Intrauterine

Device

M/R Capsules 100mg

Tablets 50mg; 100mg

Tablets 5mg

METFORMIN

METHOTREXATE

Injection (Pre-

filled Pen)

Shared Care

Hospital Only

METHYLCELLULOSE Hospital Only

METHYLPHENIDATE

Hospital Only

METHYLPREDNISOLONE ACETATE WITH

LIDOCAINE

Injection

METOCLOPRAMIDE

METOPROLOL

METRONIDAZOLE

MICONAZOLE

MICONAZOLE WITH HYDROCORTISONE

MIDAZOLAM

MINOCYCLINE

MINOXIDIL

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Topical Solution 5% Hospital Only

MIRABEGRON M/R Tablets 25mg; 50mg

MIRTAZAPINE Orodispersible

Tablet

15mg; 30mg; 45mg

MIRTAZAPINE Tablets 15mg; 30mg; 45mg

MISOPROSTOL Tablets 200 micrograms

MITOMYCIN (PRESERVATIVE FREE) Eye Drops 0.02%; 0.04% Hospital Only

MITOMYCIN-C Injection 10mg; 40mg Hospital Only

MITOTANE Tablets 500mg Hospital Only

MITOXANTRONE Infusion 20mg in 10mL; 25mg in

12.5mLHospital Only

MIVACURIUM CHLORIDE Injection 10mg in 5mL Hospital Only

MOCLOBEMIDE Tablets 150mg; 300mg

MODAFINIL Tablets 100mg Hospital Only

Topical Cream 0.1%

Topical Ointment 0.1%

MOMETASONE FUROATE Nasal Spray 50 micrograms

MONSEL'S SOLUTION (FERRIC

SUBSULPHATE)

SolutionHospital Only

Granules 4mg

Tablets 4mg; 5mg; 10mg

Injection 10mg in 1mL

Oral Solution 10mg in 5mL; 100mg in 5mL

Tablets 10mg; 20mg; 50mg

Suppositories 15mg; 30mg

M/R Granules 20mg; 30mg; 60mg; 100mg

M/R Tablets 5mg; 10mg; 15mg; 30mg;

60mg; 100mg; 200mg

MORPHINE IN SODIUM CHLORIDE 0.9% Injection 50mg in 50mL; 100mg in 50mLHospital Only

MORPHINE TARTRATE / CYCLIZINE

TARTRATE

Injection 10mg/50mg in 1mL

MOUTHWASH SOLUTION Tablets

MOVIPREP Sachets Hospital Only

MOXIFLOXACIN Tablets 400mg Hospital Only

MOXISYLYTE Tablets 40mg Hospital Only

Lozenges

Spray

MULTILOAD CU375 Intrauterine

Device

MULTISAFE 375 Intrauterine

Device

MULTISAFE 375 SHORTSTEM Intrauterine

Device

MULTIHANCE Hospital Only

MULTIVITAMIN Oral Drops

MULTIVITAMIN BPC Capsules

MUPIROCIN Nasal Ointment Hospital Only

Capsules 250mg Shared Care

Oral suspension 1g in 5mL

Tablets 500mg

MYCOPHENOLIC ACID E/C Tablets 180mg; 360mg Shared Care

MYDRICAINE NO 2 Injection Hospital Only

NABUMETONE Tablets 500mg

NAFARELIN Nasal Spray 200 micrograms per dose Hospital Only

NAFTIDROFURYL Capsules 100mg

NALMEFENE Tablets 18mg

Injection 40 micrograms in 2mL Hospital Only

Injection 400 micrograms in 1mL

NALTREXONE Tablets 50mg

Oral Solution 125mg in 5mL Hospital Only

E/C Tablets 250mg

Tablets 250mg; 500mg

NARATRIPTAN Tablets 2.5mg

NATALUZUMAB Infusion 300mg in 15mL Hospital Only

NEBIVOLOL Tablets 5mg Hospital Only

MINOXIDIL

MOMETASONE

Hospital Only

MONTELUKAST

MORPHINE

MUCIN (ARTIFICAL SALIVA)

MYCOPHENOLATE MOFETIL

NALOXONE

NAPROXEN

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NEDOCROMIL SODIUM Drops 2%

NEFOPAM Tablets 30mg

NEOMYCIN Tablets 500mg Hospital Only

NEOMYCIN WITH CHLORHEXIDINE Topical Cream 0.5% / 0.1%

NEOSAFE T380 Intrauterine

Device

Tablets 15mg

Injection 2.5mg in 1mL

Tablets 200mg

Oral Suspension 50mg in 5mL

NICLOSAMIDE Tablets 500mg Hospital Only

NICORANDIL Tablets 10mg; 20mg

NICOTINE (MINT) Chewing Gum 24mg; 4mg Hospital Only

7mg over 24 hours

14mg over 24 hours

21mg over 24 hours

NICOTINE Cartridge

Inhalator

15mgHospital Only

NICOTINE (NICORETTE INVISI PATCH) Transdermal

Patch

10mg; 15mg; 25mg

NICOTINE (NICORETTE QUICKMIST) Oromucosal

Spray

1mg

NICOTINE (NICORETTE QUICKMIST DUO) Oromucosal

Spray

1mg

NIFEDIPINE (ADALAT LA) M/R Tablets 20mg; 30mg; 60mg

NIFEDIPINE M/R Tablets 10mg; 20mg

NIFEDIPINE Capsules 5mg; 10mg

NILOTINIB Capsules 150mg; 200mg Hospital Only

Injection 10mg in 50mL

Tablets 30mg

NIOPAM 150; 300; 340; 370 Hospital Only

Oral Suspension 100mg in 5mL

Tablets 500mg

NITRAZEPAM Tablets 5mg

Capsules 100mg Hospital Only

M/R Capsules 100mg

Oral suspension 25mg in 5mL

Tablets 50mg; 100mg

Injection 4mg in 4mL; 8mg in 8mL Hospital Only

Infusion 8mg in 50ml 5% Glucose;

16mg in 50mL 5% Glucose Hospital Only

Tablets 350 micrograms

Tablets 1mg; 5mg

NORETHISTEONE ENANTATE Injection 200mg in 1mL

NORIMIN Tablets Hospital Only

NORMAL IMMUNOGLOBULIN HUMAN

(PRIVIGEN)

