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Wye Valley NHS Trust
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 Formulary Chapter 8: Malignant disease and immunosuppression - Full Chapter
08.03.04.01  Expand sub section  Breast cancer
Anastrozole
(Breast cancer)
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Restricted Drug Restricted
Amber
 
   
Letrozole
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Restricted Drug Restricted
Amber
 
   
Palbociclib (Ibrance)
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Restricted Drug Restricted
Red
High Cost Medicine
Cancer Drugs Fund

Oral cancer drug (NHSE commissioned)

 

 
Link  NICE TA495: Palbociclib with an aromatase inhibitor for previously untreated, hormone receptor-positive, HER2-negative, locally advanced or metastatic breast cancer
   
Ribociclib (Kisqali)
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Restricted Drug Restricted
Red
High Cost Medicine
Cancer Drugs Fund

Oral cancer drug (NHSE commissioned)

 

 
Link  NICE TA496: Ribociclib with an aromatase inhibitor for previously untreated, hormone receptor-positive, HER2-negative, locally advanced or metastatic breast cancer
   
Tamoxifen
(Breast cancer/ mastocytosis)
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Restricted Drug Restricted
Amber
 
   
 ....
 Non Formulary Items
Exemestane

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Non Formulary
 
Fulvestrant  (Faslodex)

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Non Formulary

NICE "do-not-do" recommendation

 

Link  NICE TA239: Fulvestrant for the treatment of locally advanced or metastatic breast cancer
Link  NICE YA503: Fulvestrant for untreated locally advanced or metastatic oestrogen-receptor positive breast cancer
 
Goserelin  (Zoladex)
(Breast cancer)

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Non Formulary
 
Neratinib

Non Formulary
 
Tamoxifen  (Nolvadex-D®)

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Non Formulary
 
Toremifene  (Fareston)

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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
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

Green

Suitable for use in primary care  

Amber

Specialist initiation. Shared care in place  

Red

Red do not use..  

Advice

Some formulations restricted  

Black

NICE "Do not do"  

Green 1

1st line option  

Green 2

2nd line option  

Green 3

3rd line option only  

Not Recomended / Black

Low Value Medicine not recommended for use - see NHSE guidelines  

OTC

This preparation should be bought over the counter for self-care  

Red Amber

Check product description for traffic light status  

Red Black

Low Value Medicine  

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