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Other - Cost: £689,881,567.99 Atorvastatin - Cost: £9,109,732.63 Apixaban - Cost: £10,281,388.69 Trimbow - Cost: £10,982,867.00 Beclometasone / Formoterol MDI (Fostair) - Cost: £13,118,588.96 Empagliflozin (Jardiance) - Cost: £13,893,150.23 Edoxaban (Lixiana) - Cost: £19,888,046.50 FreeStyle Libre 2 Sensor - Cost: £20,225,625.00 Dapagliflozin (Forxiga) - Cost: £26,828,709.16
Formulary Notes (BNF Chapter)
NICE Guidance (30)
Other Links (7)
Important Local Documents (2)
Notes for: Musculoskeletal & joint diseases
Last edited [06/06/2024 11:13:45]


For information about the RCHT retinal screening service for patients on long term therapy of hydroxychloroquine or chloroquine please see additional resources within the ‘important documents’ tab or via links below

·         Retinal screening for patients on hydroxychloroquine and chloroquine

·         Eye health check referral letter for patients taking hydroxychloroquine or chloroquine

 

Cornwall Joint Formulary Recommended Choices     (...Top)
Displaying 36 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
Methotrexate
2.5 mg tab Pack of 100		£4.80PCT FORMULARY STATUS: Specialist advised [Notes:] Used as a weekly dose only Rheumatic Disease Suppressant Drugs
View BNF Article on 'Methotrexate'View SPC on 'Methotrexate'View PIL on 'Methotrexate'
Used as a weekly dose only
Leflunomide
10 mg tab Pack of 30		£2.03PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Leflunomide'View SPC on 'Leflunomide'View PIL on 'Leflunomide'
Leflunomide
20 mg tab Pack of 30		£2.42PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Leflunomide'View SPC on 'Leflunomide'View PIL on 'Leflunomide'
Hydroxychloroquine
200 mg tablets Pack of 60		£3.23PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Do not initiate hydroxychloroquine for new patients with an inflammatory osteoarthritis. Review the benefit in those currently on it for this indication. Patients prescribed it for other reasons should continue as before. (Tamoxifen may interact with hydroxychloroquine – please advise rheumatologist of any patient on this combination.) (Full details under ‘important local documents’ tab.)  Rheumatic Disease Suppressant DrugsView BNF Article on 'Hydroxychloroquine'View SPC on 'Hydroxychloroquine'View PIL on 'Hydroxychloroquine'
Do not initiate hydroxychloroquine for new patients with an inflammatory osteoarthritis. Review the benefit in those currently on it for this indication. Patients prescribed it for other reasons should continue as before. (Tamoxifen may interact with hydroxychloroquine – please advise rheumatologist of any patient on this combination.) (Full details under ‘important local documents’ tab.)
Sulfasalazine (Sulphasalazine) (Salazopyrin EN-Tabs)
500 mg e/c tab Pack of 112		£8.43PCT FORMULARY STATUSSpecialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Sulfasalazine (Sulphasalazine)'View SPC on 'Sulfasalazine (Sulphasalazine)'View PIL on 'Sulfasalazine (Sulphasalazine)'
Methotrexate (Metoject PEN)
10 mg/0.2 ml solution for injection pre-filled pen Pack of 1		£13.26PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Methotrexate'View SPC on 'Methotrexate'View PIL on 'Methotrexate'
Methotrexate (Metoject PEN)
12.5 mg/0.25 ml solution for injection pre-filled pen Pack of 1		£14.35PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Methotrexate'View SPC on 'Methotrexate'View PIL on 'Methotrexate'
Methotrexate (Metoject PEN)
15 mg/0.3 ml solution for injection pre-filled pen Pack of 1		£14.41PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Methotrexate'View SPC on 'Methotrexate'View PIL on 'Methotrexate'
Methotrexate (Metoject PEN)
17.5 mg/0.35 ml solution for injection pre-filled pen Pack of 1		£15.25PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Methotrexate'View SPC on 'Methotrexate'View PIL on 'Methotrexate'
Methotrexate (Metoject PEN)
20 mg/0.4 ml solution for injection pre-filled pen Pack of 1		£15.56PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Methotrexate'View SPC on 'Methotrexate'View PIL on 'Methotrexate'
Methotrexate (Metoject PEN)
25 mg/0.5 ml solution for injection pre-filled pen Pack of 1		£16.13PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Methotrexate'View SPC on 'Methotrexate'View PIL on 'Methotrexate'
Penicillamine