Injection 2.5g in 25mL; 5g in 50mL; 10g

in 100ml; 20g in 200mLHospital Only

NORTRIPTYLINE Tablets 10mg; 25mg

NOVAPLUS T380 AG Intrauterine

Device

NOVAPLUS T380 CU Intrauterine

Device

NOVA-T 380 Intrauterine

Device

NYSTAFORM-HC Topical Cream Hospital Only

Oral Suspension 100,000 units in 1mL

Pessaries 10,000 units Hospital Only

100 micrograms in 1mL

200 micrograms in 1mL

500 micrograms in 1mL

20mg; 30mg

OESTROGENS - CONJUGATED Tablets 0.3mg; 0.625mg; 1.25mg

OESTROGENS - CONJUGATED /

MEDROXYPROGESTERONE

Tablets 300 micrograms / 1.5mg

OESTROGENS - CONJUGATED /

NORGESTREL

Tablets 0.625mg / 0.15mg;

1.25mg / 0.15mg

Drops 0.3%

NEOSTIGMINE

NEVIRAPINEHospital Only

NICOTINE Transdermal

Patch Hospital Only

NIMODIPINE

NITAZOXANIDEHospital Only

NITROFURANTOIN

NOREPINEPHRINE (NORADRENALINE)

NORETHISTEONE

NYSTATIN

OCTREOTIDE Injection

Hospital Only

OFLOXACINHospital Only

Page 29: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

Infusion 200mg in 100mL

Tablets 200mg; 400mg

OILATUM EMOLLIENT Bath Additive

OILATUM PLUS Bath Additive

Tablets 2.5mg; 5mg; 7.5mg; 10mg;

15mg; 20mg

Dispersible

tablets

5mg; 10mg; 15mg; 20mg

OLIVE OIL Ear Drops

OLOPATIDINE Drops 0.1%

Capsules 250mg

Tablets 500mg Hospital Only

OMALIZUMAB Injection 150mg Hospital Only

OMBITASVIR/PARITAPREVIR/RITONAVIR

(Viekirax)

Tablets 12.5mg / 75mg / 50mg

Hospital Only

Capsules 10mg; 20mg

Dispersible

Tablets

10mg

Infusion 40mg Hospital Only

OMNIPAQUE 350 Hospital Only

Suppositories 16mg

Injection 4mg in 2mL; 8mg in 4mL

Oral Solution 4mg in 5mL

Tablets 4mg; 8mg

Orodispersible

Tablet

4mg; 8mg

OPTIVE Eye Drops

OPTIVE PLUS Eye Drops Hospital Only

ORABASE Topical Paste Hospital Only

Tablets 50mg

25mg in 5mL

50mg in 5mL Hospital Only

Capsules 30mg; 45mg; 75mg

Oral Suspension 60mg in 5ml

Oral Suspension 6mg in 1mL Hospital Only

OSMOHALE Kit Hospital Only

OTRIVINE-ANTISTIN Eye Drops 0.5% / 0.05%

OVRANETTE Tablets Hospital Only

OXALIPLATIN Injection 50mg in 10mL; 100mg in

20mL; 200mg in 40mLHospital Only

OXALIPLATIN Injection 200mg in 40mL Hospital Only

OXAZEPAM Tablets 10mg; 15mg

Oral Suspension 300mg in 5mL Hospital Only

Tablets 300mg

OXERUTINS Capsules 250mg

M/R Tablets 160mg

Tablets 20mg; 40mg; 80mg

Tablets 2.5mg; 5mg

M/R Tablets 5mg; 10mg

Oral solution 2.5mg in 5mL

Transdermal

Patch

3.9mg over 24 hours

OXYCODONE / NALOXONE M/R Tablets 5mg/2.5mg; 10mg/5mg;

20mg/10mg; 40mg/20mg

Injection 10mg in 1mL; 20mg in 2mL;

50mg in 1mL

M/R Tablets 5mg; 10mg; 20mg; 40mg;

