| Name | Tariff | BNF Sub Paragraph | |
| Sildenafil
50 mg tab Pack of 4 | £0.56 |  Drugs For Erectile Dysfunction |    |
| Sildenafil
25 mg tab Pack of 4 | £0.59 | Drugs For Erectile Dysfunction | |
| Sildenafil
100 mg tab Pack of 4 | £0.61 | Drugs For Erectile Dysfunction | |
| Permeable Non-Woven Synthetic Adhesive Tape 1988 (Scanpor )
2.5 cm x 5m Pack of 1 | £0.69 | Surgical Adhesive Tape | |
| Sumatriptan
50 mg tab Pack of 6 | £0.72 | Treatment Of Acute Migraine | |
| Sertraline
50 mg tablets Pack of 28 | £0.73 | Selective Serotonin Re-Uptake Inhibitors | |
Initial treatment options for adults with social anxiety disorder include non drug treatment options but if the person wishes to proceed with a pharmacological intervention sertraline is an option |
| Sumatriptan
100 mg tab Pack of 6 | £0.81 | Treatment Of Acute Migraine | |
| Solifenacin
5 mg tablets Pack of 30 | £0.84 | Drugs/Urin'y Frequ'cy Enuresis & Incont | |
| Spironolactone
25 mg tab Pack of 28 | £0.86 | Pot-Sparing Diuretics&Aldosterone Antag | |
| Sertraline
100 mg tablets Pack of 28 | £0.89 | Selective Serotonin Re-Uptake Inhibitors | |
| Sharps Bin
1 Litre Yellow Pack of 1 | £0.98 | Hypodermic equipment | |
| Solifenacin
10 mg tablets Pack of 30 | £1.01 | Drugs/Urin'y Frequ'cy Enuresis & Incont | |
| Senna Tab
7.5 mg tab Pack of 60 | £1.44 | Stimulant Laxatives | |
| Spironolactone
100 mg tab Pack of 28 | £1.63 | Pot-Sparing Diuretics&Aldosterone Antag | |
| Spironolactone
50 mg tab Pack of 28 | £1.71 | Pot-Sparing Diuretics&Aldosterone Antag | |
| Sodium Cromoglicate Eye Drops
2 % aqueous drops (13.5ml) Pack of 1 | £2.08 | Other Anti-Inflammatory Preparations | |
| Beclometasone MDI (Soprobec)
50 mcg/dose inhaler (200 doses) Pack of 1 | £2.41 | Corticosteroids (Respiratory) | |
| Colecalciferol (Strivit-D3)
800 unit capsules Pack of 30 | £2.50 | Vitamin D | |
| Sterile Lancets (AgaMatrix Comfort Twist)
0.32 mm/30gauge Pack of 100 | £2.69 | Hypodermic equipment | |
| Sulpiride
200 mg tab Pack of 30 | £2.94 | Antipsychotic Drugs | |
| Colecalciferol (Stexerol-D3)
1000 unit tablets Pack of 28 | £2.95 | Vitamin D | |
| Sodium Chloride Eye Drops
0.9 % eye drops 10ml unit Pack of 1 | £2.96 | Tear Deficiency,Eye Lubricant/Astringent | |
| Skin Protective (Medi Derma-S barrier cream )
28 gram 60345 Pack of 28 | £2.98 | Barrier Preparations | |
For skin protection (Cavilon Durable Barrier cream, ordered via CCOMMS direct purchase, is preferred) |
| SPF 50 Lipscreen (Uvistat)
5 g unit Pack of 5 | £2.99 | Sunscreening Preparations | |
| Salbutamol DPI (Easyhaler Salbutamol)
100 mcg inhaler (200 doses) Pack of 1 | £3.31 | Selective Beta(2)-Agonists | |
| Salbutamol Powder (Ventolin Accuhaler)
200 mcg (60 dose unit) Pack of 1 | £3.60 | Selective Beta(2)-Agonists | |
| Skin Protective (Medi Derma-S )
1 ml non-sting barrier film foam applicator 61076 Pack of 5 | £3.70 | Barrier Preparations | |
For skin protection (Cavilon Durable Barrier cream, ordered via CCOMMS direct purchase, is preferred)
|
| Silver Sulphadiazine Cream (Flamazine)
1 % cream (Tube) Pack of 50 | £3.85 | Antibacterial Preps Only Used Topically | |
FP10 POM |
