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ELMMB Formulary

ELMMB Formulary

The Joint Medicines Formulary is applicable to ALL prescribers in both Primary and Secondary Care across the East Lancashire Health Economy

Please note that items not listed in the Joint Medicines Formulary are deemed unsuitable to prescribe.
This joint formulary has been designed to make it both useful and effective.
The main features are:
    >    it is a constantly evolving and dynamic document providing guidance on appropriate and cost effective prescribing
    >    it contains some prescribing notes with key messages on best practice
    >    it aims to ensure that patients have continuity of medicines across the interface between primary care and secondary care
    >    it aims to  help prescribers choose the most appropriate medicines whilst ensuring value for money in the use of NHS resources

 Should you require a product to be considered in the formulary please complete the form below.

Key to symbols used throughout the Joint Medicines Formulary

 GREEN  Medicines which may be freely prescribed by all prescribers within local or national recommendations.
restricted   use 
 Appropriate for initiation and ongoing prescribing in primary and secondary care provided: 
> additional criteria specific to to the medicine or device are met, or
   The medicines or device is used following the failure of other therapies as defined by the relevant ELMMB
 AMBER   Medicines which are suitable for prescribing on the recommendation/initiation by specialist. 
 AMBER     SHARED     CARE  These are still AMBER medicines which should only be initiated in secondary care, but which may be passed to primary care prescribers for prescribing provided the terms of a locally agreed shared care protocol (where   available)   are met.
 RED  Medicines which should only be used within the secondary care setting. Primary care prescribers should  not be   asked  to prescribe.
 BLACK  These are medicines that have been reviewed and have been deemed less suitable for prescribing, and are   therefore  NOT recommended for prescribing on the NHS in Pennine Lancashire. This may be due to the lack of   good clinical evidence, or due to the availability of more suitable alternatives. GPS and specialists are recommended   not to prescribe these drugs.
 GREY  Medicines which have not been reviewed or are under the review process
 GPs and specialists are recommended not to prescribe these drugs and to submit an application to ELMMB if they     wish to use.

 (Please note that items not listed in the  Joint Medicines Formulary are deemed unsuitable to prescribe)

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