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Birmingham, Sandwell, Solihull and environs APC Formulary
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 Formulary Chapter 14: Immunological products and vaccines - Full Chapter
Notes:

Products will be prescribed and used in accordance with the guidance from the Department of Health handbook “Immunisation against infectious diseases” i.e. the Green Book and specialised services circulars”

Travel vaccines: (in line with Birmingham and Solihull CCG Policy for items which should not be prescribed in primary care  and  NHS Clinical Commissioners Items which should not routinely be prescribed in primary care: Guidance for CCGs) This is a restatement of existing regulations and no changes have been made as a result of this guidance

The following vaccines may be administered on the NHS for the purposes of travel, if clinically appropriate: 

  • Cholera
  • Diphtheria/ Tetanus/ Polio
  • Hepatitis A
  • Typhoid

The following vaccines should not be prescribed on the NHS exclusively for the purposes of travel, but may be prescribed on the NHS for all other indications listed in Immunisation Against Infectious Disease (The Green Book)

  • Hepatitis B
  • Japanese encephalitis
  • Meningitis ACWY
  • Yellow Fever
  • Tick-borne encephalitis
  • Rabies
  • BCG

These vaccines should continue to be recommended for travel, but the individual traveller will need to bear the cost of the vaccination.

Patient Information Leaflet

 Details...
14.05.01  Expand sub section  Normal immunoglobulin
Normal immunoglobulin for Intramuscular use
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Normal immunoglobulin for Subcutaneous use
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Key
note Notes
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Section Title Section Title (sub level)
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Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
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Controlled Drug
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High Cost Medicine
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Cancer Drugs Fund
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Homecare
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Traffic Light Status Information

Status Description

Prescribing in children

The APC notes that the informed use of unlicensed medicines or of licensed medicines for unlicensed applications (‘off-label’ use) is often necessary in paediatric practice.

The APC advises GPs to consider specialist prescribing recommendations for Green and Amber medicines that are not subject to ESCAs or RICaDs in combination with the information provided in the BNFC which goes beyond that of marketing authorisations. The BNFC has been designed for rapid reference and the information presented has been carefully selected to aid decisions on prescribing.
  

Green

Medicines suitable for routine use within primary care. Initiation and maintenance of prescribing by Specialists, GPs and other qualified clinicians.   

Amber Initiation

Amber Specialist Initiation: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate. This may be supported by a RICaD, annotated within the formulary entry.  

Amber Recommended

Amber Specialist Recommendation: Initiation and maintenance of prescribing in Primary Care following recommendation from a Specialist.  

Amber SC

Amber Shared Care: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing, in accordance with an ESCA, annotated within the formulary entry.  

Red

Medicines for initiation and maintenance prescribing by Specialists only.  

Black

Non-formulary Medicines which APC/Trust DTC has actively reviewed and do not recommend for use.  

Grey

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

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