| Sodium hyaluronate (Xailin Tears)
0.1 % eye drops p/f Pack of 1 | £4.15 | Tear Deficiency,Eye Lubricant/Astringent | |
| Sodium hyaluronate (Xailin Plus HA)
0.2 % eye drops p/f (10ml) Pack of 1 | £4.15 | Tear Deficiency,Eye Lubricant/Astringent | |
| Sodium hyaluronate eye drops (ClinOptic)
0.21 % eye drops p/f (10ml) Pack of 1 | £4.15 | Tear Deficiency,Eye Lubricant/Astringent | |
| Soft polymer wound contact dressing (Aquacel Foam dressing (non-adhesive))
15 cm x 15cm Pack of 1 | £4.30 | Wound Management & other Dressings | |
| Beclometasone MDI (Soprobec)
100 mcg/dose inhaler (200 doses) Pack of 1 | £4.82 | Corticosteroids (Respiratory) | |
| Senokot Syrup 12 Years Plus
7.5 mg/5ml 150ml Pack of 1 | £4.89 | Stimulant Laxatives | |
| Sodium chloride solution (Clinipod)
0.9 irrigation solution 20ml unit dose Pack of 25 | £4.95 | Vehicles and Emulsifying Agents | |
| Buprenorphine (Sevodyne)
5 mcg/hr transdermal patch Pack of 4 | £5.53 | Opioid Analgesics | |
| Silver Impregnated Dressing (Atrauman AG)
5 cm x 5cm Pack of 10 | £5.70 | Wound Management & other Dressings | |
| Sodium hyaluronate eye drops pf (Clinitas)
0.4 % 0.5 ml Pack of 30 | £5.70 | Tear Deficiency,Eye Lubricant/Astringent | |
| Skin Protective (Medi Derma-S )
3 ml non-sting barrier film foam applicator 61090 Pack of 5 | £5.95 | Barrier Preparations | |
For skin protection (Cavilon Durable Barrier cream, ordered via CCOMMS direct purchase, is preferred) |
| Skin Protective (Medi Derma-S barrier cream )
90 gram 60345 Pack of 90 | £5.95 | Barrier Preparations | |
For skin protection (Cavilon Durable Barrier cream, ordered via CCOMMS direct purchase, is preferred)
|
| Sodium Chloride Eye Drops (Minims)
0.9 % in 0.5ml single dose Units Pack of 20 | £7.43 | Tear Deficiency,Eye Lubricant/Astringent | |
| Stoma Paste (Stomahesive Paste)
60 g Stomahesive Paste S105 Pack of 1 | £7.74 | Skin Fillers And Protectives | |
| Starch maize modified powder (Thixo-D powder)
375 gm powder, tin Pack of 375 | £8.10 | Thickener | |
| Sodium Chloride Inhalation Solution
0.9 % unit dose vials (2.5ml) Pack of 20 | £8.42 | Topical Nasal Decongestants
Peak Flow Meters, Inhaler Devices and Nebulisers | |
| Ostomy skin protectives (StoCare )
50 ml Protect No-Sting protective barrier film spray STC 150 Pack of 50 | £8.50 | Skin Fillers And Protectives | |
| Colecalciferol (Strivit-D3 )
3200 unit capsules Pack of 30 | £9.32 | Vitamin D | |
| SMA Althera
400 g powder Pack of 1 | £9.86 | Infant formula - Condition specific [Cows milk protein allergy (091310)] | |
| Buprenorphine (Sevodyne)
10 mcg/hr transdermal patch Pack of 4 | £9.93 | Opioid Analgesics | |
| Salmeterol / Fluticasone (Combisal)
25 mcg/dose/125micrograms/dose inhaler Pack of 1 | £10.48 | Corticosteroids (Respiratory) | |
| Beclometasone MDI (Soprobec)
200 mcg/dose inhaler (200 doses) Pack of 1 | £10.51 | Corticosteroids (Respiratory) | |
| Beclometasone MDI (Soprobec)
250 mcg/dose inhaler (200 doses) Pack of 1 | £10.59 | Corticosteroids (Respiratory) | |
| Salmeterol / Fluticasone (Combisal)
25 mcg/dose/50micrograms/dose inhaler Pack of 1 | £13.50 | Corticosteroids (Respiratory) | |
