Formulary Chapter 13: Skin - Full Chapter
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Notes: |
Only high cost medicines to be supplied within our health economy are listed on BSW Formulary, but patients may also have access to more specialised, high cost medicines via other specialist centres, if eligible.
Dermatology-related Prescribing Guidance
Please see our Prescribing Guidelines page for all prescribing guidance relating to this chapter.
Dermatology-related Shared Care Agreements
Please see our Shared Care Agreements page for all shared care agreements (SCAs) relating to this chapter.
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Self-care
Many of the products in this chapter are available for purchase over-the-counter, and patients are encouraged to self-care, with the support of their community pharmacist, in the first instance.
For further information on self-care & the NHS, please refer to https://www.england.nhs.uk/medicines/conditions-for-which-over-the-counter-items-should-not-routinely-be-prescribed/
Dermatology Specials Approved List: see section 13.14
Please note that any specials listed in the BAD list are deemed to be RED on this formulary, so that specialists can prescribe them only.
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Details... |
13.02.01 |
Emollients |
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Epimax Isomol ®
(gel)
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Formulary

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- VERY LIGHT MOISTURISER FOR MILD DRY SKIN
- 500g flexi dispenser which can be used instead of a pump by care homes
- Low paraffin content (15%)
- Primary care Doublebase® gel alternative
- Useful for dermatitis of the hands and as a light moisturiser for the body
March 2020 - EPIMAX® name change
Minor name changes covering part of the EPIMAX® range came into effect in the March 2020 Drug Tariff. For the next 12 months, the products will occupy a dual listing on the drug tariff, such that prescriptions written under both the new and old name can be reimbursed. Despite the new names and associated change in the appearance of the labels, the product itself remains unchanged.
EPIMAX® Isomol Gel (previously Isomol Gel)
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Epimax ® Original
(cream)
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Formulary

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- CREAM FOR MILD TO MODERATE DRY SKIN
- 500g flexi-dispenser which can be used by care homes. No pump pack available.
- Primary Care Diprobase®alternative
March 2020 - EPIMAX® name change
Minor name changes covering part of the EPIMAX® range came into effect in the March 2020 Drug Tariff. For the next 12 months, the products will occupy a dual listing on the drug tariff, such that prescriptions written under both the new and old name can be reimbursed. Despite the new names and associated change in the appearance of the labels, the product itself remains unchanged.
EPIMAX® Original Cream (previously Epimax Cream)
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Epimax ® ExCetra
(cream)
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Formulary

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- CREAM FOR MILD TO MODERATE DRY SKIN
- Cream 100g and 500g flexi dispenser which can be used instead of a pump by care homes.
- Contains the same ingredients as Cetraben® but is more cost effective choice
March 2020 - EPIMAX® name change
Minor name changes covering part of the EPIMAX® range came into effect in the March 2020 Drug Tariff. For the next 12 months, the products will occupy a dual listing on the drug tariff, such that prescriptions written under both the new and old name can be reimbursed. Despite the new names and associated change in the appearance of the labels, the product itself remains unchanged.
EPIMAX® ExCetra Cream (previously ExCetra Cream)
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Oilatum ®
(Cream )
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Formulary

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- CREAM FOR MILD TO MODERATE DRY SKIN
- Available as 500ml pump or 500g tub
- Exactly the same as Oilatum Junior cream in constituents and price
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Emulsifying Ointment BP
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Formulary

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- GREASY MOISTURISER FOR SEVERE DRY SKIN
- Ointment 500g
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Epimax ®
(Ointment)
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Formulary

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- GREASY MOISTURISER FOR SEVERE DRY SKIN
- YSP 30%, LP 40%, emulsifying wax 30%
- 500g or 125g pack sizes available
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Hydromol
(ointment)
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Formulary

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- GREASY MOISTURISER FOR SEVERE DRY SKIN
- Ointment 125g, 500g, 1kg
- Excellent greasy emollient for night time or very dry skin. Prescribe with a less greasy emollient for day time use.
- Can be used as soap substitute
- NOTE: Hydromol CREAM is non-formulary due to cost.
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Liquid and White Soft Paraffin Ointment (50:50)
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Formulary

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- VERY GREASY MOISTURISER FOR SEVERE DRY SKIN &/OR ACUTE FLARES (low risk of sensitivity):
- 50/50 ointment
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Aproderm colloidal ®
(oat cream)
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Formulary

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- VERY LIGHT MOISTURISER FOR VERY SENSITIVE MILD DRY SKIN, IF ISOMOL GEL HAS BEEN TRIED AND FAILED.
- Branded generic version of Aveeno (cheaper than Aveeno)
- Patients requiring an emollient who are using medical oxygen therapy should use Aproderm Colloidal as this is a non-paraffin based emollient.
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Aquamax ®
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Formulary

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- SFT only for in-patients
- NOT for use in primary care
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Dermol ®
(Cream & Lotion )
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Formulary

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- CONTAINS ANTIMICROBIALS
- Use long-term if needed to prevent frequent skin infections, or for handwashing for carers with occupational irritant hand dermatitis.
- Use short-term if there is a single episode of infection. Not for repeat prescription.
- Cream 100g, 500g pump
- Contains benzalkonium Cl and chlorhexidine HCL
- Lotion 500ml pump
- Can be used as hairwash and soap substitute
- Contains benzalkonium Cl and chlorhexidine HCL
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Diprobase ®
(Topical)
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Formulary

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- SFT only
- Cream or ointment
- NOT for use in primary care- use epimax as an alternative instead.
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Eucerin ® Intensive 10%
(Topical)
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Formulary

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- SFT only
- Contains Urea
- 250ml lotion or 100ml cream
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Imuderm ®
(cream)
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Formulary

