| Name | Tariff | BNF Sub Paragraph | |
| Permeable Non-Woven Synthetic Adhesive Tape 1988 (Scanpor ) 2.5 cm x 5m Pack of 1 | £0.69 | Surgical Adhesive Tape |    |
| Sildenafil 25 mg tab Pack of 4 | £0.74 | Drugs For Erectile Dysfunction |    |
| Sildenafil 50 mg tab Pack of 4 | £0.80 | Drugs For Erectile Dysfunction |    |
| Sildenafil 100 mg tab Pack of 4 | £0.87 | Drugs For Erectile Dysfunction |    |
| Senna Oral Solution (Senokot Liquid) 7.5 mg/5ml Pack of 100 | £0.95 | Stimulant Laxatives |    |
| Sertraline 50 mg tablets Pack of 28 | £1.04 | 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 50 mg tab Pack of 6 | £1.15 | Treatment Of Acute Migraine |    |
| Sertraline 100 mg tablets Pack of 28 | £1.22 | Selective Serotonin Re-Uptake Inhibitors |    |
| Sumatriptan 100 mg tab Pack of 6 | £1.38 | Treatment Of Acute Migraine |    |
| Salbutamol MDI (Salamol) 100 mcg inhaler (200 doses) Pack of 1 | £1.46 | Selective Beta(2)-Agonists |    |
| Spironolactone 25 mg tab Pack of 28 | £1.58 | Pot-Sparing Diuretics&Aldosterone Antag |    |
| Senna Tab 7.5 mg tab Pack of 60 | £1.62 | Stimulant Laxatives |    |
| Solifenacin 5 mg tablets Pack of 30 | £1.65 | Drugs/Urin'y Frequ'cy Enuresis & Incont |    |
| Solifenacin 10 mg tablets Pack of 30 | £1.81 | Drugs/Urin'y Frequ'cy Enuresis & Incont |    |
| Salbutamol Powder (Ventolin Accuhaler) 200 mcg (60 dose unit) Pack of 1 | £1.99 | Selective Beta(2)-Agonists |    |
| Sodium Cromoglicate Eye Drops 2 % aqueous drops (13.5ml) Pack of 1 | £2.42 | Other Anti-Inflammatory Preparations |    |
| Spironolactone 50 mg tab Pack of 28 | £2.46 | Pot-Sparing Diuretics&Aldosterone Antag |    |
| Sulpiride 200 mg tab Pack of 30 | £2.90 | Antipsychotic Drugs |    |
| Sodium Chloride Eye Drops 0.9 % eye drops 10ml unit Pack of 1 | £2.96 | Tear Deficiency,Eye Lubricant/Astringent |    |
| Salicylic Acid Gel (Salatac Gel) 12 % gel (8g tube+emery board) Pack of 8 | £2.98 | Preparations For Warts And Calluses |    |
| Spironolactone 100 mg tab Pack of 28 | £3.00 | Pot-Sparing Diuretics&Aldosterone Antag |    |
| Pizotifen (Sanomigran) 0.25 mg / 5mls elixir Pack of 300 | £3.61 | Prophylaxis Of Migraine |    |
| Silver Sulphadiazine Cream (Flamazine) 1 % cream (Tube) Pack of 50 | £3.85 | Antibacterial Preps Only Used Topically |    |
FP10 POM |
| Fluocinolone acetonide (Synalar) 0.025 % gel (30g tube) Pack of 1 | £4.14 | Topical Corticosteroids |    |
Potent |
| Space Chamber Plus 1 Space Chamber Plus device Pack of 1 | £4.26 | Peak Flow Meters, Inhaler Devices and Nebulisers |    |
| Space Chamber Plus Compact 1 Space Chamber Plus Compact device Pack of 1 | £4.26 | Peak Flow Meters, Inhaler Devices and Nebulisers |    |
| Soft polymer wound contact dressing (Aquacel Foam dressing (non-adhesive)) 15 cm x 15cm Pack of 1 | £4.30 | Wound Management & other Dressings |    |
| Pseudoephedrine Tablet (Sudafed) 60 mg tab Pack of 20 | £4.68 | Systemic Nasal Decongestants |    |
| Sodium chloride solution (Clinipod) 0.9 irrigation solution 20ml unit dose Pack of 25 | £4.95 | Vehicles and Emulsifying Agents |    |
| Morphine Sulphate (Sevredol ) 10 mg tab Pack of 56 | £5.31 | Opioid Analgesics |    |
| Sodium Chloride Inhalation Solution 0.9 % unit dose vials (2.5ml) Pack of 20 | £5.32 | Topical Nasal Decongestants
Peak Flow Meters, Inhaler Devices and Nebulisers |    |
| Sodium Valproate Crushable (Epilim) 100 mg tab Pack of 100 | £5.60 | Control Of Epilepsy |    |