Low dose Combisal more cost effective than Seretide |
| Co-careldopa 275 (Sinemet-275)
25 /250mg Tab Pack of 90 | £13.72 | Dopaminergic Drugs Used In Parkinsonism | |
| Silver Impregnated Dressing (Atrauman AG)
10 cm x 10cm Pack of 10 | £13.90 | Wound Management & other Dressings | |
| Salmeterol / Fluticasone (Combisal)
25 mcg/dose/250micrograms/dose inhaler Pack of 1 | £13.99 | Corticosteroids (Respiratory) | |
| Buprenorphine (Sevodyne)
15 mcg/hr transdermal patch Pack of 4 | £15.48 | Opioid Analgesics | |
| Calcitriol ointment (Silkis)
3 mcg/g 100g Pack of 100 | £18.06 | Preparations For Psoriasis | |
| Buprenorphine (Sevodyne)
20 mcg/hr transdermal patch Pack of 4 | £18.09 | Opioid Analgesics | |
| Sulpiride
400 mg tab Pack of 30 | £20.68 | Antipsychotic Drugs | |
| Tiotropium (Spiriva respimat)
2.5 mcg inhaler 60d Pack of 1 | £23.00 | Antimuscarinic Bronchodilators | |
| Silver Impregnated Dressing (Atrauman AG)
10 cm x 20cm Pack of 10 | £27.20 | Wound Management & other Dressings | |
| Morphine Sulphate (Sevredol )
50 mg tab Pack of 56 | £28.02 | Opioid Analgesics | |
| Tiotropium bromide / Olodaterol inhaler (Spiolto Respimat)
2.5 micrograms/dose inhalation solution refill cartridge Pack of 1 | £32.50 | Compound Bronchodilator Preparations | |
| Tiotropium bromide / Olodaterol inhaler (Spiolto Respimat)
2.5 micrograms/dose solution for inhalation cartridge with device (60 dose) Pack of 1 | £32.50 | Compound Bronchodilator Preparations | |
| Amisulpride (Solian)
100 mg / ml solution Pack of 60 | £33.76 | Antipsychotic Drugs | |
| Sumatriptan Injection
6 mg / 0.5ml PFS Pack of 2 | £48.19 | Treatment Of Acute Migraine | |
| Sumatriptan Injection
6 mg/0.5ml solution for inj pre-filled disposable Pack of 2 | £53.01 | Treatment Of Acute Migraine | |
| Semaglutide (Ozempic)
0.25 mg /0.19ml solution for injection 1.5ml pre-filled disposable device Pack of 1 | £73.25 | Other Antidiabetics | |
| Semaglutide (Ozempic)
0.5 mg /0.37ml solution for injection 1.5ml pre-filled disposable device Pack of 1 | £73.25 | Other Antidiabetics | |
| Semaglutide (Ozempic)
1 mg /0.74ml solution for injection 3ml pre-filled disposable device Pack of 1 | £73.25 | Other Antidiabetics | |
| Sulpiride
200 mg/5ml oral solution SF (150ml) Pack of 1 | £93.64 | Antipsychotic Drugs | |
| Simvastatin
10 mg tab Pack of 28 | £0.59 |  Lipid-Regulating Drugs | |
| Simvastatin
20 mg tab Pack of 28 | £0.67 | Lipid-Regulating Drugs | |
| Simvastatin
40 mg tab Pack of 28 | £0.75 | Lipid-Regulating Drugs | |
| Sevoflurane
250 mL bottle inhalation Pack of 1 | - | Inhalational Anaesthetics | |
| Simvastatin
80 mg tab Pack of 28 | £1.27 | Lipid-Regulating Drugs | |
| Sitagliptin
25 mg tablets Pack of 28 | £2.07 | Other Antidiabetics | |
| Simple Linctus
200 mls Pack of 200 | £2.14 | Expectorant & Demulcent Cough Prep's | |
| Sitagliptin
100 mg tablets Pack of 28 | £2.32 | Other Antidiabetics | |
| Sitagliptin
50 mg tablets Pack of 28 | £2.53 | Other Antidiabetics | |
| Simple Linctus
200 mls SF Pack of 200 | £2.68 | Expectorant & Demulcent Cough Prep's | |
| Simethicone Liquid (Infacol)
