Medicines Formulary

Reports

Drug name	NICE TAs	Comments
Diclofenac sodium injection		Short term use only
Diclofenac sodium suppositories		Short term use only
Digoxin elixir
Digoxin injection
Digoxin tablets
Dihydrocodeine solution		For patients with swallowing difficulties
Dihydrocodeine tablets
Diltiazem cream (ANOHEAL)	Advice - Chronic anal fissure: 2% topical diltiazem hydrochloride	For patients unable to tolerate or with contraindications to GTN. Very expensive high relative cost.
Diltiazem SR capsules		Tablets - first line. APC preferred brands: Adizem SR capsules and tablets, Adizem XL capsules, Angitil SR capsules, Angitil XL capsules, Tildiem LA capsules
Diltiazem SR tablets

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Drug status key

Formulary drugs are allocated a traffic light status. This provides guidance on where clinical and prescribing responsibilities lie in regard to the initiation and maintenance of prescribing.

Grey

Positive NICE TA and/or awaiting local clarification on place in therapy. Please contact your medicines optimisation team for more information.

Red

Initiation and maintenance of prescribing by specialists only.

Amber

Initiation and maintenance of prescribing by specialists and transfer to primary care prescribing when appropriate, or in primary care following a specialists recommendation. Prior to initiation some medicines may require committee agreement or a framework to support safe transfer and maintenance.

Green

Initiation and maintenance of prescribing by specialists, GPs and other qualified clinicians.

Blue

Under review at University Hospitals Birmingham NHS Foundation Trust.