Valproate must not be used in any woman or girl able to have children unless there is a pregnancy prevention programme (PPP) in place. Please see MHRA guidance regarding valproate use by women and girls. |
| Systane Ultra eye drops 10 ml unit Pack of 1 | £6.69 | Tear Deficiency,Eye Lubricant/Astringent |    |
| Space Chamber Plus 1 Space Chamber Plus with medium mask device Pack of 1 | £6.98 | Peak Flow Meters, Inhaler Devices and Nebulisers |    |
| Space Chamber Plus Compact 1 Space Chamber Plus Compact with small mask device Pack of 1 | £6.98 | Peak Flow Meters, Inhaler Devices and Nebulisers |    |
| Space Chamber Plus Compact 1 Space Chamber Plus Compact with medium mask device Pack of 1 | £6.98 | Peak Flow Meters, Inhaler Devices and Nebulisers |    |
| Space Chamber Plus Compact 1 Space Chamber Plus Compact with large mask device Pack of 1 | £6.98 | Peak Flow Meters, Inhaler Devices and Nebulisers |    |
| Senna Oral Solution (Senokot Liquid) 7.5 mg/5ml Pack of 500 | £6.99 | Stimulant Laxatives |    |
| Sunscreen (Uvistat) 30 factor Water-resistant Cream Pack of 125 | £7.45 | Sunscreening Preparations |    |
| Sodium Valproate Tablet (Epilim) 200 mg tab EC Pack of 100 | £7.70 | Control Of Epilepsy |    |
Valproate must not be used in any woman or girl able to have children unless there is a pregnancy prevention programme (PPP) in place. Please see MHRA guidance regarding valproate use by women and girls. |
| Stoma Paste (Stomahesive Paste) 60 g Stomahesive Paste S105 Pack of 1 | £7.74 | Skin Fillers And Protectives |    |
| Sodium Valproate Solution (Epilim) 200 mg / 5ml SF Pack of 300 | £7.78 | Control Of Epilepsy |    |
Valproate must not be used in any woman or girl able to have children unless there is a pregnancy prevention programme (PPP) in place. Please see MHRA guidance regarding valproate use by women and girls |
| Sunscreen (Uvistat) 50 factor Water-resistant Cream Pack of 125 | £8.45 | Sunscreening Preparations |    |
| Sodium Valproate Solution (Epilim) 200 mg / 5ml Syrup Pack of 300 | £9.33 | Control Of Epilepsy |    |
Valproate must not be used in any woman or girl able to have children unless there is a pregnancy prevention programme (PPP) in place. Please see MHRA guidance regarding valproate use by women and girls |
| Potassium Chloride Tab (Sando-K) 470 mg effevescent Tab Pack of 100 | £9.95 | Oral Potassium |    |
| Morphine Sulphate (Sevredol ) 20 mg tab Pack of 56 | £10.61 | Opioid Analgesics |    |
| Co-careldopa MR (Sinemet CR) 50 /200mg Tab MR Pack of 60 | £11.60 | Dopaminergic Drugs Used In Parkinsonism |    |
| Sodium Valproate M/R (Epilim Chrono) 200 mg tab MR Pack of 100 | £11.65 | Control Of Epilepsy |    |
Valproate must not be used in any woman or girl able to have children unless there is a pregnancy prevention programme (PPP) in place. Please see MHRA guidance regarding valproate use by women and girls |
| Co-careldopa 275 (Sinemet-275) 25 /250mg Tab Pack of 90 | £13.72 | Dopaminergic Drugs Used In Parkinsonism |    |
| Sumatriptan Nasal Spray (Imigran Nasal Spray) 20 mg / spray Pack of 2 | £14.16 | Treatment Of Acute Migraine |    |
| Sodium Valproate M/R (Epilim Chrono) 300 mg tab MR Pack of 100 | £17.47 | Control Of Epilepsy |    |
Valproate must not be used in any woman or girl able to have children unless there is a pregnancy prevention programme (PPP) in place. Please see MHRA guidance regarding valproate use by women and girls |
| Calcitriol ointment (Silkis) 3 mcg/g 100g Pack of 100 | £18.06 | Preparations For Psoriasis |    |
| Sodium Valproate Tablet (Epilim) 500 mg tab EC Pack of 100 | £19.25 | Control Of Epilepsy |    |
