netFormulary
 Report : A-Z of Non formulary items 24/05/2018 18:31:15
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Section Name
03.02  
19.11 Allevyn Adhesive (Rectangle) (Pad 10 x 20) 
19.17 Acticoat 7 15 x 15 
19.15 Activon Tulle (Honey dressing) 10 x 10 
19.19 Advadraw 10 x 15 
27.14 Afex Active Starter Pack  1 High receptacle, 1 pair of briefs, 1 reusable collection bag (500ml 4-6 weeks), 1 cleaning container, 1 cleansing solution, 1 instructional DVD
27.14 Afex briefs waist 2X 44”-46”
27.14 Afex briefs waist XL 40”-42”
27.14 Afex briefs waist small 28”-30”
27.14 Afex briefs waist medium 32"-34"
27.14 Afex briefs waist large 36”-38”
27.14 Afex briefs waist 3X 48”-50”
27.14 Afex collection bag stabiliser-high grip 
27.14 Afex high receptacle 
27.14 Afex low receptacle 
27.14 Afex low supersoft receptacle 
27.14 Afex Mobility Assisted Starter Pack  1 supersoft (90 -120 days) receptacle, 1 pair of briefs, 1 reusable collection bag(1200mls 4-6 weeks
27.14 Afex Sedentary Starter Pack  1 low receptacle, 1 pair of briefs, 1 reusable collection bag (1200mls 4-6 weeks), 1 cleaning container, 1 cleansing solution, 1 instructional DVD