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- Use after other emollients have been tried and failed to control symptoms. Expensive emollient.
- Urea 5%, Glycerine 5%
- Available as 500g pump pack
- Preparations containing lauromacrogols and/or urea are useful to stop itching or aid hydration.
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Dermatonics Heel Balm ®
(cream)
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Formulary

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- Use after other emollients have been tried and failed to control symptoms. Expensive emollient.
- 25% urea
- Available as: 75g and 200g pack sizes.
- Preparations containing lauromacrogols and/or urea are useful to stop itching or aid hydration.
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White Soft Paraffin BP
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Formulary

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Yellow Soft Paraffin BP
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Formulary

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13.02.01 |
Emollients - preparations containing urea |
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13.02.01 |
Emollients - with antimicrobials |
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13.02.01.01 |
Emollient bath and shower preparations |
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Patients should be advised to use any cream or ointment listed under emollients 13.2.1(except 50:50 ointment) as a soap substitute during baths or showers. Alternatively, patients can self-purchase bath oils from community pharmacies or supermarkets.
Bath and shower emollients should no longer be prescribed on the NHS due to lack of evidence base of benefit. See:
Emollient bath additives for the treatment of childhood eczema (BATHE): multicentre pragmatic parallel group randomised controlled trial of clinical and cost effectiveness.
BMJ 2018; 361 doi: https://doi.org/10.1136/bmj.k1332 (Published 03 May 2018) BMJ 2018;361:k1332 |
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Oilatum ® Plus
(emollient bath additive)
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Formulary

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- BCAP area only
- This product has been included on formulary for the specific indication of MRSA decolonisation ONLY due to it containing Triclosan.
- See MRSA decolonisation guidance (BCAP) below.
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BCAP MRSA treatment summary Feb 2018
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Non Formulary Items |
Aquadrate ®

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Non Formulary
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Aqueous Cream BP

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Non Formulary
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Aveeno ®

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Non Formulary
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Balneum ® Plus cream
(Emollient preparation containing Urea)

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Non Formulary
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Cetraben ®Bath additive

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Non Formulary
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DoubleBase Dayleve ®

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Non Formulary
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E45 ®

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Non Formulary
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Emollient Bath Additive
(Alpha Keri Bath®)

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Non Formulary
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Emollient Bath Additive
(Aveeno®)

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Non Formulary
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Emollient Bath Additive
(Balneum®)

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Non Formulary
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Emollient Bath Additive
(Dermalo®)

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Non Formulary
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Emollient Bath Additive
(Diprobath®)

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Non Formulary
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Emollient Bath Additive
(E45®)

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Non Formulary
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Emollient Bath Additive
(Imuderm®)

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Non Formulary
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Emollient Bath Additive
(Oilatum®)

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Non Formulary
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Emollient Bath Additive
(QV®)

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Non Formulary
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Emollient Bath Additive
(Zerolatum®)

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Non Formulary
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Emollient Bath Additive with Anitmicrobials
(Dermol®)

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Non Formulary
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Emollient Bath Additive with Anitmicrobials
(Dermol®)

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Non Formulary
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Emollient Bath Additive with Anitmicrobials
(Emulsiderm®)

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Non Formulary
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Emollient Bath Additives
(Zeroneum®)

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Non Formulary
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Emollient Bath Additives
(Zerozole®)

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Non Formulary
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Emollient preparation
(Decubal® Clinic)

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Non Formulary
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Emollient preparation
(Dermamist®)

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Non Formulary
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Emollient preparation
(Drapolene®)

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Non Formulary
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Emollient preparation
(Epaderm®)

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Non Formulary
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Emollient preparation
(Hewletts®)

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Non Formulary
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Emollient preparation
(Kamillosan®)

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Non Formulary
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Emollient preparation
(Keri®)

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Non Formulary
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Emollient preparation
(Linola® Gamma)

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Non Formulary
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Emollient preparation
(Lipobase®)

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Non Formulary
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Emollient preparation
(Neutogena® Dermatological Cream)

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Non Formulary
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Emollient preparation
(Ultrabase®)

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Non Formulary
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Emollient preparation
(Vaseline Dermacare®)

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Non Formulary
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Emollient preparation
(ZeroAQS®)

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Non Formulary
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Emollient preparation
(Zeroguent®)

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Non Formulary
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Emollient preparation containing Urea
(Balneum®)

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Non Formulary
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Emollient preparation containing Urea
(Calmurid®)

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Non Formulary
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Emollient preparation containing Urea
(E45® Itch Releif Cream)

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Non Formulary
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Emollient preparation containing Urea
(Nutraplus®)

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Non Formulary
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Emollient preparation with antimicrobials
(Eczmol®)

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Non Formulary
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Emollient preparation with antimicrobials
(Zerolatum® Plus)

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Non Formulary
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Emollin ®

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Non Formulary
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Flexitol ®

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Non Formulary
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Hydromol ® bath and shower

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Non Formulary
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Lanolin emollient spray
(Evolve plus)

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Non Formulary
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Oilatum ® shower emollient gel

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Non Formulary
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Proprietary Emollient Preparations
(Doublebase®)

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Non Formulary
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QV ®

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Non Formulary
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Skin Salvation Cream ®

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Non Formulary
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Unguentum M ®

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Non Formulary
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Urea 5% Special Preparation

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Non Formulary
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Zerobase ®

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Non Formulary
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Zerocream ®

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Non Formulary
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Zerodouble ® Gel

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Non Formulary
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Zerodouble ® Gel

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Non Formulary
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Key |
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Cytotoxic Drug
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Controlled Drug
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High Cost Medicine
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Cancer Drugs Fund
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NHS England |
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Homecare |
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CCG |
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High Cost Drug Approval System |
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Traffic Light Status Information
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