University Hospitals Birmingham NHS Foundation Trust

Status Drug name NICE TAs Comments Subchapter
Status: Red Tramadol 15.1
Status: Green Tramadol capsules

Second line after morphine and codeine. Soluble tablets - high relative cost - patients with swallowing difficulties.

4.7
Status: Green Tramadol soluble tablets

Second line after morphine and codeine. Soluble tablets - high relative cost - patients with swallowing difficulties.

4.7
Status: Red Trametinib 8.1
Status: Amber Tranexamic acid 5% mouthwash

Palliative use only

2.11
Status: Green Tranexamic acid 500mg tablets 2.11
Status: Red Tranexamic acid injection

Hospital use only

2.11
Status: Red Trastuzumab deruxtecan (Enhertu®) 8.1
Status: Red Trastuzumab emtansine 8.1
Status: Red Trastuzumab infusion

Funding approval should be sought prior to initiation

8.1

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

Grey

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

Red

Red

Initiation and maintenance of prescribing by specialists only.

Amber

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

Green

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

Blue

Blue

Under review at University Hospitals Birmingham NHS Foundation Trust.

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