80mg

Capsules 5mg; 10mg; 20mg

Oral Solution 5mg in 5mL; 10mg in 1mL

OXYTETRACYCLINE Tablets 250mg

OXYTOCIN Injection 5 units in 1mL; 10 units in 1mLHospital Only

OXYTOCIN WITH ERGOMETRINE injection 5 unit / 500 micrograms in 1mLHospital Only

PACLITAXEL injection 30mg in 5mL; 100mg in

16.7mL; 300mg in 50mLHospital Only

OFLOXACINHospital Only

OLANZAPINE

Shared Care

OLSALAZINE

OMEPRAZOLE

ONDANSETRON

ORPHENADRINE

Oral Solution

OSELTAMIVIR

OXCARBAZEPINE

OXPRENOLOL

OXYBUTYNIN

OXYCODONE

Page 30: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

PALIPERIDONE Injection 50mg; 75mg; 100mg; 150mg Hospital Only

PALIVIZUMAB Injection 50mg; 100mg Hospital Only

PAMIDRONATE Injection 30mg; 90mg; 90mg in 6mL Hospital Only

PANCREX V Capsules 125

PANCREX V FORTE Tablets

PANCREX V PANCREATIN Oral Powder

E/C Tablets 20mg; 40mg

Injection 40mg

Oral suspension 120mg in 5mL; 250mg in 5mL

Soluble Tablets 500mg

Tablets 500mg

Suppositories 120mg; 240mg; 500mg

Suppositories 60mg; 1g

Infusion 500mg in 50mL; 1g in 100mL

Sachets 120mg

Liquid

Liquid Sterile

PARALDEHYDE IN OLIVE OIL Enema 50% Hospital Only

Capsules 1 micrograms

Injection 5 micrograms in 1 mL

PAROMOMYCIN Tablets 250mg Hospital Only

Oral suspension 10mg in 5mL

Tablets 20mg; 30mg

PATENT BLUE V Injection 2.5% Hospital Only

PAZOPANIB Tablets 400mg; 200mg Hospital Only

PEDITRACE Injection Hospital Only

PEGFILGRASTIM Injection 6mg in 0.6mL Hospital Only

PEGINTERFERON ALFA 2A (PEGASYS) Pre-Filled Pen 135 micrograms in 0.5mL; 180

micrograms in 0.5mLHospital Only

50 micrograms

80 micrograms

100 micrograms

120 micrograms

150 micrograms

PEGINTERFERON BETA-1a Injection Initiation pack; 125 micrograms

in 0.5mLHospital Only

PEMBROMLIZUMAB Injection 50mg Hospital Only

100mg; 500mg

100mg in 4mL; 500mg in

20mL; 1000mg in 40mL

PENICILLAMINE Tablets 125mg; 250mg Hospital Only

PENTAMIDINE Injection 300mg Hospital Only

PENTAZOCINE Tablets 25mg

PENTOSTATIN Injection 10mg Hospital Only

PENTOXIFYLLINE M/R Tablets 400mg

PEPPERMINT OIL E/C Capsules

PERFENIDONE Capsules 367mg Hospital only

PERGOLIDE Tablets 50 micrograms; 250

micrograms; 1mgShared Care

PERICYAZINE Tablets 2.5mg; 10mg

PERINDOPRIL Tablets 2mg; 4mg; 8mg Hospital Only

Topical Cream 1% Hospital Only

Topical Cream 5%

PERPHENZINE Tablets 2mg; 4mg

Injection 50mg in 1mL; 100mg in 2mL

Tablets 50mg

PHENELZINE Tablets 15mg

PHENINDIONE Tablets 10mg; 25mg; 50mg

Oral Solution 15mg in 5mL

Suspension 50mg in 5mL Hospital Only

Tablets 15mg; 30mg; 60mg

Injection 30mg in 1mL; 60mg in 1mL;

200mg in 1mLHospital Only

PHENOL AQUEOUS Injection 6% (10mL) Hospital Only

PHENOL IN OIL Injection 5% Hospital Only

PHENOL LIQUIFIED Hospital Only

Hospital Only

PANTOPRAZOLE

PARACETAMOL

Hospital Only

PARAFFIN Hospital Only

PERMETHRIN

PETHIDINE

PHENOBARBITAL

PARICALCITOLHospital Only

PAROXETINE

PEGINTERFERON ALFA-2B (VIRAFERON

PEG)

Injection

PEMETREXED Injection

Hospital Only

Page 31: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

PHENOXYBENZAMINE Capsules 10mg

Oral Solution 125mg in 5mL; 250mg in 5mL

Tablets 250mg

PHENTOLAMINE Injection 10mg in 1mL

PHENYLBUTAZONE Tablets 100mg Hospital Only

Single Use Drops 2.5%; 10%

Injection 10mg in 1mL Hospital Only

Capsules 25mg; 50mg; 100mg; 300mg

Infatabs 50mg

Injection 250mg in 5mL

Oral Suspension 30mg in 5mL

PHOLCODINE Oral Solution 5mg in 5mL; 10mg in 5mL

Enema

Effervescent

Tablets

500mg

PHOSPHATE BUFFER Hospital Only

PHOSPHATES Infusion

Injection or Oral

Solution

2mg in 0.2mL

Injection 10mg in 1mL

Tablets 10mg Hospital Only

Drops 0.1%; 1%; 2%; 4%

Single Use Drops 2%; 4%

Tablets 5mg

PIMECROLIMUS Topical Cream 1% Hospital Only

PIMOZIDE Tablets 4mg

PINDOLOL Tablets 5mg Hospital Only

PIOGLITAZONE Tablets 15mg; 30mg; 45mg

PIOGLITAZONE AND METFORMIN Tablets 15mg/850mg

PIPERACILLIN WITH TAZOBACTAM Injection 2g / 250mg; 4g / 500mg Hospital Only

PIROXICAM Capsules 10mg; 20mg

PIVMECILLINAM Tablets 200mg Hospital Only

Oral Solution 250 micrograms in 5mL Hospital Only

Tablets 500 micrograms; 1.5mg

PNEUMOCOCCAL Vaccine Injection

PNEUMOCOCCAL POLYSACCHARIDE

CONJUGATED VACCINE

Vaccine Injection 13 valentHospital Only

Topical Cream 0.15% Hospital Only

Topical Solution 0.50%

POLIDOCANOL Injection 0.5%; 1%; 2%; 5% Hospital Only

POLIOMYELITIS (INACTIVATED) Vaccine Injection Hospital Only

POLYFAX Ointment Hospital Only

POLYMIXIN B WITH NEOMYCIN AND

HYDROCORTISONE

Drops

POLYTAR Liquid

POLYTAR EMOLLIENT Liquid

POLYTAR PLUS Liquid

Eye Drops 1.4%

Single Use Drops 1.4%

PORACTANT ALFA Solution 120mg in 1.5mL; 240mg in

3mLHospital Only

POST-EXPOSURE PROPHYLAXIS 5 DAYS Hospital Only

POTASSIUM ASCORBATE (ASCORBIC

ACID)

Preservative free

Drops

10%Hospital Only

POTASSIUM CANRENOATE (ALDACTONE) Injection 200mg in 10mLHospital Only

Oral Solution 1mmol in 1mL

Effervescent

Tablets

12mmol

M/R Tablets 600mg

0.15% (20mmol per litre)

0.3% (40 mmol per litre)

PHENOXYMETHYLPENICILLIN

PHENYLEPHRINE

PHENYTOIN

PHOSPHATE

PHYTOMENADIONE

PILOCARPINE

PIZOTIFEN

PODOPHYLLOTOXIN

POLYVINYL ALCOHOL

POTASSIUM CHLORIDE

0.15% = 20mmol K per litre; 0.3% = 40mmol K per litre; 0.6% = 80mmol K per litre

POTASSIUM CHLORIDE AND GLUCOSE

10%

InfusionHospital Only

Page 32: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

0.15% (20mmol per litre)

0.3% (40 mmol per litre)

0.6% (80mmol per litre) Hospital Only

0.3% (40 mmol per litre)

0.15% (20 mmol per litre)

0.15% (20mmol per litre)

0.3% (40 mmol per litre)

POTASSIUM AND GLUCOSE 10% AND

SODIUM CHLORIDE 0.45%

Infusion 0.15% (20mmol per litre)

POTASSIUM AND GLUCOSE 5% AND

SODIUM CHLORIDE 0.9%

Infusion 0.3% (40 mmol per litre)

0.15% (20mmol per litre)

0.3% (40mmol per litre)

0.6% /(80mmol per litre)