Valproate must not be used in any woman or girl able to have children unless there is a pregnancy prevention programme (PPP) in place. Please see MHRA guidance regarding valproate use by women and girls. |
| Sulpiride 400 mg tab Pack of 30 | £22.49 | Antipsychotic Drugs |    |
| Sulpiride (Sulpor) 200 mg/5mL 150ml pack Pack of 1 | £27.00 | Antipsychotic Drugs |    |
| Budesonide/ Formoterol (Symbicort Turbohaler) 100 / 6mcg (120 dose unit) Pack of 1 | £28.00 | Corticosteroids (Respiratory) |    |
| Budesonide/Formoterol (Symbicort) 200 mcgs/dose/6micrograms/dose pressurised inhaler 120 dose Pack of 1 | £28.00 | Corticosteroids (Respiratory) |    |
| Morphine Sulphate (Sevredol ) 50 mg tab Pack of 56 | £28.02 | Opioid Analgesics |    |
| Sodium Valproate M/R (Epilim Chrono) 500 mg tab MR Pack of 100 | £29.10 | Control Of Epilepsy |    |
Valproate must not be used in any woman or girl able to have children unless there is a pregnancy prevention programme (PPP) in place. Please see MHRA guidance regarding valproate use by women and girls |
| 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 |    |
| Tiotropium bromide / Olodaterol inhaler (Spiolto Respimat) 2.5 micrograms/dose inhalation solution refill cartridge Pack of 1 | £32.50 | Compound Bronchodilator Preparations |    |
| Tiotropium (Spiriva) 18 mcg refill pack Pack of 30 | £33.50 | Antimuscarinic Bronchodilators |    |
| Amisulpride (Solian) 100 mg / ml solution Pack of 60 | £33.76 | Antipsychotic Drugs |    |
| Sumatriptan Inj (Imigran Subject) 6 mg Refill Pack of 2 | £48.49 | Treatment Of Acute Migraine |    |
| Sumatriptan Inj (Imigran Subject) 6 mg Unit Pack of 2 | £50.96 | Treatment Of Acute Migraine |    |
| Sodium Citrate Micro-enema (Micralax Micro-enema) 5 ml enema Pack of 1 | £0.41 | Osmotic Laxatives |    |
| Simvastatin 10 mg tab Pack of 28 | £0.75 | Lipid-Regulating Drugs |    |
| Simvastatin 20 mg tab Pack of 28 | £0.77 | Lipid-Regulating Drugs |    |
| Simvastatin 40 mg tab Pack of 28 | £0.89 | Lipid-Regulating Drugs |    |
| Sodium Bicarbonate Ear Drops 10 ml unit Pack of 10 | £0.98 | Removal of Ear Wax & other Substances |    |
| Sevoflurane 250 mL bottle inhalation Pack of 1 | - | Inhalational Anaesthetics |    |
| Salbutamol Solution 2 mg/5ml oral solution sugar free Pack of 150 | £1.15 | Selective Beta(2)-Agonists |    |
| Simvastatin 80 mg tab Pack of 28 | £1.39 | Lipid-Regulating Drugs |    |
| Simple Linctus 200 mls Pack of 200 | £1.40 | Expectorant & Demulcent Cough Prep's |    |
| Scheriproct 12 suppositories Pack of 12 | £1.52 | Co Haemorrhoidal Prep's + Corticosteroid |    |
| Selenium Sulphide Shampoo (Selsun) 2.5 % Shampoo Pack of 50 | £1.61 | Shampoos And Some Other Scalp Prep's |    |
| Simple Linctus 200 mls SF Pack of 200 | £1.65 | Expectorant & Demulcent Cough Prep's |    |
| Sodium dihydrogen phosphate dihydrate (Cleen) 133 ml Ready-to-use Enema Pack of 1 | £1.95 | Osmotic Laxatives |    |
| Co-Trimoxazole Suspension (Septrin) 240 mg / 5ml Paediactric Suspension Pack of 100 | £2.45 | Sulphonamides And Trimethoprim |    |
| Simethicone Liquid (Infacol) 40 mg / ml 50 ml suspension Pack of 50 | £2.71 | Antacids and Simeticone |    |
| Scheriproct 30 g Ointment Pack of 30 | £3.23 | Co Haemorrhoidal Prep's + Corticosteroid |    |
| Sodium Picosulfate / Magnesium Citrate Sachet (Picolax) 10 mg / 13.5mg per sachet (2 sachet pack) Pack of 2 | £3.39 | Bowel Cleansing Solutions |    |
| Sofradex Ointment 5 g tube Pack of 1 | £3.46 | Otitis Externa |    |
