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 Formulary Chapter 25: A2 - Borderline substances - Full Chapter
A2.02.02.01  Expand sub section  Nutritional supplements: 1.5 kcal/mL and ≥5 g protein/100 mL
Ensure Plus Milkshake style
(Nutritional supplement)
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Formulary
GP - 2nd
  • Bottle (200mL)
  • Vanilla, strawberry, chocolate, coffee, fruits of the forest, neutral, orange, peach, raspberry and banana
  • Clinically lactose and gluten free Halal certified (except vanilla)
  • Kosher certified and suitable for vegetarian diet (except strawberry, fruits of the forest, peach, raspberry)

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary

Primary care notes

Second-choice product - for patients who did not tolerate first-line choices - see Primary Care Guidance

 
Link  NCL JFC: Oral Nutritional Supplement Formulary in Adults - Primary Care Guidance
   
AYMES Complete
(Nutritional supplement)
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Formulary
GP - 2nd
  • Bottle (200mL)
  • Banana, vanilla, chocolate, strawberry
  • Contains lactose
  • Gluten Free
  • Halal certified (except strawberry)
  • Suitable for Kosher and vegetarians diets (except strawberry)

Provider notes

Non-formulary 

Primary care notes

Second-choice product - for patients who did not tolerate first-line choices - see Primary Care Guidance

 
Link  NCL JFC: Oral Nutritional Supplement Formulary in Adults - Primary Care Guidance
   
Ensure Plus Advance
(Nutritional supplement)
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Formulary
Black

Not approved for any condition (JFC July 2020)

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Link  NCL JFC: Ensure Plus Advance Position Statement
   
Ensure Plus Fibre
(Nutritional supplement)
View adult BNF View SPC online View childrens BNF
Formulary

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
   
Ensure Plus Yoghurt style
(Nutritional supplement)
View adult BNF View SPC online View childrens BNF
Formulary

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
   
 ....
 Non Formulary Items
Altraplen Protein

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Non Formulary
 
Ensure Plus Commence

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Non Formulary
 
Ensure Plus Savoury

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Non Formulary
 
Fortisip Bottle
(Sip feed)

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Non Formulary
 
Fortisip Multi Fibre

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Non Formulary
 
Fortisip Range

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Non Formulary
 
Fortisip Yoghurt Style

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Non Formulary
 
Fresubin Energy
(Sip feed)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fresubin Energy Fibre
(Sip feed)

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Non Formulary
 
Fresubin Protein Energy Drink

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Non Formulary
 
Fresubin Thickened

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Non Formulary
 
Fresubin YOcrème

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Non Formulary
 
Nutrison Energy Multi Fibre

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Non Formulary
 
Resource Energy
(Sip feed)

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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
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
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

GP - 1st

Medicines suitable for first-line use within primary care.

Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing. 

  

GP - 2nd

Medicines suitable for second-line use within primary care.

Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing. 

  

GP - Amber

Medicines that should be initiated by a specialist. Prescribing can be transferred to primary care once the patient has been stabilised.  

Shared care: For drugs with regular, ongoing need for monitoring and/or assessment of efficacy or toxicity. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the North Central London JFC.

Fact sheet: For drugs with some concerns surrounding safety or efficacy but do not require regular monitoring and/or monitoring of effectiveness/toxicity.

  

GP - Red

Medicines which should normally be prescribed by specialists only (hospital only).

For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care.

See link for the complete NCL Red List https://www.ncl-mon.nhs.uk/wp-content/uploads/2017/08/ncl_red_list.pdf

  

GP - Grey

Medicines on hospital formularies which have not been reviewed for suitability in primary care.  

Black

Medicines not recommended for routine use in primary or secondary care.

Medicines, which the North Central London JFC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data.

  

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