POTASSIUM CHLORIDE STRONG Injection 1.5g in 10mL Hospital Only

POTASSIUM CITRATE BPC Oral Solution

POTASSIUM PERMANGANATE Solution Tablets 400mg

Dry Powder

Spray

2.5%

Dry Powder

Spray

1.14%Hospital Only

Alcoholic Solution 10%

Antiseptic

Solution

10%

Topical Ointment 10%

Solution 7.5%

Drops 5% Hospital Only

POVIDONE IODINE 7.5% IN BORIC ACID Aural Dusting

Powder

7.5%Hospital Only

PRALIDOXIME CHLORIDE Injection 1g Hospital Only

88 micrograms

180 micrograms

700 micrograms

Tablets 350 micrograms Hospital Only

PRAVASTATIN Tablets 10mg; 20mg; 40mg

PRAZIQUANTEL Tablets 600mg Hospital Only

PRAZOSIN Tablets 0.5mg; 1mg; 2mg; 5mg

Preservative free

Drops

0.03%; 0.3%

Foam Enema 20mg per metered application

Drops 0.5%; 1%

Single Use Drops 0.5%

Retention Enema 20mg in 100mL

Suppositories 5mg

Tablets 1mg; 5mg; 25mg

E/C Tablets 2.5mg; 5mg

Soluble Tablets 5mg

Capsules 25mg; 50mg; 75mg; 100mg;

150mg; 200mg; 225mg; 300mg

Oral Solution 100mg in 5mL Hospital Only

PREMIQUE Tablets

PREMIQUE LOW DOSE Tablets

PRILOCAINE WITHOUT PRESERVATIVE Injection 0.5% Hospital Only

Tablets 50mg Hospital Only

Tablets 250mg

PRIMOVIST Injection 0.25mmol in 1mL Hospital Only

PRISMASOL POTASSIUM SOLUTION FOR

HAEMOFILTRATION & DIALYSIS

Solution 4mmol in 1 litreHospital Only

PROBENECID Tablets 500mg

PROCAINE BENZYLPENICILLIN Injection 1.2 Million Units Hospital Only

PROCARBAZINE Capsules 50mg Hospital Only

POTASSIUM CHLORIDE AND GLUCOSE 5% Infusion

POTASSIUM AND GLUCOSE 4% AND

SODIUM CHLORIDE 0.18%

Infusion

Hospital Only

POTASSIUM AND GLUCOSE 5% AND

SODIUM CHLORIDE 0.45%

Infusion

POTASSIUM CHLORIDE AND SODIUM

CHLORIDE 0.9%

Infusion

Hospital Only

POVIDONE IODINE

POVIDONE IODINE

PRAMIPEXOLE Tablets

PREDNISOLONE

Hospital Only

PREGABALIN

PRIMIDONE

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Injection 12.5mg in 1mL

Buccal Tablets 3mg

Oral Solution 5mg in 5mL

Tablets 5mg

Topical Ointment

Suppositories

Injection 10mg in 2mL

oral Solution 5mg in 5mL

Tablets 5mg

Capsules 100mg; 200mg

Injection 25mg; 100mg in 2mL

Vaginal Gel 8%

Injection 50mg in 1mL

Pessaries 200mg; 400mg

PROGUANIL Tablets 100mg Hospital Only

PROGUANIL HYDROCHLORIDE WITH

ATOVAQUONE

Tablets 100mg / 250mgHospital Only

PROHANCE Injection Hospital Only

Tablets 25mg; 50mg

Oral Solution 50mg in 5mL

Tablets 10mg; 25mg

Oral Solution 5mg in 5mL

Injection 25mg in 1mL Hospital Only

PRONTODERM Topical Foam

PRONTODERM Mouthwash

PRONTODERM Light Topical Gel

PRONTORAL Mouthwash

PROPAFENONE Tablets 150mg; 300mg Hospital Only

PROPANTHELINE BROMIDE Tablets 15mg

PROPOFOL Injection 200mg in 20mL; 500mg in

50mL; 1g in 100mLHospital Only

Injection 1mg in 1mL

Tablets 10mg; 40mg; 80mg; 160mg

Oral Solution 5mg in 5mL; 50mg in 5mL

M/R Capsules 80mg; 160mg

PROPYLTHIOURACIL Tablets 50mg

PROTAMINE Injection 50mg in 5mL Hospital Only

PROYMETACAINE Single Use Drops 0.5%Hospital Only

PROXYMETACAINE WITH FLUORESCEIN Single Use Drops 0.5% / 0.25%

PRUCALOPRIDE Tablets 1mg; 2mg

Elixier 50mg in 5mL

Tablets 60mg

PUVASORALEN-8 Topical Gel 0.005% Hospital Only

PUVASORALEN-8 Bath Additive 1.2% Hospital Only

PYRAZINAMIDE Tablets 500mg Hospital Only

PYRIDOSTIGMINE Tablets 60mg

PYRIDOXINE Tablets 10mg; 20mg; 50mg

PYRIMETHAMINE Tablets 25mg Hospital Only

QUETIAPINE Tablets 25mg; 100mg; 150mg; 200mgShared Care

QUINAGOLIDE Tablets 75 micrograms Hospital Only

QUININE DIHYDROCHLORIDE Injection 300mg in 1mL / 600mg in 2mLHospital Only

QUININE SULPHATE Tablets 200mg; 300mg

RABIES (INACTIVATED) Vaccine Injection Hospital Only

RABIES IMMUNOGLOBULIN Injection 500 units Hospital Only

RALOXIFENE Tablets 60mg

RALTEGRAVIR Tablets 400mg Hospital Only

RALTITREXED Injection 2mg Hospital Only

Capsules 1.25mg; 2.5mg; 5mg; 10mg

Oral Solution 2.5mg in 5mL Hospital Only

RAMUCIRUMAB Infusion 100mg in 10mL; 500mg in 5mL Hospital only

RANIBIZUMAB Injection 2.3mg in 0.23mL Hospital Only

Tablets 150mg; 300mg

PROCHLORPERAZINE

PROCTOSEDYL

PROCYCLIDINE

PROGESTERONE

Hospital Only

PROMAZINE

PROMETHAZINE

PROPRANOLOL

PSEUDOEPHEDRINE

RAMIPRIL

RANITIDINE

Page 34: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

Injection 50mg in 2mL

Oral Solution 75mg in 5mL

RASAGILINE Tablets 1mg Shared Care

REMIFENTANIL Injection 1mg; 2mg Hospital Only

RENAVIT Tablets

REPAGLINIDE Tablets 500 micrograms; 2mg

Capsules 200mg

Oral Solution 200mg in 5mL

RIBOFLAVIN Tablets 50mg Hospital Only

Oral Suspension 100mg in 5mL

Capsules 150mg; 300mg

Injection 600mg

RIFAMPICIN WITH ISONIAZID Tablets 150mg / 100mg; 300mg /

150mgHospital Only

RIFAXIMIN Tablets 550mg Hospital Only

RILPIVIRINE Tablets 25mg Hospital Only

Tablets 50mg

Oral Suspension 5mg in1mL

Tablets 5mg; 30mg Hospital Only

Tablets 35mg

Injection 25mg; 37.5mg; 50mg

Dispersible

tablets

500 micrograms; 1mg; 2mg;

