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Cost
Packs
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Other - Cost: £725,426,482.39 Influenza vaccine  (Adjuvanted trivalent ) - Cost: £10,057,862.10 Sacubitril / Valsartan - Cost: £11,336,405.04 Beclometasone / Formoterol MDI (Fostair) - Cost: £13,361,329.24 Trimbow - Cost: £13,847,732.50 Empagliflozin (Jardiance) - Cost: £16,770,362.50 Edoxaban (Lixiana) - Cost: £17,173,152.50 Glucose interstitial detection sensor (FreeStyle Libre 2 Plus Sensor) - Cost: £29,971,612.50 Tirzepatide (Mounjaro KwikPen) - Cost: £67,743,752.00
Formulary Notes (BNF Chapter)
NICE Guidance (3)
Other Links (4)
Important Local Documents (19)
Notes for: Nutrition & blood
Last edited [14/01/2026 11:04:17]
Last edited [12/02/2026 15:46:57]

Oral Nutritional Supplements (ONS)

Oral Nutritional Supplement (ONS) formulary flowchart

Adult ONS quick reference formulary 2025

6 steps to appropriate prescribing of oral nutritional supplements (ONS) for adults 2025

6 steps to appropriate prescribing of oral nutritional supplements (ONS) video

ONS available to buy over the counter for adults

Food First Resources

First line advice for managing malnutrition 1, 2, 3 

Food first advice for adults with a small appetite 2022

Food first advice for adults with a small appetite - vegan and plant - based diets 2024

Food first advice for adults with a small appetite and diabetes 2022

Homemade fortified drinks - Information leaflet 2022

Eating well with dementia - Patient leaflet

Care Homes Nutrition

Managing malnutrition in care homes resource pack (2025)

Guidance on the prescribing of oral nutritional supplements in care homes 2023

Managing malnutrition in care homes first line advice 1, 2, 3 (2025)

Malnutrition care pathway for care home residents 2023

Factsheets

Vitamin B compound and compound strong factsheet (V1.1)

Vitamin D for adults - information leaflet

Paediatric vitamin D guidelines (RCHT doc library)

Cornwall and the Isles of Scilly Probiotics position statement 2025

 

Cornwall Joint Formulary Recommended Choices     (...Top)
Displaying 6 Drugs

Key:
First Line Drugs First Line Drugs
Second Line Drugs Second Line Drugs
Specialist advised Specialist advised
Specialist Initiated Drugs Specialist Initiated Drugs
Hospital Only Drugs Hospital Only Drugs
Discouraged Discouraged
No comment available No comment available

NameTariffBNF Sub Paragraph
Ferrous Sulfate
200 mg tab Pack of 28
£0.84PCT FORMULARY STATUS: First Line Drugs Oral IronView BNF Article on 'Ferrous Sulfate'View SPC on 'Ferrous Sulfate'View PIL on 'Ferrous Sulfate'
Ferrous Fumarate
210 mg tab Pack of 84
£2.67PCT FORMULARY STATUS: First Line Drugs Oral IronView BNF Article on 'Ferrous Fumarate'View SPC on 'Ferrous Fumarate'View PIL on 'Ferrous Fumarate'
Ferrous Gluconate
300 mg tab Pack of 28
£3.69PCT FORMULARY STATUS: Second Line Drugs Oral IronView BNF Article on 'Ferrous Gluconate'View SPC on 'Ferrous Gluconate'View PIL on 'Ferrous Gluconate'
Ferrous Fumarate (Galfer)
140 mg / 5ml syrup Pack of 300
£5.33PCT FORMULARY STATUS: Second Line Drugs Oral IronView BNF Article on 'Ferrous Fumarate'View SPC on 'Ferrous Fumarate'View PIL on 'Ferrous Fumarate'
Sodium Feredetate Elixir (Sytron)
27.5 mg / 5ml S/F (500ml unit) Pack of 500
£14.95PCT FORMULARY STATUS: Second Line Drugs [Notes:] Sytron (sodium feredetate 27.5mg/5ml) oral solution sugar-free is currently unavailable with an anticipated resupply date of August 2026. 
Clinicians should: 
Consider whether this particular iron salt is preferred and if deemed necessary, prescribe generically (sodium feredetate 27.5mg/5ml oral solution sugar-free), considering appropriateness of use as the available product is classified as a food supplement or consider prescribing an alternative iron salt in liquid formulation that is classified as a medicinal product. 
Please ensure the patient has no documented intolerance to the iron salt prescribed and advice on dose to be administered is provided to the patient/carer; and
Ensure there is no intolerance to excipients of alternative product selected, note that Galfer Liquid contains milk. For other excipients see SmPC.
Please see the medicine supply notification on the SPS website for full details and further management options. Oral IronView BNF Article on 'Sodium Feredetate Elixir'View SPC on 'Sodium Feredetate Elixir'View PIL on 'Sodium Feredetate Elixir'
Sytron (sodium feredetate 27.5mg/5ml) oral solution sugar-free is currently unavailable with an anticipated resupply date of August 2026. Clinicians should: Consider whether this particular iron salt is preferred and if deemed necessary, prescribe generically (sodium feredetate 27.5mg/5ml oral solution sugar-free), considering appropriateness of use as the available product is classified as a food supplement or consider prescribing an alternative iron salt in liquid formulation that is classified as a medicinal product. Please ensure the patient has no documented intolerance to the iron salt prescribed and advice on dose to be administered is provided to the patient/carer; and Ensure there is no intolerance to excipients of alternative product selected, note that Galfer Liquid contains milk. For other excipients see SmPC. Please see the medicine supply notification on the SPS website for full details and further management options.
Phosphate enema
128 ml long tube Pack of 1
£79.12PCT FORMULARY STATUS: Second Line Drugs Oral IronView BNF Article on 'Phosphate enema'View SPC on 'Phosphate enema'View PIL on 'Phosphate enema'

 
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