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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
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  • 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 Fibre
(Nutritional supplement)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Ensure Plus Yoghurt style
(Nutritional supplement)
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Formulary
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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 Advance
(Nutritional supplement)

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Non Formulary
Black

Not approved for any condition (JFC July 2020).

Link  NCL JFC: Ensure Plus Advance Position Statement
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)

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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
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
Homecare
Homecare

Traffic Light Status Information

Status Description

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

  

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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