3mg; 4mg

Tablets 500 micrograms; 1mg; 2mg;

3mg; 4mg; 6mg

Oral Solution 5mg in 5mL

Capsules 100mg

Tablets 100mg

100mg in 10mL

500mg in 50mL

RITUXIMAB in SODIUM CHLORIDE 0.9% Intravenous

Infusion

600mg; 700mg; 800mg;

900mg; 1000mg;

RITUXIMAB Subcutaneous

Injection

1400mg in 11.7mLHospital only

Tablets 10mg Hospital Only

Tablets 15mg; 20mg

Capsules 1.5mg; 3mg; 4.5mg; 6mg

Oral Solution 10mg in 5mL

Transdermal

Patch

4.6mg; 9.5mg; 13.3mg

ROCURONIUM BROMIDE Injection 50mg in 5mL Hospital Only

0.25mg / 0.5mg / 1mg;

0.5mg / 1mg / 2mg

250 micrograms

500 micrograms

1mg

2mg

5mg

M/R Tablets 2mg; 4mg; 8mg

Tablets 5mg; 10mg; 20mg

Tablets 40mg Hospital Only

ROTAVIRUS Oral Vaccine Hospital Only

1mg over 24 hours

2mg over 24 hours

3mg over 24 hours

4mg over 24 hours

6mg over 24 hours

8mg over 24 hours

Transdermal

Patch

Starter PackHospital Only

SACUBITRIL with VALSARTAN Tablets 24/26mg; 49/51mg; 97/103mg

SALACTOL Topical Solution

SALACTAC Topical Gel

Breath Actuated

Inhaler

100 micrograms

Novolizer 100 micrograms

RANITIDINE

RIBAVIRINHospital Only

RIFAMPICIN

RISEDRONATE SODIUM

RISPERIDONE

Hospital Only

RITONAVIRHospital Only

RITUXIMAB InjectionHospital Only

RIVAROXABAN

RIVASTIGMINE

ROPINIROLE Tablets

Shared Care

ROSUVASTATIN

ROTIGOTINE Transdermal

Patch

Shared Care

SALBUTAMOL

RILUZOLEHospital Only

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Metered Dose

Inhaler

100 micrograms

Oral Solution 2mg in 5mL

Tablets 2mg; 4mg

2.5mg in 2.5mL

5mg in 1mL

5mg in 2.5mL

Accuhaler 200 micrograms

M/R Capsules 4mg; 8mg

Infusion 5mg in 5mL

Injection 500 micrograms in 1mL

Lotion

Ointment

SALICYLIC ACID WITH LACTIC ACID Paint 12% / 4%

SALIVA ORTHANA Topical Spray

SALIVA ORTHANA Lozenges

SALIVIX Pastilles Hospital Only

Inhaler 25 micrograms

Accuhaler 50 micrograms

SANDOCAL Effervescent

Tablets

1000' (1g) 25mmolHospital Only

SAXAGLIPTIN Tablets 2.5mg; 5mg

SEBCO Topical Ointment

SECRETIN PENTAHYDROCHLORIDE Injection 100 clinical units Hospital Only

SELEGILINE Tablets 5mg

SELENIUM SULPHIDE Shampoo 2.5%

Oral Solution 7.5mg in 5mL

Tablets 7.5mg

SEPTOPAL Chains Implant 10 beads; 30 beads Hospital Only

SERTRALINE Tablets 50mg; 100mg

SEVELAMER Tablets 800mg Shared Care

SEVOFLURANE Volatile Liquid Hospital Only

Suspension 12.5mg in 5mL

Tablets 20mg

Tablets 25mg; 50mg; 100mg

Applicators 75% Hospital Only

Stick 95%

SILVER SULPHADIAZINE Topical Cream 1%

SIMPLE Eye Ointment Hospital Only

Oral Solution

Paediatric oral

solution

SIMVASTATIN Tablets 10mg; 20mg; 40mg; 80mg

Tablets 1mg

Oral solution 5mg In 5mL

SITAGLIPTIN Tablets 25mg; 50mg; 100mg Shared Care

SITAGLIPTIN WITH METFORMIN Tablets 50mg / 1g

SODIUM AUROTHIOMALATE Injection 50mg in 0.5mL Hospital Only

Powder

Infusion 8.4% 100ml; 8.4% 200mL;

8.4% 250mL

Solution 1%

Infusion 1.26%

Injection 8.4% 10mL; 8.4% 50mL PFS

Drops 5%

Capsules 500mg

SODIUM CALCIUM EDETATE Injection 500mg in 10mL; 1g in 5mL Hospital Only

SODIUM CHLORIDE 30% Injection 10mL Hospital Only

Irrigation 1000mL; 3000mL

Infusion 50mL

Injection 5mL; 10mL

100mL

250mL

500mL

1000mL

Infusion 0.18%; 0.45%; 5% Hospital Only

SALBUTAMOL

Nebuliser

Solution

SALICYLIC ACID

SALMETEROL

SENNA

SILDENAFIL Hospital Only

SILVER NITRATE

SIMPLE LINCTUS

SIROLIMUS

SODIUM BICARBONATE

Hospital Only

SODIUM CHLORIDE 0.9%Hospital Only

Infusion

SODIUM CHLORIDE

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Infusion 2.7% Hospital only

SODIUM CHLORIDE (STERILE WRAPPED

AMPOULE)

