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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 4 - Central nervous system 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing
04.10 Drugs used in substance dependence
04.10 Alcohol dependence
04.10 Cigarette smoking
Non formulary items

Electronic Cigarettes and other Nicotine containing products including Voke inhaler

DNP
Non Formulary

No prescribing in primary or secondary care. 

APC Recommendations:

To support the East of England Priorities Advisory Committee (EoEPAC) guidance statement and recommendations:-

  • General practitioners should not prescribe e-cigarettes or other novel nicotine containing devices such as the Voke inhaler. If asked to prescribe them, they should either encourage self care or refer the patient to a locally commissioned smoking cessation service for treatment in line with current policy.
  • Local decisions should be made around future prescribing of e-cigarettes and other novel nicotine containing devices only after their place in therapy has been fully established and formulary processes have been followed.
BNF BNFc SPC
04.10 Opioid dependence
Classifications
GREEN
May be initiated in any care setting
Amber SPA
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Amber SPIS
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
SCG
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
RED
Red medicines are designated as specialist only medicines which should only be prescribed by a specialist, usually within secondary care (either due to the requirement for specialist knowledge, long-term monitoring requirements, or restrictions that mean medicine supplies are only available to hospitals).
DNP
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
SELF
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.