| Saline Catheter Solution (Optiflo S) 0.9 % Solution Pack of 100 | £3.53 | Catheter Maintenance Solutions |    |
| Co-Trimoxazole Suspension (Septrin) 480 mg / 5ml Adult Suspension Pack of 100 | £4.41 | Sulphonamides And Trimethoprim |    |
| Acenocoumarol Tablet (SINTHROME) 1 mg tab Pack of 100 | £4.62 | Oral Anticoagulants |    |
| Pivmecillinam Tablet (Selexid) 200 mg tab Pack of 10 | £5.40 | Mecillinams
Primary Care - Urinary Tract Infections
Urinary-Tract Infections |    |
| Verapamil SR (Securon SR) 240 mg tab Pack of 28 | £5.55 | Calcium-Channel Blockers |    |
| Coal Tar Scalp Ointment (Sebco) 12 % solution Pack of 40 | £6.20 | Preparations For Psoriasis |    |
| Medroxyprogesterone (Sayana Press) 104 mg/0.65 ml suspension Pack of 1 | £6.90 | Parenteral Progestogen-only Contracep |    |
| Sofradex Ear / Eye Drops 10 ml unit ear drops Pack of 1 | £7.50 | Otitis Externa |    |
| Selegiline 10 mg tab Pack of 30 | £9.67 | Dopaminergic Drugs Used In Parkinsonism |    |
| Selegiline 5 mg tab Pack of 60 | £9.91 | Dopaminergic Drugs Used In Parkinsonism |    |
| Sodium Feredetate Elixir (Sytron) 27.5 mg / 5ml S/F (500ml unit) Pack of 500 | £14.95 | Oral Iron |    |
| Co-Trimoxazole (Septrin) 480 mg Tab Pack of 100 | £15.52 | Sulphonamides And Trimethoprim |    |
| Fluticasone / Salmeterol Accuhaler (Seretide Accuhaler) 100 /50mcg /dose (60 dose unit) Pack of 1 | £17.46 | Corticosteroids (Respiratory) |    |
| Fluticasone / Salmeterol MDI (Seretide Evohaler) 50 /25mcg (120dose unit) Pack of 1 | £17.46 | Corticosteroids (Respiratory) |    |
| Ivermectin (Soolantra) 10 mg/g cream 30g Pack of 30 | £18.29 | Topical Preparations For Acne |    |
Mild papulopustular rosacea is usually managed by azelaic acid 15% gel. For moderate to severe inflammatory lesions of rosacea where a topical treatment is appropriate, ivermectin 1% cream should be used instead of topical metronidazole. Systemic antibiotics are reserved for more severe disease. |
| Sitagliptin 100 mg tablets Pack of 28 | £19.49 | Other Antidiabetics |    |
| Generic SMA Alfamino (SMA Alfamino) 400 gm powder Pack of 1 | £22.98 | Foods For Special Diets |    |
| Fluticasone / Salmeterol MDI (Seretide Evohaler) 125 /25mcg (120 dose unit) Pack of 1 | £23.45 | Corticosteroids (Respiratory) |    |
| Co-Trimoxazole (Septrin) 960 mg Forte Tab Pack of 100 | £23.46 | Sulphonamides And Trimethoprim |    |
| Budesonide/ Formoterol (Symbicort Turbohaler) 200 / 6mcg (120 dose unit) Pack of 1 | £28.00 | Corticosteroids (Respiratory) |    |
| Budesonide/ Formoterol (Symbicort Turbohaler) 400 / 12mcg (60 dose unit) Pack of 1 | £28.00 | Corticosteroids (Respiratory) |    |
| Salmeterol MDI (Serevent Evohaler) 25 mcg (120 doses) Pack of 1 | £29.26 | Selective Beta(2)-Agonists |    |
| Fluticasone / Salmeterol MDI (Seretide Evohaler) 250 /25mcg (120 dose unit) Pack of 1 | £29.32 | Corticosteroids (Respiratory) |    |
| 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) |    |
| Tiotropium (Spiriva) 18 mcg combopak (with Handihaler) Pack of 30 | £34.87 | Antimuscarinic Bronchodilators |    |
| Salmeterol DPI (Serevent Accuhaler) 50 mcg/dose (60 dose unit) Pack of 1 | £35.11 | Selective Beta(2)-Agonists |    |
| Itraconazole Solution (Sporanox Liquid) 10 mg/ ml Pack of 150 | £58.34 | Antifungal Drugs |    |
| 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 |    |
| Similac High Energy 60 ml liquid Pack of 1 | £0.69 | Foods |    |
| Sotalol 40 mg tab Pack of 28 | £0.91 | Beta-Adrenoceptor Blocking Drugs |    |
