Preferred brand prescribing.

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Using approved (generic) names for medicines is generally encouraged for prescribing in both primary and secondary care and in the majority of cases generic prescribing is the most cost-effective way to prescribe. However there are some circumstances in which continuity of the same brand is important for clinical reasons or patient safety; in these cases this is reflected in the Devon Formulary.

Occasionally branded prescribing is significantly more cost-effective than generic prescribing, so to help with cost pressures across the NHS and specifically for primary care prescribing the NHS Devon  Medicines Optimisation (MO) Team has prepared a list of locally recommended preferred brands.

In preparing the list below, the MO Team has considered the evidence of equivalence, efficacy and safety, and cost efficiency. In some instances, these will not be the brands provided in secondary care, where the brand supplied may be determined by nationally agreed pharmacy purchasing contracts.

Chapter 1. Gastrointestinal

Generic

MO Team preferred brand

Glycopyrronium bromide tablets Assicco tablets
Sodium acid phosphate with sodium phosphate 133ml enema Cleen Ready-to-Use

Chapter 2. Cardiovascular

Generic

MO Team preferred brand

Isosorbide mononitrate 60mg MR tablets Chemydur XL,
Monomil XL (S&W Devon only)

Chapter 3. Respiratory

Generic

MO Team preferred brand

Hypertonic (3%) sodium chloride nebuliser solution (N&E Devon only) PulmoClear
Hypertonic (7%) sodium chloride nebuliser solution Respi-Clear

Chapter 4. Central Nervous System

Generic

MO Team preferred brand

Ropinirole MR tablets Ipinnia XL
Venlafaxine modified release capsules 225mg Vencarm XL prolonged release capsules 225mg

Chapter 7. Obstetrics, gynaecology, and urinary-tract disorders

Generic

MO Team preferred brand

Tolterodine MR capsules Tolthen XL

Chapter 9. Blood and nutrition

Generic

MO Team preferred brand

Calcium carbonate 1.5g chewable tablets Adcal
Calcium carbonate 1.25g chewable tablets Calcichew
Calcium carbonate 2.5g chewable tablets (S&W Devon only) Calcichew Forte
Colecalciferol (Vitamin D3) 1,000 unit tablets Stexerol D3
Colecalciferol (Vitamin D3) 25,000 unit tablets Stexerol D3
Colecalciferol (Vitamin D3) 25,000 units/ml oral solution InVita D3
Colecalciferol (Vitamin D3) 50,000 units/ml oral solution InVita D3
Colecalciferol + Calcium carbonate 200 unit + 750mg Caplets (S&W Devon only) Adcal D3 Caplets
Colecalciferol + Calcium carbonate 400 unit + 1.5g tablets Accrete-D3
Colecalciferol + Calcium carbonate 400 unit + 1.5g chewable tablets (S&W Devon only) Adcal D3 Chewable
Colecalciferol + Calcium carbonate 400 unit + 1.5g effervescent tablets (S&W Devon only) Adcal D3 Dissolve
Colecalciferol + Calcium carbonate 880 unit + 2.5g chewable tablets theiCal-D3
Gluten Free fresh bread* Genius*, Juvela*
* Please prescribe in case quantities (8 loaves). Note: Juvela Fresh bread can also be prescribed as a mixed case (4 white + 4 fibre loaves)
Gluten Free long life bread Juvela, Glutafin Select
Gluten Free Mix Juvela, Glutafin Select

Chapter 11. Eye

Generic

MO Team preferred brand

Carbomer eye gel Viscotears
Carbomer unit dose preservative free eye gel Viscotears unit dose
Carmellose preservative free eye drops 0.5% Evolve Carmellose
Carmellose unit dose preservative free eye drops 0.5% Celluvisc unit dose
Chloramphenicol preservative free eye drops Minims unit dose (N&E Devon only)
Dexamethasone preservative free eye drops Minims unit dose (N&E Devon only)
Hypromellose preservative free eye drops Evolve Hypromellose
Liquid paraffin eye ointment 3.5g Lacri-Lube
Liquid paraffin eye ointment 5g HYLO NIGHT
Polyvinyl alcohol eye drops Sno Tears
Polyvinyl alcohol unit dose preservative free eye drops Liquifilm Tears unit dose
Prednisolone preservative free eye drops Minims unit dose (N&E Devon only)
Sodium hyaluronate preservative free eye drops 0.2% Xailin Plus HA
Sodium hyaluronate unit dose preservative free eye drops 0.4% Clinitas unit dose*
*Each Clinitas vial is re-closable and can be used for up to 12 hours after opening. Please counsel patients on the correct use and that the re-closable vials need not be discarded after the first use.

Chapter 13. Skin

Generic

MO Team preferred brand

Metronidazole 0.75% gel
(for rosacea)
Rozex
Metronidazole 0.75% gel
(for malodorous fungating tumours) (S&W Devon only)
Metrogel