27.14 Afex tube assembly complete  9 per year
27.14 Afex tube stabiliser 
27.14 Afex urine collection bags  1200ml leg bag
27.14 Afex urine collection bags  500ml unvented bag
27.14 Afex urine collection bags  extra capacity
27.14 Afex urine collection bags  500ml vented bag
27.14 Afex urine collection bags  2000ml bed bag
19.11 Allevyn Adhesive (Rectangle) 12.5 x 22.5 
19.11 Allevyn Adhesive Square (Pad 10 x 10) 
19.11 Allevyn Adhesive Square (Pad 15 x 15) 
19.11 Allevyn Adhesive Square (Pad 7.5 x 7.5) 
19.11 Allevyn Adhesive Square 10 x 10 
19.11 Allevyn Adhesive Square 12.5 x 12.5 
19.11 Allevyn Adhesive Square 17.5 x 17.5 
19.11 Allevyn Adhesive Square 7.5 x 7.5  
07.01.01.01 Alprostadil Prostin VR®
08.02.02 Anti-human thymocyte immunoglobulin (rabbit)  Thymoglobuline®
27.13 Appeel No Sting Medical Adhesive Remover Spray  to ease removal of sheaths
27.13 Appeel No Sting Medical Adhesive Remover wipes  to ease removal of sheaths
19.09 Aquacel (Rectangle) 4 x 20 
19.09 Aquacel (Rectangle) 4 x 30 
19.09 Aquacel (square) 10 x 10 
19.09 Aquacel (square) 15 x 15 
19.09 Aquacel (square) 5 x 5 
19.15 Aquacel Ag 10 x 10 
19.15 Aquacel Ag 15 x 15 
22.02 Aqueous cream BP 
19.01 Atrauman 10 x 20 
19.01 Atrauman 7.5 x 10 
27.01 Bard Biocath 
27.01 Bard Biocath 
27.05 Bard Flip Flo Catheter Valve 
27.02 Bardex I.C. Foley Catheter. 
27.02 Bardex I.C. Foley Catheter. 
27.18 Beambridge male draining jug with tap*  
27.18 Beambridge bridge urinal 
27.18 Beambridge female saddle urinal 
27.18 Beambridge funnel * 
27.18 Beambridge lady jug * 
11.08.02 Bevacizumab intravitreal injection Avastin®
19.04 C View 10 x 12 
19.04 C View 15 x 20 
19.04 C View 20 x 30  
A2.04.01.02 Calogen® Extra 
A2.04.01.02 Calshake®  
11.08.01 Carbomer 980 Clinitas®
27.03 Cathejell Mono 12.5g 
27.03 Cathejell Mono 8.5g 
27.03 Cathejell with lidocaine 12.5g 
27.03 Cathejell with lidocaine 8.5g 
22.02 Cetraben emollient bath ® additive 
08.02.02 Ciclosporin 
11.99.99.99 Ciclosporin 
19.14 Clinisorb 10 x 20 
27.08 Coloplast aquasleeve leg bag holder extra large 65+ cm
27.08 Coloplast aquasleeve leg bag holder large 47-64cm
27.08 Coloplast aquasleeve leg bag holder medium 40-46cm
27.08 Coloplast aquasleeve leg bag holder small 24-33cm
27.08 Coloplast aquasleeve leg bag holder standard 34-39cm
27.12 Coloplast Conveen Security Plus Leg bags 350ml 30cm tubing non sterile
27.12 Coloplast Conveen Security Plus Leg bags 
27.12 Coloplast Conveen Security Plus Leg bags 350ml 50cm tubing non sterile
27.12 Coloplast Conveen Security Plus Leg bags 500ml 30cm tubing non sterile
27.02 Coloplast Folysil 
27.01 Coloplast Folysil silicone 
27.01 Coloplast Folysil silicone 
07.03.01 Combined Hormonal Contraceptives Loestrin 20®
27.12 Conveen Activa bag 250ml 
27.12 Conveen Optima latex free self-adhesive sheath standard length 35mm
27.12 Conveen Optima latex free self-adhesive sheath standard length 40mm
27.12 Conveen Optima latex free self-adhesive sheath shorter length 35mm
27.12 Conveen Optima latex free self-adhesive sheath shorter length 25mm
27.12 Conveen Optima latex free self-adhesive sheath shorter length 30mm
27.12 Conveen Optima latex free self-adhesive sheath standard length 30mm
27.12 Conveen Optima latex free self-adhesive sheath standard length 25mm
27.12 Conveen Optima latex free self-adhesive sheath shorter length 21mm
27.13 Conveen prep wipes  used prior to applying sheaths to add adhesion
08.01.05 Crisantaspase Erwinase®
20 Dialyvit® 
06.04.01 Dienogest 
18 Dimercaprol 
11.99.99.99 Disodium Edetate 0.37%  
06.06.02 Disodium Etidronate Didronel®
18 DMPS (unithiol) 
18 DMSA (succimer) 
06.04.01.02 Dydrogesterone Duphaston® HRT
11.03.02 Econazole 1% eye drops 
13.05.03 Efalizumab Raptiva®
A2.04.01.02 Enshake®  
07.04.02 Fesoterodine Toviaz®
20 FLUCYTOSINE Tablets 500 mg 
11.08.02 Fluorescein Anatera®
11.99.99.99 Fluorouracil 
11.03.03 Ganciclovir 0.15% ophthalmic gel Virgan®
11.03.03 Ganciclovir intravitreal injection 
27.06 GB Fix It (Abdominal Strap) 
27.06 GB Fix It (leg strap) 
08.01.05 Gefitinib Iressa®
06.01.02.01 Glipizide 
