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 Formulary Chapter 14: Immunological products and vaccines - Full Chapter
Notes:

For further information about vaccinations and immunisation please refer to the Department of Health ‘Green Book

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14.05.02  Expand sub section  Disease-specific immunoglobulins
Cytomegalovirus immunoglobulin (CMVIG)
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Restricted Drug Restricted
Red Hospital

  • RPH: Restricted to use in transplant patients

  • Non-formulary at all other Trusts

 
   
Hepatitis B immunoglobulin
(HBIG)
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Formulary
Red Hospital
CUHFT:
  • For Pharmacy staff: There are Pharmacy dispensing protocols for issues of Immunoglobulins and rabies vaccine on the advice of Virology. These are located in the Pharmacy Virology file and on Pharmacy Sharepoint. Please ensure all relevant information is recorded in the Virology Pharmacy file at the time of dispensing.
  • Transplant: 1st dose IV Hepatect®CP and 2nd dose SC Zutectra® approved.  
  • Link  HPA: Full guidance
    Link  PHE Immunoglobulins and Rabies Vaccine
       
    Tetanus Immunoglobulin
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Red Hospital
  • IM injection
  • Difficult to obtain - contact Pharmacy Department for further advice

  • Used in the management of patients with tetanus-prone wounds Chapter 30 Green Book 
  • Link  HPA: Full guidance on use
       
    Varicella-Zoster immunoglobulin (VZIG)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
    Injection - Intramuscular

  • CUHFT - Non-Formulary
  • NWAFT - Supplied from pharmacy only with the approval of a Consultant Microbiologist
    200 units, 500 units
     
  • Link  HPA: Full guidance
       
     ....
    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
    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

    OTC

    Available Over the Counter. Consider Self Care   

    Green

    Formulary - Can be prescribed in both secondary and primary care.   

    Advice

    Formulary - Specialist Advice, secondary care advice provided for primary care initiation.  

    Amber No SCG

    Formulary - Specialist initiation without shared care guidance.  

    Amber SCG

    Formulary - Specialist initiation with shared care guidance.  

    Red Hospital

    Restricted - Hospital only, not to be prescribed in primary care.  

    Switch

    Not recommended for prescribing. Switch to alternative cost-effective option.   

    Black

    Not recommended for prescribing in primary or secondary care.  

    Grey

    Not recommended as no formal application made for addition to the formulary. Contact relevant pharmacy team for further information.   

    Non Formulary

    Non-Formulary (category under review).  

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