Injection 0.9%Hospital Only

Oral Solution 5mmol in 1mL (30%) Hospital Only

Single Use Drops 0.9%

Preservative free

Drops

5%

Eye Ointment 5%

M/R Tablets 600mg

Nebuliser

Solution

7%

SODIUM CHLORIDE PRESERVATIVE FREE Drops 5%

0.18% / 4%

0.45% / 2.5%

0.45% / 5%

0.9% / 5%

SODIUM CITRATE (MICRALAX) Enema

SODIUM CITRATE Oral Solution 8.8% Hospital Only

SODIUM CITRATE (MICOLETTE) Enema

SODIUM CLODRONATE Tablets 520mg

SODIUM CROMOGLICATE (PRESERVATIVE

FREE)

Drops 2%Hospital Only

Capsules 100mg

Drops 2%

Nasal Spray 4%

Inhaler 5mg per metered dose

SODIUM FEREDERARE Oral Solution 190mg in 5mL (27.5mg iron in

5mL)

0.619% (2800ppm)

1.1% (5000ppm)

Topical Ointment 2%

Tablets 250mg

Cream 2% / 1%

Ointment 2% / 1%

Eye Drops 0.2%

Injection 8.5mg in 0.85mL

SODIUM HYALURONATE 7000 Injection 14mg in 1mL Hospital Only

SODIUM LACTATE COMPOUND Infusion

SODIUM NITRITE Injection 300mg in 10mL Hospital Only

SODIUM NITROPRUSSIDE Injection 50mg Hospital Only

SODIUM PHOSPHATE NEUTRAL Oral Solution Hospital Only

Oral Solution 5mg in 5mL

Sachets

SODIUM POLYSTYRENE SULPHONATE Oral Powder Hospital Only

0.2%

0.5%

1%

3% - 2mL; 5mL

SODIUM THIOSULPHATE Injection 5g in 10mL; 12.5g in 50mL;

25g in 50mLHospital Only

SODIUM VALPROATE (EPISENTA) M/R Capsules 150mg; 300mg

Crushable

Tablets

100mg

E/C Tablets 200mg; 500mg

M/R Tablets 200mg; 300mg; 500mg

Oral Solution 200mg in 5mL

Injection 300mg in 3mL; 400mg in 4mL

Granules 500mg; 1g

Granules 50mg Hospital Only

MR Granules 50mg; 100mg Hospital Only

SOFOSBUVIR Tablets 400mg Hospital Only

SOFOSBUVIR/VELPATASIVIR Tablets 400mg/100mg Hospital only

SOFRADEX Drops

SODIUM CHLORIDE

SODIUM CHLORIDE WITH GLUCOSE Infusion

Hospital Only

SODIUM CROMOGLICATE

SODIUM FLUORIDE Toothpaste

SODIUM FUSIDATE

SODIUM TETRADECYL SULPHATE Injection

Hospital Only

SODIUM FUSIDATE WITH

HYDROCORTISONE

SODIUM VALPROATE

SODIUM CHLORIDE

SODUM HYALURONATEHospital Only

SODIUM PICOSULFATE

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SOLIFENACIN Tablets 5mg; 10mg

SOLIFENACIN / TAMSULOSIN M/R Tablets 6mg / 400 micrograms

SOMATORELIN Injection 50 micrograms Hospital Only

SOMATROPIN (GENOTROPIN) MiniQuick

Injection

0.2mg (0.6 unit); 0.4mg (1.2

unit); 0.6mg (1.8 unit); 1mg

SOMATROPIN (GENOTROPIN KABIPEN

REFILL)

5.3mg (16 units); 12mg (36

units)

SOMATROPIN (NORDITROPIN SIMPLEX) 5mg in 1.5mL; 15mg in 1.5mL

SOMATROPIN (OMNITROPE) 15mg in 1.5mL

SOMATROPIN (SAIZEN CLICK EASY) 8mg (24 units)

SOMATROPIN (ZOMACTON) 4mg (12 units)

SOTALOL Tablets 40mg; 80mg; 160mg; 200mg

Oral suspension 10mg in 5mL; 50mg in 5mL

Tablets 25mg; 50mg; 100mg

STALORAL - HOUSE DUST MITE

(MAINTENANCE PACK)

Sublingual

SolutionHospital Only

STERCULIA Granules

STERCULIA/FRANGULA BARK (Normacol

Plus)

Granules 62%/8%

STREPTOKINASE Injection 1.5 million units Hospital Only

STRONTIUM RANELATE Granules 2g

SUCRALFATE Tablets 1g

SUDOCREM Topical Cream

SUGAMMADEX Injection 200mg in 2mL Hospital Only

Oral suspension 250mg in 5mL

E/C Tablets 500mg

Suppositories 500mg

Tablets 500mg

SULFINPYRAZONE Tablets 100mg; 200mg

Oral Solution 200mg in 5mL

Tablets 200mg; 400mg

Injection 6mg in 0.5mL

10mg in 0.1mL

20mg in 0.1mL

Dispersible

tablets

50mgHospital Only

Tablets 50mg; 100mg

SUNFLOWER OIL Topical Cream 5% Hospital Only

SUNITINIB Capsules 12.5mg; 25mg; 50mg Hospital Only

SUXAMETHONIUM (AMPOULE) Injection 100mg in 2mL Hospital Only

SUXAMETHONIUM (PRE-FILLED SYRINGE) Injection 100mg in 2mLHospital Only

SYRUP BP (Sucrose) 66% Hospital Only

TACALCITOL Topical Ointment 4 micrograms per gramHospital Only

TACROLIMUS (ADOPORT) Capsules 500 micrograms; 1mg; 5mg

TACROLIMUS (ADVAGRAF) M/R Capsules 500 micrograms; 1mg; 3mg;

5mgHospital Only

TACROLIMUS (PROGRAF) Capsules 500 micrograms; 1mg; 5mg

Topical Ointment 0.03%; 0.1%Shared Care

Infusion 5mg in 1mL Hospital Only

Oral Suspension 5mg in 5mL

TADALAFIL Tablets 5mg; 20mg Hospital Only

TAFLUPROST Single Use Drops 15 micrograms in 1mL

TAFLUPROST with TIMOLOL Single Use Eye

Drops

15 micrograms /5mg in 1mL

TALC PURIFIED STERILISED Powder Hospital Only

Tablets 10mg; 20mg; 40mg

Oral Solution 10mg in 5mL Hospital Only

TAMSULOSIN M/R Capsules 400 micrograms

TAMSULOSIN WITH SOLIFENACIN M/R tablets 400 micrograms/6mg

Topical Gel 0.05%

Topical Gel 0.1% Hospital Only

TEICOPLANIN Injection 200mg; 400mg

SPIRONOLACTONE

SULFASALAZINE

SULPIRIDE

SUMATRIPTAN

Nasal Spray

TACROLIMUS

TAMOXIFEN

TAZAROTENE

Injection

Hospital Only

Page 38: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

TELAPREVIR Tablets 375mg Hospital Only

TELMISARTAN Tablets 20mg; 40mg; 80mg

Oral Solution 10mg in 5mL Hospital Only

Tablets 10mg; 20mg

TEMOZOLAMIDE Capsules 5mg; 20mg; 100mg; 140mg;