06.01.06 Glucose Clinitest®
06.01.06 Glucose Diastix®
11.99.99.99 Glycerin  
08.03.04.01 Goserelin-Zoladex® 
27.16 Hollister faecal collector 50cm tubing non sterile 1000ml
27.16 Hollister faecal collector 50cm tubing non sterile 500ml
27.13 Hollister Retracted Penis Pouch 
19.06 Hydrocolloid Pad 7 x 9 
19.06 Hydrocolloid Pad 7 x 9 
11.04.01 Hydrocortisone eye ointment 
22.02 Hydromol fragrance free ® bath additive 
18 Hydroxocobalamin Cyanokit®
11.99.99.99 Hylauronidase Hyalase®
11.08.01 Hypromellose single use Artelac® SDU
07.01.01.01 Indometacin Indocid PDA®
06.01.01.03 Injection Devices OptiPen Pro 1®
27.03 Instillagel 11ml (male) 
27.03 Instillagel 6ml (female) 
08.02.04 Interferon Alfa 
08.02.04 Interferon Alfa Roferon-A®
08.02.04 Interferon Alfa Viraferon®
19.15 Iodoflex 10g 
19.15 Iodoflex 17g 
08.01.05 Irinotecan Hydrochloride Campto®
27.05 Libra Lever Catheter Valve 
19.10 Lyofoam 10 x 10 
27.13 Manfred Sauer p.hold 2cm Penis Holder
27.13 Manfred Sauer p.hold 4cm Penis Holder
27.12 Manfred Sauer P-Sure latex free, self adhesive sheath  large 35mm
27.12 Manfred Sauer P-Sure latex free, self adhesive sheath  medium 30mm
27.12 Manfred Sauer P-Sure latex free, self adhesive sheath  large 40mm
27.12 Manfred Sauer P-Sure latex free, self adhesive sheath  large 37mm
27.12 Manfred Sauer P-Sure latex free, self adhesive sheath  small 20mm
27.12 Manfred Sauer P-Sure latex free, self adhesive sheath  small 24mm
27.12 Manfred Sauer P-Sure latex free, self adhesive sheath  large 32mm
27.12 Manfred Sauer P-Sure latex free, self adhesive sheath  small 22mm
27.12 Manfred Sauer P-Sure latex free, self adhesive sheath  medium 26mm
27.12 Manfred Sauer P-Sure latex free, self adhesive sheath  medium 28mm
27.18 Manfred Sauer uribag (female) 
27.18 Manfred Sauer uribag (male) 
19.18 Mepilex 15 x 16 
19.12 Mepilex Border lite 10 x 10 
19.12 Mepilex lite 15 x 15 
19.01 Mepitel 12 x 15 
19.01 Mepitel 5 x 7.5 
19.13 Mesorb 10 x 15 
19.13 Mesorb 10 x 20 
19.13 Mesorb 15 x 20 
19.13 Mesorb 20 x 25 
19.13 Mesorb 20 x 30 
18 Methionine 
07.02.02 Metronidazole Zidoval®
01.06.04 Micolette® Sodium Citrate 
20 Miglustat 
11.99.99.99 Mitomycin C  
01.04.02 Morphine 
19.01 N/A Ultra 19 x 9.5 
27.07 NaCl 50mls for mechanical flush only
19.11 Non-Adhesive 10 x 20 
22.02 Oilatum gel ® 
22.02 Oilatum plus® (anti-bacterial) 
01.05.01 Olsalazine 
06.01.06 Oral glucose tolerance test Rapilose® OGTT
07.03.02.01 Oral Progestogen Only Contraceptives Cerazette®
07.03.02.01 Oral Progestogen Only Contraceptives Femulen®
07.03.02.01 Oral Progestogen Only Contraceptives Micronor®
07.03.02.01 Oral Progestogen Only Contraceptives Norgeston®
07.03.02.01 Oral Progestogen Only Contraceptives Noriday®
07.03.02 Oral Progestogen-Only Contraceptives Femulen®
07.03.02 Oral Progestogen-Only Contraceptives Norgeston®
07.03.02 Oral Progestogen-Only Contraceptives Cerazette®
07.03.02 Oral Progestogen-Only Contraceptives Micronor®
07.03.02 Oral Progestogen-Only Contraceptives Noriday®
07.03.04 Other Contraceptive Devices 
19.06 Oval Pad 10 x 12 
19.06 Oval Thin 13 x 15 
19.06 Oval Thin Pad 10 x 12 
08.01.05 Paclitaxel Taxol®
08.01.05 Paclitaxel Abraxane®
11.08.01 Paraffin Yellow Soft 
06.06.01 Parathyroid Hormone Preotact®
08.02.04 Peginterferon Alfa PegIntron®
27.17 Peristeen anal irrigation  1 control unit, 2 small rectal catheters, 1 water bag, 1 strap set, 1 toilet bag
27.17 Peristeen anal irrigation  1 set of straps
27.17 Peristeen anal irrigation  2 tubes and blue connectors
27.17 Peristeen anal irrigation  15 Rectal catheters, 1 water bag
27.17 Peristeen anal irrigation  1 control unit, 2 rectal catheters, 1 water bag, 1 strap set, 1 toilet bag
27.17 Peristeen anal irrigation  15 small rectal catheters, 1 water bag
27.17 Peristeen anal irrigation  10 rectal catheters
27.17 Peristeen anal irrigation  10 small rectal catheters
27.15 Peristeen Anal Plug Large 
27.15 Peristeen Anal Plug Small 
11.08.01 Polyvinyl Alchohol SnoTears®
11.08.01 Polyvinyl Alcohol Liquifilm Tears or Sno Tears®
11.99.99.99 Potassium Ascorbate 