| Sotalol 80 mg tab Pack of 28 | £1.00 | Beta-Adrenoceptor Blocking Drugs |    |
| Testosterone Injection (Sustanon 250) 250 mg / 1ml Amp Pack of 1 | £2.45 | Male Sex Hormones And Antagonists |    |
| Sodium Bicarbonate Capsules 500 mg cap Pack of 56 | £4.11 | Oral Bicarbonate |    |
| Sulfasalazine (Sulphasalazine) (Salazopyrin) 500 mg tab Pack of 100 | £6.22 | Aminosalicylates |    |
| Sulfasalazine (Sulphasalazine) (Salazopyrin EN-Tabs) 500 mg e/c tab Pack of 112 | £8.43 | Aminosalicylates
Rheumatic Disease Suppressant Drugs |    |
| 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 |    |
| SMA Althera 450 g powder Pack of 1 | £11.09 | Foods |    |
| Tafluprost Eye Drops (Saflutan) 15 mcg (0.3ml unit) Pack of 30 | £11.39 | Treatment Of Glaucoma |    |
Administered OD (night/evening) |
| Octreotide Ampoule (Sandostatin) 50 mcg / 1ml Ampoule Pack of 5 | £14.87 | Somatostatin Analogues |    |
| Liquid Diet (Survimed OPD) 1000 ml easybag Pack of 1000 | £15.28 | Enteral Nutrition |    |
| Nutrition Milkshake Sachet (Scandishake Mix) 85 g sachets (banana) Pack of 6 | £15.54 | Enteral Nutrition |    |
| Nutrition Milkshake Sachet (Scandishake Mix) 85 g sachets (strawberry) Pack of 6 | £15.54 | Enteral Nutrition |    |
| Nutrition Milkshake Sachet (Scandishake Mix) 85 g sachets (caramel) Pack of 6 | £15.54 | Enteral Nutrition |    |
| Nutrition Milkshake Sachet (Scandishake Mix) 85 g sachets (vanilla) Pack of 6 | £15.54 | Enteral Nutrition |    |
| 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 |    |
| Vigabatrin (Sabril) 500 mg sachets Pack of 50 | £24.60 | Control Of Epilepsy |    |
| Sevelamer Carbonate 800 mg tab Pack of 180 | £27.66 | Phosphate Binding Agents |    |
Sevelamer carbonate (available as generic tablet) is the preferred salt |
| Octreotide Ampoule (Sandostatin) 100 mcg / 1ml Ampoule Pack of 5 | £27.97 | Somatostatin Analogues |    |
| Pilocarpine Tab (Salagen) 5 mg Tab Pack of 84 | £41.14 | Treatment Of Dry Mouth |    |
| Melatonin (Slenyto) 1 mg MR tablets Pack of 60 | £41.20 | Other Health Supplements |    |
| 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 |    |
| Sacubitril / Valsartan (Entresto) 24 mg tablets Pack of 28 | £45.78 | Renin Inhibitors |    |
Please see shared care guidelines for information as to when it is suitable for GP to initiate prescribing based on cardiology advice |
| Sacubitril / Valsartan (Entresto) 49 mg tablets Pack of 28 | £45.78 | Renin Inhibitors |    |
Please see shared care guidelines for information as to when it is suitable for GP to initiate prescribing based on cardiology advice |
| Nafarelin Nasal Spray (Synarel) 200 mcg / spray (60 dose unit) Pack of 60 | £52.43 | Drugs affecting Gonadotrophins |    |
| Octreotide Ampoule (Sandostatin) 1 mg / 5ml Vial Pack of 1 | £55.73 | Somatostatin Analogues |    |
| Semaglutide (Rybelsus) 3 mg tabs Pack of 30 | £78.48 | Other Antidiabetics |    |
Specialist initiated or advised only |
| Semaglutide (Rybelsus) 7 mg tabs Pack of 30 | £78.48 | Other Antidiabetics |    |
Specialist initiated or advised only |
| Semaglutide (Rybelsus) 14 mg tabs Pack of 30 | £78.48 | Other Antidiabetics |    |
Specialist initiated or advised only |
| Sirolimus (Rapamune) 1 mg Tab Pack of 30 | £86.49 | Cortico'oids & Other Immunosuppressants |    |
| Sacubitril / Valsartan (Entresto) 97 mg tablets Pack of 56 | £91.56 | Renin Inhibitors |    |
Please see shared care guidelines for information as to when it is suitable for GP to initiate prescribing based on cardiology advice |
