netFormulary Portsmouth and South East Hampshire NHS
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 Formulary Chapter 11: Eye - Full Chapter
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11.08  Expand sub section  Miscellaneous ophthalmic preparations
11.08.01  Expand sub section  Tear deficiency, ocular lubricants, and astringents
Sodium Chloride 5% eye drops and ointment
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Formulary
Amber Recommended
 
   
Acetylcysteine 5% with Hypromellose 0.35% (Ilube®)
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Formulary
Amber Recommended
 
   
Carbomer 980 gel (eye drops) (Clinitas®, Viscotears®)
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Restricted Drug Restricted
Green

NHS England low value medication

A prescription for treatment of dry or sore eyes should not routinely be offered in primary care as the condition is appropriate for self-care.

 
   
Carmellose sodium 0.5% eye drops (Optive Fusion®, Optive Plus®)
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Restricted Drug Restricted
Green

Optive Plus contains castor oil in addition to carmellose and glycerol

Optive Fusion contains hyaluronic acid in addition to carmellose and glycerol

NHS England low value medication

A prescription for treatment of dry or sore eyes should not routinely be offered in primary care as the condition is appropriate for self-care.

 
   
Carmellose unit dose eye drops (Celluvisc®)
(0.5% and 1% preservative free)
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Restricted Drug Restricted
Green

NHS England low value medication

A prescription for treatment of dry or sore eyes should not routinely be offered in primary care as the condition is appropriate for self-care.

 
   
Hydroxyethylcellulose unit dose drops (Minims® Artificial Tears)
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Restricted Drug Restricted
Green

NHS England low value medication

A prescription for treatment of dry or sore eyes should not routinely be offered in primary care as the condition is appropriate for self-care.

 
   
Hypromellose 0.3% eye drops and preservative-free eye drops
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Restricted Drug Restricted
Green

NHS England low value medication

A prescription for treatment of dry or sore eyes should not routinely be offered in primary care as the condition is appropriate for self-care.

 
   
Macrogols eye drops (Systane®)
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Restricted Drug Restricted
Green

Eye drops, Unit dose drops, Systane Balance

 
   
Polyvinyl alchohol 1.4% eye drops (SnoTears®)
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Restricted Drug Restricted
Green

NHS England low value medication

A prescription for treatment of dry or sore eyes should not routinely be offered in primary care as the condition is appropriate for self-care.

 
   
Sodium hyaluronate 0.1% eye drops (Hylo-Tear®)
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Restricted Drug Restricted
Green

NHS England low value medication

A prescription for treatment of dry or sore eyes should not routinely be offered in primary care as the condition is appropriate for self-care.

 
   
sodium hyaluronate 0.15% eye drops  (Artelac Rebalance®)
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Restricted Drug Restricted
Green

NHS England low value medication

A prescription for treatment of dry or sore eyes should not routinely be offered in primary care as the condition is appropriate for self-care.

 
   
Sodium hyaluronate 0.2% eye drops (Hylo-Forte®)
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Restricted Drug Restricted
Green

NHS England low value medication

A prescription for treatment of dry or sore eyes should not routinely be offered in primary care as the condition is appropriate for self-care.

 
   
Sodium hyaluronate 0.4% eye drops and unit dose eye drops (Clinitas®)
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Restricted Drug Restricted
Green

NHS England low value medication

A prescription for treatment of dry or sore eyes should not routinely be offered in primary care as the condition is appropriate for self-care.

 
   
Sodium hyaluronate with dexpanthenol 2% eye drops (Hylo-Care®)
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Restricted Drug Restricted
Green

NHS England low value medication

A prescription for treatment of dry or sore eyes should not routinely be offered in primary care as the condition is appropriate for self-care.

 
   
White soft paraffin/liquid paraffin eye ointment (Hylo night®, Lacri-Lube®)
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Restricted Drug Restricted
Green

NHS England low value medication

A prescription for treatment of dry or sore eyes should not routinely be offered in primary care as the condition is appropriate for self-care.