40 mg / ml 50 ml suspension Pack of 50 | £2.71 | Antacids and Simeticone | |
| Metformin (Sukkarto)
750 mg tablets SR Pack of 56 | £2.87 | Biguanides | |
| Sodium Picosulfate / Magnesium Citrate Sachet (Picolax)
10 mg / 13.5mg per sachet (2 sachet pack) Pack of 2 | £3.39 | Bowel Cleansing Solutions | |
| Saline Catheter Solution (Optiflo S)
0.9 % Solution Pack of 100 | £3.53 | Catheter Maintenance Solutions | |
| Sodium alginate / Potassium bicarbonate (Acidex Advance)
500 mg/5ml Sodium alginate / Potassium bicarbonate 100mg/5ml oral suspension aniseed Pack of 1 | £3.84 | Compound alginates and proprietary indigestion preparations | |
| Sodium alginate / Potassium bicarbonate (Acidex Advance)
500 mg/5ml Sodium alginate / Potassium bicarbonate 100mg/5ml oral suspension peppermint Pack of 1 | £3.84 | Compound alginates and proprietary indigestion preparations | |
| Sodium dihydrogen phosphate dihydrate (Cleen)
133 ml Ready-to-use Enema Pack of 1 | £4.33 | Osmotic Laxatives | |
| Acenocoumarol Tablet (SINTHROME)
1 mg tab Pack of 100 | £4.62 | Oral Anticoagulants | |
| Hydroxypropyl Guar Eye Drops (Systane)
0.8 ml vial (preservative free) Pack of 28 | £4.66 | Tear Deficiency,Eye Lubricant/Astringent | |
| Artificial saliva spray (Salivix spray)
50 ml spray Pack of 1 | £5.11 | Treatment Of Dry Mouth | |
| Sterile Lancets (AgaMatrix Ultra Thin)
0.2 mm / 33G Pack of 200 | £5.43 | Hypodermic equipment | |
| Sterile Lancets (AgaMatrix Ultra Thin)
0.35 mm / 28G Pack of 200 | £5.43 | Hypodermic equipment | |
| Verapamil SR (Securon SR)
240 mg tab Pack of 28 | £5.55 | Calcium-Channel Blockers | |
| Ostomy skin protectives (StoCare )
50 ml Protect Remove medical adhesive remover spray STC 100 Pack of 50 | £5.90 | Skin Fillers And Protectives | |
| Oxycodone (Shortec)
5 mg caps Pack of 56 | £6.86 | Opioid Analgesics | |
| Medroxyprogesterone (Sayana Press)
104 mg/0.65 ml suspension Pack of 1 | £6.90 | Parenteral Progestogen-only Contracep | |
| Ostomy adhesive removers (Salts )
30 ml wipes WAP2 Pack of 30 | £8.65 | Adhesive Removers (Sprays/Liquids/Wipes) | |
| Sodium hyaluronate 0.2% eye drops preservative free (Hylo-Forte)
0.2 % eye drops (10 ml unit) Pack of 1 | £9.50 | Tear Deficiency,Eye Lubricant/Astringent | |
| Ostomy adhesive plasters (SecuPlast Hydro)
30 plasters SPH1 Pack of 30 | £12.28 | Two Piece Ostomy Systems | |
| Ostomy adhesive plasters (SecuPlast Hydro)
30 flange extender with Aloe SPHA2 Pack of 30 | £13.31 | Two Piece Ostomy Systems | |
| Oxycodone (Shortec)
10 mg caps Pack of 56 | £13.72 | Opioid Analgesics | |
| Drospirenone (Slynd)
4 mg tablets Pack of 84 | £14.70 | Oral Progestogen-only Contraceptives | |
Approved as a second-line progesterone-only pill that can be considered if desogestrel is not appropriate after a suitable trial (minimum 3 months)
|
| Salmeterol / Fluticasone (Sereflo Inhaler )
25 mcg/125mcg 120 dose Pack of 120 | £14.99 | Corticosteroids (Respiratory) | |
| Fluticasone / Salmeterol Accuhaler (Seretide Accuhaler)
100 /50mcg /dose (60 dose unit) Pack of 1 | £17.46 | Corticosteroids (Respiratory) | |
| Salmeterol / Fluticasone (Sereflo Inhaler )
25 mcg/250mcg 120 dose Pack of 120 | £19.99 | Corticosteroids (Respiratory) | |