180mg; 250mgHospital Only

TENECTEPLASE Injection 10000 units Hospital Only

TENOFOVIR / EMTRICITABINE Tablets 245mg/200mg Hospital Only

TENOFOVIR Tablets 245mg Hospital Only

Topical Cream 1%

Tablets 250mg

Injection 500 micrograms in 1mL Hospital Only

Nebuliser

Solution

5mg in 2mL

Turbohaler 500 micrograms

TERIPARATIDE Injection 240 micrograms in 1mL Hospital Only

TERLIPRESSIN Injection 1mg Hospital Only

TESTOSTERONE

PROPRIONATE 30mg

TESTESTORONE

PHENYLYPROPIONATE

60mg

TESTOSTERONE

ISOCAPROATE 60mg

TESTOSTERONE

DECANOATE 100mg

TESTOSTERONE ENANTATE Injection 250mg in 1mL

Injection 1000mg in 4mL

Capsules 40mg

50mg/5g;

2% Hospital Only

TETRABENAZINE Tablets 25mg

Single Use Drops 1%

Topical Gel 4%

250 micrograms in 1mL

1mg in 1mL

TETRACYCLINE Tablets 250mg

THALIDOMIDE Capsules 50mg Hospital Only

M/R Tablets 175mg; 200mg; 300mg; 400mg

M/R Capsules 60mg; 125mg; 250mg

Injection 100mg in 1mL Hospital Only

Tablets 50mg; 100mg

THIOPENTAL Injection 0.5g Hospital Only

THYROTROPHIN RELEASING HORMONE Injection 200 micrograms in 1mL Hospital Only

THYROTROPIN ALFA Injection 900 micrograms Hospital Only

TIAGABINE Tablets 5mg Hospital Only

TIBOLONE Tablets 2.5mg

TICAGRELOR Tablets 90mg

TIGECYCLINE Infusion 50mg Hospital Only

TIMODINE Cream

Drops 0.25%; 0.5%

Single Use Drops 0.25%; 0.5%

Single Use Eye

Gel

1mg in 1g

TINIDAZOLE Tablets 500mg

TIOGUANINE Tablets 10mg; 40mg Hospital Only

Handihaler 18 micrograms

Respimat 2.5 micrograms

TIROFIBAN Injection 12.5mL in 50mL Hospital Only

TIZANIDINE Tablets 2mg; 4mg

Nebuliser

Solution

300mg in 4mL

Injection 80mg in 2mL

Inhaler 28mg Hospital Only

TEMAZEPAM

TERBINAFINE

TERBUTALINE

THIAMINE

TESTOSTERONE (SUSTANON 250) Injection

TESTOSTERONE UNDECANOATE

TETRACAINE

TESTOSTERONE Topical Gel

TIMOLOL

TIOTROPIUM

TETRACOSACTIDE Injection

THEOPHYLLINE

TOBRAMYCIN

Hospital Only

Page 39: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

TOBRAMYCIN with DEXAMETHASONE Eye Drops 3mg/1mg in 1mL

TOCILIZUMAB Infusion 80mg in 4mL; 200mg in 10mL;

400mg in 20mLHospital Only

TOLAZOLINE Injection 4mg in 2mL; 10mg in 1mL Hospital Only

TOLBUTAMIDE Tablets 500mg

Tablets 1mg

M/R Capsules 4mg

Tablets 25mg; 50mg; 100mg; 200mg

Sprinkle

Capsules

15mg; 25mg; 50mg

Injection 1mg; 4mg Hospital Only

Capsules 0.25mg; 1mg Hospital Only

TOREMIFENE Tablets 60mg

Injection 100mg in 2mL

Capsules 50mg

M/R Capsules 50mg; 100mg; 150mg; 200mg

Soluble Tablets 50mg

M/R Tablets 100mg Hospital Only

Mouthwash 5% Hospital Only

Injection 500mg in 5mL

Tablets 500mg

TRANYLCYPROMINE Tablets 10mg

Injection 150mg

Subcutaneous

Injection

600mg in 5mL

Capsules 50mg; 100mg

Oral Suspension 50mg in 5mL

TREOSULFAN Injection 1g; 5g Hospital Only

TRETINOIN Capsules 10mg Hospital Only

TRI-ADCORTYL Topical OintmentHospital Only

10mg in 1mL

40mg in 1mL Hospital Only

TRIAMTERENE / HYDROCHLOROTHIAZIDE Tablets 50/25mg

TRICHLORACETIC AND SALICYLIC ACID Topical Paste Hospital Only

TRICLOSAN Liquid Cleanser 1%; 2%

TRIDESTRA Tablets

Tablets 1mg; 5mg

Oral Solution 1mg in 5mL; 5mg in 5mL;

50mg in 5mL

Tablets 2mg; 5mg

Oral Solution

Tablets 100mg; 200mg

Oral Suspension 50mg in 5mL

Tablets 10mg; 25mg

Capsules 50mg

TRIMOVATE Topical Cream

TRIPTORELIN Injection 3mg; 11.25mg; 22.5mg

TRIPOTASSIUM DICITRATOBISMUTHATE Tablets 120mg

TROPICAMIDE Single Use Drops 0.5%; 1%

TROPICAMIDE AND PHENYLEPHRINE Opthalmic Insert 0.28mg / 5.4mg Hospital Only

TROSPIUM M/R Capsules 60mg Hospital only

Plaster 1 & 2

Plaster 3

T-Safe 380A Quickload Intrauterine

contaceptive

device

TT380 Slimline Intrauterine

contaceptive

device

TUBERCULIN PPD 2TU SSI Injection 2 units in 0.1mL Hospital Only

TYPHOID POLYSACCHARIDE Vaccine Injection 25 micrograms in 0.5mL Hospital Only

ULLIPRISTAL ACETATE Tablets 30mg

TOLTERODINE

TOPIRAMATE

TOPOTECAN

TRAMADOL

TRANEXAMIC ACID

TRASTUZUMAB

Hospital Only

TRAZODONE

TRIAMCINOLONE Injection

TRIFLUOPERAZINE

TRIHEXYPHENIDYL

TRIMETHOPRIM

TRIMIPRAMINE

TRUE TEST PATCH TEST SYSTEM PANEL Hospital Only

Page 40: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

UMECLEDINIUM (INCRUSE ELLIPTA) Dry powder

inhaler

55 micrograms

UMECLEDINIUM/VILANTEROL (ANORO

ELLIPTA)