VitA-POS is now marketed as HYLO NIGHT

 
   
11.08.02  Expand sub section  Ocular diagnostic and peri-operative preparations and photodynamic treatment
11.08.02  Expand sub section  Ocular diagnostic preparations
Fluorescein Sodium (Eye drops, injection)
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Formulary
Red

 


 

 
   
11.08.02  Expand sub section  Ocular peri-operative drugs to top
Acetylcholine Chloride (Miochol-E®)
(for intraocular irrigation)
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Formulary
Red
 
   
Apraclonidine (Iopidine®)
(eye drops)
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Formulary
Red

Apraclonidine 0.5% eye drops - short-term adjunctive therapy of chronic glaucoma in patients on maximally tolerated medical therapy who require additional intraocular pressure (IOP) reduction to delay laser treatment or glaucoma surgery.


Apraclonidine 1% single dose - to control or prevent post surgical elevations in intraocular pressure that occur in patients after anterior segment laser surgery.

 
   
Balanced salt solution
(for irrigation)
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Formulary
Red
 
   
Bromfenac (Yellox®)
(eye drops)
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Formulary
Red
 
   
Ketorolac (Acular®)
(eye drops)
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Red
 
   
Nepafenac  (Nevanac®)
(eye drops)
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Formulary
Red

Reduction in the risk of postoperative macular oedema associated with cataract surgery in diabetic patients  - full course to be supplied by hospital.

 
   
Sodium hyaluronate 1% in 1ml (Z-Hyalin®)
(for intraocular use)
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Formulary
Red
 
   
11.08.02  Expand sub section  Subfoveal choroidal neovascularisation
Aflibercept (Eylea®)
(intravitreal injection)
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Red
High Cost Medicine
 
Link  NICE TA 294 Aflibercept solution for injection for treating wet age‑related macular degeneration
Link  NICE TA 305 Aflibercept for treating visual impairment caused by macular oedema secondary to central retinal vein occlusion
Link  NICE TA 346 Aflibercept for treating diabetic macular oedema
Link  NICE TA 486 Aflibercept for treating choroidal neovascularisation
Link  NICE TA409: Aflibercept for treating visual impairment caused by macular oedema after branch retinal vein occlusion
   
Ranibizumab (Lucentis®)
(intravitreal injection)
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Formulary
Red
High Cost Medicine
 
Link  NICE TA 155 Ranibizumab and pegaptanib for the treatment of age-related macular degeneration
Link  NICE TA 274 Ranibizumab for treating diabetic macular oedema
Link  NICE TA 283 Ranibizumab for treating visual impairment caused by macular oedema secondary to retinal vein occlusion
Link  NICE TA 298 Ranibizumab for treating choroidal neovascularisation associated with pathological myopia
   
Verteporfin (Visudyne®)
(for infusion)
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Formulary
Red
High Cost Medicine
 
Link  NICE NG82: Age-related macular degeneration
   
11.08.02  Expand sub section  Vitreomacular traction
Ocriplasmin (Jetrea®)
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Formulary
Red
High Cost Medicine
 
Link  NICE TA 297 Ocriplasmin for treating vitreomacular traction
   
 ....
 Non Formulary Items
Diclofenac  (Voltarol® Ophtha)

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Non Formulary
 
Flurbiprofen Sodium  (Ocufen®)

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Non Formulary
 
Hypromellose 0.3% with Dextran 70 0.1%  (Tears Naturale®)
(eye drops)

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Non Formulary
 
Hypromellose 0.5% eye drops  (Isopto Plain®)

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Non Formulary
 
Hypromellose 1% eye drops  (Isopto Alkaline®)

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Non Formulary
 
Idebenone  (Raxone®)

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Non Formulary
 
Pegaptanib Sodium  (Macugen®)

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Non Formulary
High Cost Medicine

Not recommended by NICE in TA 155

 
Sodium Chloride  (Minims® Saline)

Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Green

Primary and Secondary Care (unrestricted) – may be prescribed by GPs, hospital doctors or other qualified prescribers in primary and secondary care  

Amber Initiation

Amber Initiated: first prescription from specialist, on going supplies from primary care (or when stabilised on therapy).  

Amber Recommended

Amber recommended: first prescription may be supplied by primary care under the advice of a specialist.  

Amber with Shared Care

For initiation within a specialist service followed by ongoing prescribing in primary care according to published shared care guidance  

Red

For initiation and ongoing prescribing in secondary care only. Medicines in this category may be further restricted to use by specific hospital departments only.  

Blue

For prescribing in primary care only  

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