125 mg tab Pack of 56		£109.54PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Penicillamine'View SPC on 'Penicillamine'View PIL on 'Penicillamine'
Penicillamine
250 mg tab Pack of 56		£140.00PCT FORMULARY STATUS: Specialist Initiated Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Penicillamine'View SPC on 'Penicillamine'View PIL on 'Penicillamine'
Methotrexate
10 mg / 5 ml mixture Pack of 1		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Methotrexate'View SPC on 'Methotrexate'View PIL on 'Methotrexate'
Tocilizumab (RoActemra)
80 mg in 4 mL vial Pack of 1		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Tocilizumab'View SPC on 'Tocilizumab'View PIL on 'Tocilizumab'
Rituximab
100 mg in 10 mL vial Pack of 1		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Rituximab'View SPC on 'Rituximab'View PIL on 'Rituximab'
Tocilizumab (RoActemra)
200 mg in 10 mL vial Pack of 1		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Tocilizumab'View SPC on 'Tocilizumab'View PIL on 'Tocilizumab'
Abatacept
125 mg pre-filled syringe Pack of 1		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Abatacept'View SPC on 'Abatacept'View PIL on 'Abatacept'
Abatacept
250 mg vial, poweder for reconstitution Pack of 1		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Abatacept'View SPC on 'Abatacept'View PIL on 'Abatacept'
Certolizumab (Cimzia)
200 mg pre-filled syringe Pack of 1		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Certolizumab'View SPC on 'Certolizumab'View PIL on 'Certolizumab'
Infliximab (Remsima)
100 mg powder for concentrate for solution for infusion vials Pack of 1		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Infliximab'View SPC on 'Infliximab'View PIL on 'Infliximab'
Tocilizumab (RoActemra)
400 mg in 20 mL vial Pack of 1		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Tocilizumab'View SPC on 'Tocilizumab'View PIL on 'Tocilizumab'
Apremilast
30 mg tablets Pack of 56		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Apremilast'View SPC on 'Apremilast'View PIL on 'Apremilast'
Amgevita (Adalimumab)
40 mg/0.8ml pre-filled pens Pack of 2		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Amgevita'View SPC on 'Amgevita'View PIL on 'Amgevita'
Etanercept (Benepali)
50 mg/1ml solution for injection pfs Pack of 4		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Etanercept'View SPC on 'Etanercept'View PIL on 'Etanercept'
Tofacitinib (Xeljanz)
5 mg tablets Pack of 56		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Tofacitinib'View SPC on 'Tofacitinib'View PIL on 'Tofacitinib'
Golimumab
50 mg prefilled pen or syringe Pack of 1		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Golimumab'View SPC on 'Golimumab'View PIL on 'Golimumab'
Baricitinib (Olumiant)
2 mg tablets Pack of 28		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Baricitinib'View SPC on 'Baricitinib'View PIL on 'Baricitinib'
Baricitinib (Olumiant)
4 mg tablets Pack of 28		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Baricitinib'View SPC on 'Baricitinib'View PIL on 'Baricitinib'
Upadacitinib (Rinvoq)
15 mg MR tabs Pack of 28		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant Drugs
View BNF Article on 'Upadacitinib 'View SPC on 'Upadacitinib 'View PIL on 'Upadacitinib '
Filgotinib (Jyseleca )
100 mg tablets Pack of 30		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Filgotinib'View SPC on 'Filgotinib'View PIL on 'Filgotinib'
Filgotinib (Jyseleca )
200 mg tablets Pack of 30		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Filgotinib'View SPC on 'Filgotinib'View PIL on 'Filgotinib'
Rituximab
500 mg in 50 mL vial Pack of 1		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Rituximab'View SPC on 'Rituximab'View PIL on 'Rituximab'
Belimumab
200 mg/1ml solution for injection pre-filled disposable devices (Benlysta tariff) Pack of 4		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Belimumab'View SPC on 'Belimumab'View PIL on 'Belimumab'
Secukinumab (Cosentyx)
150 mg prefilled pen/syringe Pack of 2		 - PCT FORMULARY STATUS: Hospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Secukinumab'View SPC on 'Secukinumab'View PIL on 'Secukinumab'
Guselkumab (Tremfya)
100 mg/1ml solution for solution for injection pre-filled syringes Pack of 1		 - PCT FORMULARY STATUSHospital Only Drugs Rheumatic Disease Suppressant DrugsView BNF Article on 'Guselkumab'View SPC on 'Guselkumab'View PIL on 'Guselkumab'

 
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