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Cost
Packs
Items
Other - Cost: £688,080,239.62 FreeStyle Libre 2 Sensor  - Cost: £12,254,165.00 Dapagliflozin (Forxiga) - Cost: £12,587,194.88 Influenza vaccine  (Adjuvanted trivalent ) - Cost: £12,621,032.26 Edoxaban (Lixiana) - Cost: £12,904,325.00 Influenza vaccine (Fluad) - Cost: £12,981,306.32 Beclometasone / Formoterol MDI (Fostair) - Cost: £16,405,595.52 Rivaroxaban - Cost: £20,013,611.40 Apixaban - Cost: £36,559,522.60
Formulary Notes (BNF Chapter)
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Important Local Documents (4)

Cornwall Joint Formulary Recommended Choices     (...Top)
Displaying 4 Drugs

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

NameTariffBNF Sub Paragraph
Glucose detection sensor (Dexcom One)
1 kit Pack of 1
£25.00PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] People (both adults and children) with type 1 diabetes attending specialist secondary care clinics for their diabetes and who have been assessed by their specialist to meet the prevailing NHS Cornwall and Isles of Scilly criteria (as detailed in the NHS Cornwall Commissioning policies 2022 to 2023 which is available in the above link) for interstitial continuous glucose monitoring (isCGM) (also known as flash glucose monitoring or FreeStyle Libre) and who:

need for alternative site to upper arm,
with site reaction to isCGM (hypersensitivity),
with preference for rtGCM,
with accuracy concerns with isCGM for example, sensor connection,
requiring continuous access to glucose trends for example, alongside an insulin pump or
unable to scan sensor 
pacemaker Other Appliances
View BNF Article on 'Glucose detection sensor'View SPC on 'Glucose detection sensor'View PIL on 'Glucose detection sensor'
People (both adults and children) with type 1 diabetes attending specialist secondary care clinics for their diabetes and who have been assessed by their specialist to meet the prevailing NHS Cornwall and Isles of Scilly criteria (as detailed in the NHS Cornwall Commissioning policies 2022 to 2023 which is available in the above link) for interstitial continuous glucose monitoring (isCGM) (also known as flash glucose monitoring or FreeStyle Libre) and who: need for alternative site to upper arm, with site reaction to isCGM (hypersensitivity), with preference for rtGCM, with accuracy concerns with isCGM for example, sensor connection, requiring continuous access to glucose trends for example, alongside an insulin pump or unable to scan sensor pacemaker
Flutter mucus clearance device (Flutter)
1 device Pack of 1
£40.50PCT FORMULARY STATUSSpecialist Initiated Drugs Other AppliancesView BNF Article on 'Flutter mucus clearance device 'View SPC on 'Flutter mucus clearance device 'View PIL on 'Flutter mucus clearance device '
Second line choice for patients with COPD and bronchiectasis following a request from the specialist respiratory physiotherapy team.
Oscillating positive expiratory pressure device (Acapella)
1 mucus clearance device Pack of 1
£40.50PCT FORMULARY STATUSSpecialist Initiated Drugs Other AppliancesView BNF Article on 'Oscillating positive expiratory pressure device 'View SPC on 'Oscillating positive expiratory pressure device 'View PIL on 'Oscillating positive expiratory pressure device '
For initiation in patients with COPD and bronchiectasis following a request from the specialist respiratory physiotherapy team.
Oscillating positive expiratory pressure device (Aerobika)
1 mucus clearance device Pack of 1
£45.50PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] To be initiated for patients with COPD and bronchiectasis following a request from the specialist respiratory physiotherapy team. Other AppliancesView BNF Article on 'Oscillating positive expiratory pressure device'View SPC on 'Oscillating positive expiratory pressure device'View PIL on 'Oscillating positive expiratory pressure device'
To be initiated for patients with COPD and bronchiectasis following a request from the specialist respiratory physiotherapy team.

 
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