Dry powder

inhaler

55 micrograms/22 micrograms

UNGUENTUM M Topical Cream

UREA / LACTIC ACID / HYDROCORTISONE Topical Cream 10% / 5% / 1%

UREA / LACTIC ACID Topical Cream 10% / 5%

UREA Cream 10%

UREA WITH HYDROCORTISONE Topical Cream 10% / 1%

UROGRAFIN Infusion 150 Hospital Only

UROKINASE Injection 10000; 25000 Hospital Only

Tablets 150mg

Capsules 250mg

Oral Suspension 250mg in 5mL

USTEKINUMAB Subcutaneous

Injection

45mg; 90mgHospital Only

UT 380 Short Intrauterine

contaceptive

device

UT 380 Standard Intrauterine

contaceptive

device

UVISTAT Topical Cream SPF 30; SPF 50

VALACICLOVIR Tablets 250mg; 500mg

Tablets 450mg

Oral Solution 250mg in 5mL

VALPROIC ACID E/C Tablets 250mg; 500mg

Capsules 125mg; 250mg

Injection 500mg; 1g

VARICELLA - ZOSTER (LIVE) (VARIVAX) Vaccine Injection Hospital Only

VASOPRESSIN Injection 20 units in 1mL Hospital Only

VECURONIUM BROMIDE Injection 10mg Hospital Only

Tablets 37.5mg; 75mg

M/R Capsules 75mg; 150mg

M/R Tablets 120mg; 240mg

M/R Capsules 120mg; 180mg; 240mg

Tablets 40mg; 80mg; 120mg

Injection 5mg in 2mL

VERNAKALANT Concentrate for

Solution for

Injection

20mg/mL

Hospital only

VIGABATRIN Tablets 500mg Hospital Only

VILANTEROL WITH FLUTICASONE (RELVAR

ELLIPTA)

Dry powder

inhaler

22 micrograms / 92

micrograms;

22 micrograms / 184

micrograms;

VILANTEROL WITH UMECLEDINIUM

(ANORO ELLIPTA)

Dry powder

inhaler

22 micrograms / 55

micrograms;

VILDAGLIPTIN Tablets 50mg Shared Care

VILDAGLIPTIN WIT METFORMIN Tablets 50mg / 850mg; 50mg / 1g Shared Care

VINBLASTINE Injection 10mg; 10mg in 10mL Hospital Only

VINCRISTINE Injection 1mg in 1mL; 2mg in 2mL Hospital Only

Injection 10mg in1mL; 50mg in 5mL

Capsules 20mg; 30mg; 80mg

VIPER ANTIVENOM (EUROPEAN) Infusion Hospital Only

VISCOPASTE PB 7 Bandage 75mm x 6m Hospital Only

VITAMIN A & D Capsules 5000 units & 400 units Hospital Only

VITAMIN B COMPOUND STRONG Tablets

Intravenous

Injection

IM Injection

VITA-POS Eye Ointment Hospital Only

VOLUMATIC - ADULT Spacer Clinical

Investigations

VOLUMATIC - PAEDIATRIC Spacer Clinical

Investigations

URSODEOXYCHOLIC ACID

VALGANCICLOVIRHospital Only

VANCOMYCIN

VENLAFAXINE

VERAPAMIL

VINORELBINEHospital Only

VITAMIN B AND C HIGH POTENCY

Hospital Only

Page 41: Jersey General Hospital Formulary - November 2016 of Information library/ID FOI... · 2016. 12. 28. · BIMATOPROST Single Use Drops 0.03% CETRABEN Topical Cream CLOBAZAM Tablets

Tablets 50mg; 200mg

Injection 200mg

WARFARIN Tablets 0.5mg; 1mg; 3mg; 5mg

WATER FOR INHALATION Inhalation Fluid 2000mL Hospital Only

5mL

10mL

500mL

100mL

1000ml

WATER FOR IRRIGATION Irrigation Fluid 1000mL Hospital Only

WHITE SOFT PARAFFIN

Nasal Drops 0.05%; 0.1%

Nasal Spray 0.1%

XYLOMETAZOLINE WITH ANTAZOLINE Drops 0.05% / 0.5%

YELLOW SOFT PARAFFIN

ZANAMIVIR Diskhaler 5mg per metered dose

ZANAMIVIR Injection 20mg in 20mL Hospital Only

Capsules 100mg; 250mg

Oral Solution 50mg in 5mL

ZINC AND CASTOR OIL Topical Ointment

ZINC AND SALICYCLIC ACID BP Topical Paste

ZINC SULPHATE Capsules 220mg

ZINC Effervescent

Tablets

125mgHospital Only

Intravenous

Infusion

4mg in 5mL; 4mg in 100mL

Infusion 5mg in 100mL

Orodispersible

Tablet

2.5mgHospital Only

Tablets 2.5mg

Nasal Spray 5mg per metered dose

ZOLPIDEM Tablets 5mg; 10mg

ZONISAMIDE Capsules 25mg; 50mg; 100mg Hospital Only

ZOPICLONE Tablets 3.75mg; 7.5mg

50mg in 1mL

100mg in 2mL

ZUCLOPENTHIXOL (CLOPIXOL

CONCENTRATE)

Injection 500mg in 1mL

ZUCLOPENTHIXOL (CLOPIXOL) Injection 200mg in 1mL

ZUCLOPENTHIXOL Tablets 2mg; 10mg; 25mg

Hospital Only

XYLOMETAZOLINE

VORICONAZOLEHospital Only

ZUCLOPENTHIXOL (CLOPIXOL ACUPHASE) Injection

ZIDOVUDINEHospital Only

ZOLEDRONIC ACID

Hospital Only

ZOLMITRIPTAN

WATER FOR INJECTION Injection