| Somatropin (Genotropin) 5.3 mg refill cart Pack of 1 | £92.15 | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| Sulfasalazine (Sulphasalazine) 250 mg/5ml suspension sugar free Pack of 500 | £94.22 | Chronic Bowel Disorders |    |
| Melatonin (Slenyto) 5 mg MR tablets Pack of 30 | £103.00 | Other Health Supplements |    |
| Sodium clodronate (Loron) 520 mg Tab Pack of 60 | £114.44 | Biphosphonates and Other Drugs |    |
| Octreotide Ampoule (Sandostatin) 500 mcg / 1ml Ampoule Pack of 5 | £135.47 | Somatostatin Analogues |    |
| Sirolimus solution (Rapamune) 1 mg / 1ml Pack of 60 | £162.41 | Cortico'oids & Other Immunosuppressants |    |
| 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 |    |
| Sirolimus (Rapamune) 2 mg Tab Pack of 30 | £172.98 | Cortico'oids & Other Immunosuppressants |    |
| Somatropin (Saizen) 8 mg (24 i.u.) click.easy injection pfs Pack of 1 | £183.00 | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| Stilboestrol/ Stilbestrol (Diethylstilboestrol/ Diethylstilbestrol) 5 mg tab Pack of 28 | £208.00 | Oestrogens |    |
| Somatropin (Genotropin) 12 mg refill cart Pack of 1 | £208.65 | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| Sodium zirconium cyclosilicate (Lokelma) 5 g oral powder sachets Pack of 30 | £213.60 | Oral Potassium |    |
| 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. |
| Somatropin (rbe) solution for injection (Omnitrope SurePal) 5 mg/1.5ml solution Pack of 5 | £368.74 | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| 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 |    |
| Somatropin (Humatrope) 24 mg cart Pack of 1 | £432.00 | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| Octreotide Injection (Sandostatin LAR) 10 mg Vial Pack of 1 | £549.71 | Somatostatin Analogues |    |
| 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 |    |
| Somatropin (rbe) solution for injection (Omnitrope SurePal) 10 mg/1.5ml solution Pack of 5 | £737.49 | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| Octreotide Injection (Sandostatin LAR) 20 mg Vial Pack of 1 | £799.33 | Somatostatin Analogues |    |
| Lanreotide Injection (Somatuline Autogel) 120 mg prefilled syringe Pack of 1 | £937.00 | Somatostatin Analogues |    |
| Octreotide Injection (Sandostatin LAR) 30 mg Vial Pack of 1 | £998.41 | Somatostatin Analogues |    |
| Sodium Hyaluronate 40 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 |    |
| Ergometrine / Oxytocin (Syntometrine) 500 micrograms/1ml solution for injection ampoules Pack of 5 | - | Prostaglandins And Oxytocics |    |
| 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 |    |
| Tetracosactide Injection (Synacthen) 1 mg / 1ml Amp Depot Pack of 10 | - | Hypothalamic&Ant Pituit Hormone&Antioest |    |
| Streptokinase (Streptase) 1.5 million unit vial Pack of 1 | - | Fibrinolytic drugs |    |
| 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 |    |
| 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 |    |
| 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 |    |
| Tezacaftor (Symkevi ) 50 mg/75mg tablets Pack of 28 | - | Mucolytics |    |
| Tezacaftor (Symkevi ) 100 mg/150mg tablets Pack of 28 | - | Mucolytics |    |
| Soya Protein Baby Powder (Wysoy) 430 g unit Pack of 1 | £5.32 | Foods For Special Diets |    |
| Paroxetine (Seroxat) 20 mg tab Pack of 30 | £15.23 | Selective Serotonin Re-Uptake Inhibitors |    |
| Simple Eye Ointment 4 g tube Pack of 4 | £63.41 | Tear Deficiency,Eye Lubricant/Astringent |    |
Do not prescribe |