| Oxycodone (Shortec)
20 mg caps Pack of 56 | £27.43 | Opioid Analgesics | |
| Glycopyrronium Bromide (Seebri Breezhaler)
44 mcg inhalation powder caps Pack of 30 | £27.50 | Antimuscarinic Bronchodilators | |
| Salmeterol MDI (Serevent Evohaler)
25 mcg (120 doses) Pack of 1 | £29.26 | Selective Beta(2)-Agonists | |
| Ertugliflozin (Steglatro)
5 mg tablets Pack of 28 | £29.40 | Other Antidiabetics | |
Ertugliflozin as monotherapy or with metformin for treating type 2 diabetes as per NICE TA572 |
| Fluticasone / Salmeterol Accuhaler (Seretide Accuhaler)
500 /50mcg /dose (60 dose unit) Pack of 1 | £32.74 | Corticosteroids (Respiratory) | |
| Fluticasone / Salmeterol Accuhaler (Seretide Accuhaler)
250 /50mcg /dose (60 dose unit) Pack of 1 | £33.95 | Corticosteroids (Respiratory) | |
| Salmeterol DPI (Serevent Accuhaler)
50 mcg/dose (60 dose unit) Pack of 1 | £35.11 | Selective Beta(2)-Agonists | |
| Ospemifene (Senshio)
60 mg tablets Pack of 28 | £39.50 | Preparations For Vaginal Atrophy | |
Second line oral option when locally applied vaginal oestrogen is impractical or not tolerated. Please see NICE guidance and SmPC for further details. |
| SMA High Energy liquid
200 ml Pack of 1 | £2.43 |  Infant formula - Condition specific [Faltering growth (091310)] | |
| Similac High Energy
200 ml liquid Pack of 1 | £2.50 | Infant formula - Condition specific [Faltering growth (091310)] | |
| Sodium fluoride (Colgate Duraphat)
5000 ppm fluoride toothpaste gm Pack of 51 | £6.50 | Fluoride | |
For patients who have been diagnosed with head and neck cancer or undertaken a course of radiotherapy, and who require high-strength fluoride toothpaste as part of the cancer pathway, sodium fluoride dental paste sugar-free 1.1% (5000ppm) may be prescribed on a three-monthly basis by their NHS dentist or GP on the advice of the head & neck cancer, maxillofacial, or restorative dental teams. All other prescribing is discouraged. |
| Mesalazine Suppository (Salofalk)
500 mg supp Pack of 30 | £14.81 | Aminosalicylates | |
| Similac Arize
400 grams Pack of 1 | £15.25 | Infant formula - Condition specific [Cows milk protein allergy (091310)] | |
| Generic SMA Alfamino (SMA Alfamino)
400 gm powder Pack of 1 | £22.98 | Infant formula - Condition specific [Severe cows milk p/aller or multiple food allergies (091310)] | |
| Mesalazine Foam Enema (Salofalk)
1 g / dose (14 dose cannister) Pack of 1 | £30.17 | Aminosalicylates | |
| Semaglutide (Rybelsus)
1.5 mg tabs (New Formulation) Pack of 30 | £78.48 | Other Antidiabetics | |
Specialist initiated or advised only.
From Sep 2025 this 1.5mg round tablet replaces the 3mg oval tablet. For a patient information leaflet please see the EMC website |
| Semaglutide (Rybelsus)
4 mg tabs (New Formulation) Pack of 30 | £78.48 | Other Antidiabetics | |
Specialist initiated or advised only.
From Sep 2025 this 4mg round tablet replaces the 7mg oval tablet. For a patient information leaflet please see the EMC website |
| Semaglutide (Rybelsus)
9 mg tabs (New Formulation) Pack of 30 | £78.48 | Other Antidiabetics | |
Specialist initiated or advised only.