18 Potassium ferric hexacyanoferrate 
18 Pralidoxime chloride 
08.02.02 Prednisolone 
27.09.02 ProSys Non Sterile Night drainage bag 2 litre 
27.04 Prosys Vesica Clinic Pack 
06.05.01 Protirelin 
27.17 Qufora monthly set pump, water bag, 15 cones, 15 waste bags and toilet bag
27.17 Qufora starter set pump, water bag, 5 cones, 5 waste bags and toilet bag
08.01.03 Raltitrexed Tomudex®
19.02 Release 10 x 10 
19.02 Release 10 x 20 
27.12 Rochester Freedom Transfix 100% clear silicone sheath Style 3 standard length with extra wide adhesive 29mm
27.12 Rochester Freedom Transfix 100% clear silicone sheath Style 3 standard length with extra wide adhesive 25mm
27.12 Rochester Freedom Transfix 100% clear silicone sheath Style 2 shorter length 29mm
27.12 Rochester Freedom Transfix 100% clear silicone sheath Style 2 shorter length 41mm
27.12 Rochester Freedom Transfix 100% clear silicone sheath Style 3 standard length with extra wide adhesive 32mm
27.12 Rochester Freedom Transfix 100% clear silicone sheath Style 3 standard length with extra wide adhesive 41mm
27.12 Rochester Freedom Transfix 100% clear silicone sheath Style 1 standard length 36mm
27.12 Rochester Freedom Transfix 100% clear silicone sheath Style 1 standard length 32mm
27.12 Rochester Freedom Transfix 100% clear silicone sheath Style 2 shorter length 25mm
27.12 Rochester Freedom Transfix 100% clear silicone sheath Style 1 standard length 29mm
27.12 Rochester Freedom Transfix 100% clear silicone sheath Style 1 standard length 41mm
27.12 Rochester Freedom Transfix 100% clear silicone sheath Style 2 shorter length 32mm
27.12 Rochester Freedom Transfix 100% clear silicone sheath Style 1 standard length 25mm
27.12 Rochester Freedom Transfix 100% clear silicone sheath Style 2 shorter length 36mm
27.12 Rochester Freedom Transfix 100% clear silicone sheath Style 3 standard length with extra wide adhesive 36mm
27.02 Rochester ReleaseNF 
06.01.02.03 Rosiglitazone Avandia®
27.09.03 Rusch Belly Bag 1000ml (short outlet tube with sample port) 
27.09.03 Rusch Belly Bag 1000ml (short outlet tube) 
27.09.03 Rusch Belly bag with extra long (60cm) outlet tube  useful for wheelchair users
27.01 Rusch Brilliant Aquaflate 
27.01 Rusch Brilliant Aquaflate 
27.01 Rusch Brilliant Silflate 
27.01 Rusch Brilliant Silflate 
27.01 Rusch Sympacath Aquaflate 
27.01 Rusch Sympacath Aquaflate 
27.10 Simpla Catheter leg bag straps 
27.05 Simpla Catheter Valve 
27.06 Simpla G Strap (Abdominal strap) 
27.06 Simpla G strap (leg Strap) 
27.09.02 Simpla S5 night bag 
27.09.01 Simpla Trident 2 Long tube 500ml leg bag 
27.09.01 Simpla Trident 2 Short tube 350ml leg bag 
27.09.01 Simpla Trident 2 Short tube 500ml leg bag 
27.09.01 Simpla Trident T1 Long tube 500ml leg bag 
27.09.01 Simpla Trident T1 Short tube 350ml leg bag 
27.09.01 Simpla Trident T1 Short tube 500ml leg bag 
07.04.03 Sodium Bicarbonate 
18 Sodium calcium edetate 
11.08.01 Sodium Chloride Minims® Saline
11.99.99.99 Sodium Citrate 
11.99.99.99 Sodium Hyaluronate  
11.99.99.99 Sodium Hyaluronate with Lidocaine  
18 Sodium nitrite 3% Injection  
19.03 Softpore 10 x 10 
19.03 Softpore 10 x 15 
19.03 Softpore 10 x 20 
27.07 Solution R Citric acid 6% Twin 2 x 30mls
08.01.05 Sorafenib Nexavar®
19.08 Sorbsan Flat 10 x 20 
19.08 Sorbsan Flat 5 x 5 
27.10 Sterile water for injection 10mls plastic vials
27.07 Suby G Citric acid 3.23% Twin 2 x 30mls
08.01.05 Sunitinib Sutent®
19.06 Tegaderm 10 x 12 
19.06 Tegaderm 10 x 12 
19.04 Tegaderm IV 5 x 5.7 (for paeds) 
19.04 Tegaderm IV 8.5 x 10.5 
19.04 Tegaderm with pad 9 x 10 
19.04 Tegaderm with pad 9 x 15 
19.04 Tegaderm with pad 9 x 20 
19.04 Tegaderm with pad 9 x 25 
19.04 Tegaderm with pad 9 x 35 
08.01.05 Temoporfin Foscan®
06.01.06 Test Strips Multistix®
06.01.06 Test strips One Touch® Ultra
06.04.02 Testosterone and Esters Andropatch®
06.04.02 Testosterone and Esters Testim®
08.01.01 Thiotepa 
08.01.03 Tioguanine Lanvis®
08.01.05 Topotecan Hycamtin®
13.06.01 Tretinoin Retin-A®
20 UBIQUENONE 50mg VIT E 15iu/5ml Liq 10 
06.01.06 Urinalysis Clinitest®
The Rotherham