From Sep 2025 this 9mg round tablet replaces the 14mg oval tablet. For a patient information leaflet please see the EMC website |
| Sotalol
40 mg tab Pack of 28 | £0.75 |  Beta-Adrenoceptor Blocking Drugs | |
| Sotalol
80 mg tab Pack of 28 | £0.98 | Beta-Adrenoceptor Blocking Drugs | |
| Sodium Valproate M/R (Episenta Capsules)
150 mg capsules Pack of 30 | £2.76 | Control Of Epilepsy | |
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. |
| Starch maize modified powder (Thixo-D Calorie Free powder)
30 gm pack Pack of 30 | £3.00 | Enteral Nutrition | |
| Sodium Valproate M/R (Episenta Capsules)
300 mg capsules Pack of 30 | £4.56 | Control Of Epilepsy | |
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. |
| Sodium Bicarbonate Capsules
500 mg cap Pack of 56 | £4.70 | Oral Bicarbonate | |
| SMA Gold Prem 2 Catch-up Formula
400 gm powder g/f s/f Pack of 1 | £4.92 | Non-ACBS condition specific complete infant formula | |
| Sodium Valproate Crushable (Epilim)
100 mg tab Pack of 100 | £5.60 | Control Of Epilepsy | |
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. |
| Sodium Valproate Granules (Episenta)
500 mg sachet Pack of 30 | £6.30 | Control Of Epilepsy | |
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. |
| Systane Balance eye drops
10 ml unit Pack of 1 | £7.49 | Tear Deficiency,Eye Lubricant/Astringent | |
| Sulfasalazine (Sulphasalazine) (Pfizer)
500 mg e/c tablets Pack of 112 | £8.43 | Aminosalicylates | |
| Brinzolamide / Brimonidine eye drops (Simbrinza)
10 mg/ml 2mg/ml 5ml unit Pack of 5 | £9.23 | Treatment Of Glaucoma | |
Simbrinza – a combination of brinzolamide and brimonidine– is accepted onto the formulary for decrease of elevated intraocular pressure (IOP) in adult patients with open-angle glaucoma or ocular hypertension for whom monotherapy provides insufficient IOP reduction. |
| Levodopa / Carbidopa / Entacapone (Sastravi)
50 mg/12.5mg/200mg tablets Pack of 30 | £10.35 | Dopaminergic Drugs Used In Parkinsonism | |
| Levodopa / Carbidopa / Entacapone (Sastravi)
75 mg/18.75mg/200mg tablets Pack of 30 | £10.35 | Dopaminergic Drugs Used In Parkinsonism | |
| Levodopa / Carbidopa / Entacapone (Sastravi)
100 mg/25mg/200mg tablets Pack of 30 | £10.35 | Dopaminergic Drugs Used In Parkinsonism | |
| Levodopa / Carbidopa / Entacapone (Sastravi)
125 mg/31.25mg/200mg tablets Pack of 30 | £10.35 | Dopaminergic Drugs Used In Parkinsonism | |
| Levodopa / Carbidopa / Entacapone (Sastravi)
150 mg/37.5mg/200mg tablets Pack of 30 | £10.35 | Dopaminergic Drugs Used In Parkinsonism | |
| Levodopa / Carbidopa / Entacapone (Sastravi)
175 mg/43.75mg/200mg tablets Pack of 30 | £10.35 | Dopaminergic Drugs Used In Parkinsonism | |
| Levodopa / Carbidopa / Entacapone (Sastravi)
200 mg/50mg/200mg tablets Pack of 30 | £10.35 | Dopaminergic Drugs Used In Parkinsonism | |
| Tafluprost Eye Drops (Saflutan)
15 mcg (0.3ml unit) Pack of 30 | £11.39 | Treatment Of Glaucoma | |
Administered OD (night/evening) |
| Sodium Valproate Granules (Episenta)
1000 mg sachet Pack of 30 | £12.30 | Control Of Epilepsy | |
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. |
| Liquid Diet (Survimed OPD)
1000 ml easybag Pack of 1000 | £15.28 | ONS - Impaired GI function specific [UtM nutrit needs using food alone+imp GI func/malab (091306)] | |
| Sucralfate
2 g/50ml enema Pack of 1 | £15.81 | Chelates And Complexes | |
| Zinc Sulphate Effervescent Tablets (Solvazinc)
125 mg tab (45mg zinc) Pack of 90 | £17.72 | Zinc | |
| Sevelamer Carbonate
800 mg tab Pack of 180 | £24.63 | Phosphate Binding Agents | |
Sevelamer carbonate (available as generic tablet) is the preferred salt |
| Buprenorphrine Naloxone Hydrochloride (Suboxone)
2 mg/0.5mg tab Pack of 28 | £25.60 | Drugs Used In Substance Dependence | |
Suboxone discontinued January 2026. A continued supply of Zubsolv (buprenorphine and naloxone) has NOT been confirmed. NOTE – Zubsolv has different bioavailability from other buprenorphine products and they are not directly interchangeable. Please see the SPS website for further details. |
| Octreotide Ampoule (Sandostatin)
100 mcg / 1ml Ampoule Pack of 5 | £27.97 | Somatostatin Analogues | |
| Melatonin (Slenyto)
1 mg MR tablets Pack of 60 | £32.96 | Hypnotics | |
Treatment of insomnia in children and adolescents aged 2 to 18 years with autism spectrum disorder and / or Smith-Magenis syndrome, where sleep hygiene measures have been insufficient. |
| Nalmefene (Selincro)
18 mg tablets Pack of 14 | £42.42 | Drugs Used In Substance Dependence | |
| Vigabatrin (Sabril)
500 mg tab Pack of 100 | £44.41 | Control Of Epilepsy | |
| Buprenorphrine Naloxone Hydrochloride (Suboxone)
8 mg/2mg tab Pack of 28 | £76.73 | Drugs Used In Substance Dependence | |
Suboxone discontinued January 2026. A continued supply of Zubsolv (buprenorphine and naloxone) has NOT been confirmed. NOTE – Zubsolv has different bioavailability from other buprenorphine products and they are not directly interchangeable. Please see the SPS website for further details. |
| Melatonin (Slenyto)
5 mg MR tablets Pack of 30 | £82.40 | Hypnotics | |
Treatment of insomnia in children and adolescents aged 2 to 18 years with autism spectrum disorder and / or Smith-Magenis syndrome, where sleep hygiene measures have been insufficient. |
| Somatrogon (Ngenla)
24 mg/1.2ml solution for injection pre-filled pens Pack of 1 | £166.08 | Calcitonin and Parathyroid Hormone | |
| Sevelamer Hydrochloride (Renagel)
800 mg Tab Pack of 180 | £167.04 | Phosphate Binding Agents | |
| Sodium zirconium cyclosilicate (Lokelma)
5 g oral powder sachets Pack of 30 | £213.60 | Oral Potassium | |
| Sucralfate
1 g/5ml oral suspension s/f ml Pack of 200 | £224.35 | Chelates And Complexes | |
| Dronabinol / Cannabidiol Oromucosal Spray (Sativex)
2.7 mg / 2.5mg per dose (3 x 90 dose units) Pack of 270 | £300.00 | Skeletal Muscle Relaxants | |
The routine commissioning of Sativex is accepted in Cornwall for the treatment of spasticity due to multiple sclerosis only when specific criteria are met. |
| Glycopyrronium bromide (Sialanar)
320 mcgs oral solution S/F Pack of 250 | £320.00 | Antimuscarinic Drugs | |
Note the potential for dosing errors due to the way the sialanar strength is expressed. Sialanar contains 400mcg/ml of glycopyrronium bromide. This is equivalent to 320mcg/ml of glycopyrronium. Therefore glycopyrronium bromide 400mcg/ml oral solution sugar free is the same as sialanar 320mcg/ml oral solution |
| Somatrogon (Ngenla)
60 mg/1.2ml solution for injection pre-filled pens Pack of 1 | £415.20 | Calcitonin and Parathyroid Hormone | |
| Sodium zirconium cyclosilicate (Lokelma)
10 g oral powder sachets Pack of 30 | £427.20 | Oral Potassium | |
| Lanreotide Injection (Somatuline Autogel)
60 mg prefilled syringe Pack of 1 | £551.00 | Somatostatin Analogues | |
| Lanreotide Injection (Somatuline Autogel)
90 mg prefilled syringe Pack of 1 | £736.00 | Somatostatin Analogues | |
| Sodium Hyaluronate
40 mg bladder instillation Pack of 1 | - |  Bladder Instillations/Urological Surgery | |
| Sodium Hyaluronate
120 mg bladder instillation Pack of 1 | - | Bladder Instillations/Urological Surgery | |
| Sodium Nitroprusside
50 mg/5ml injection Pack of 1 | - | Vasodilator Antihypertensive Drugs | |
| Sodium Tetradecyl Sulphate
3 % 2 mL Ampoule Pack of 1 | - | Local Sclerosants | |
| Suxamethonium
100 mg in 2mL Injection Pack of 1 | - | Neuromuscular blocking drugs | |
| methylprednisolone sodium succinate (Solu-medrone)
500 mg / 8ml vial Pack of 1 | - | Use of Corticosteroids | |
| methylprednisolone sodium succinate (Solu-medrone)
1 g / 16ml vial Pack of 1 | - | Use of Corticosteroids | |
| Ciclosporin (Sandimmun)
50 mg / ml (1ml amp) Pack of 10 | - | Cortico'oids & Other Immunosuppressants | |
| Semaglutide (Wegovy FlexTouch)
0.25 mg/0.37ml solution for injection 1.5ml pre-filled pens Pack of 1 | - | Other Antidiabetics | |
Prescribing to remain within secondary care specialist weight management service as per NICE TA 875 |
| Semaglutide (Wegovy FlexTouch)
0.5 mg/0.37ml solution for injection 1.5ml pre-filled pens Pack of 1 | - | Other Antidiabetics | |
Prescribing to remain within secondary care specialist weight management service as per NICE TA 875 |
| Semaglutide (Wegovy FlexTouch)
1 mg/0.75ml solution for injection 3ml pre-filled pens Pack of 1 | - | Other Antidiabetics | |
Prescribing to remain within secondary care specialist weight management service as per NICE TA 875 |
| Streptokinase (Streptase)
1.5 million unit vial Pack of 1 | - | Fibrinolytic drugs | |
| Semaglutide (Wegovy FlexTouch)
1.7 mg/0.75ml solution for injection 3ml pre-filled pens Pack of 1 | - | Other Antidiabetics | |
Prescribing to remain within secondary care specialist weight management service as per NICE TA 875 |
| Semaglutide (Wegovy FlexTouch)
2.4 mg/0.75ml solution for injection 3ml pre-filled pens Pack of 1 | - | Other Antidiabetics | |
Prescribing to remain within secondary care specialist weight management service as per NICE TA 875 |
| Liraglutide injection (Saxenda )
6 mg/ml solution for injection 3ml pre-filled pen Pack of 5 | - | Other Antidiabetics | |
To be prescribed via specialist weight management service only |
| Palivizumab Injection (Synagis)
50 mg unit Pack of 1 | - | Respiratory Syncytial Virus | |
| Sodium Oxybate (Xyrem)
500 mg/ml oral solution Pack of 180 | - | Hypnotics | |
| Palivizumab Injection (Synagis)
100 mg unit Pack of 1 | - | Respiratory Syncytial Virus | |
| Tolvaptan (Samsca)
15 mg tab Pack of 10 | - | Posterior Pituitary Hormones&Antagonists | |
NICE TA358 Tolvaptan is recommended as an option for the treatment of autosomal dominant polycystic kidney disease in adults when specified criteria are met (October 2015)
Hyponatraemia secondary to SIADH in patients requiring cancer chemotherapy. Commissioned by NHS England |
| Tolvaptan (Samsca)
30 mg tab Pack of 10 | - | Posterior Pituitary Hormones&Antagonists | |
NICE TA358 Tolvaptan is recommended as an option for the treatment of autosomal dominant polycystic kidney disease in adults when specified criteria are met (October 2015)
Hyponatraemia secondary to SIADH in patients requiring cancer chemotherapy. Commissioned by NHS England |
| Basiliximab (Simulect)
10 mg powder and solvent Pack of 1 | - | Cortico'oids & Other Immunosuppressants | |
| Basiliximab (Simulect)
20 mg powder and solvent Pack of 1 | - | Cortico'oids & Other Immunosuppressants | |
| Secukinumab (Cosentyx)
150 mg prefilled pen/syringe Pack of 2 | - | Rheumatic Disease Suppressant Drugs | |
| Ustekinumab (Stelara)
45 0.5ml solution for injection pre-filled syringes Pack of 1 | - | Drugs Affecting The Immune Response | |
| Ustekinumab (Stelara)
90 mg/mL 0.5mL prefilled syringe Pack of 1 | - | Drugs Affecting The Immune Response | |
| Risankizumab (Skyrizi)
75 mg/0.83ml solution for injection pre-filled syringes Pack of 2 | - | Drugs Affecting The Immune Response | |
| Tezacaftor (Symkevi )
50 mg/75mg tablets Pack of 28 | - | Mucolytics | |
| Tezacaftor (Symkevi )
100 mg/150mg tablets Pack of 28 | - | Mucolytics | |
| SMA LF powder
430 gm LF powder Pack of 1 | £5.21 |  Infant formula - Condition specific [Lactose intolerance (091310)] | |
| Soya Protein Baby Powder (Wysoy)
430 g unit Pack of 1 | £5.32 | Foods For Special Diets | |
| Sertraline
25 mg tablets Pack of 28 | £5.88 | Selective Serotonin Re-Uptake Inhibitors | |
| SMA Staydown powder
900 gm Pack of 1 | £7.51 | Non-ACBS condition specific complete infant formula [Significant reflux (091335)] | |
| Sitagliptin / Metformin (Janumet)
50 mg / 1000mg tab Pack of 56 | £33.26 | Other Antidiabetics | |
| Simple Eye Ointment
4 g tube Pack of 4 | £99.84 | Tear Deficiency,Eye Lubricant/Astringent | |
Do not prescribe |