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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 9 - Nutrition and blood 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing

09.05.02.02 Phosphate-binding agents

Calcium Acetate

Restricted Drug Restricted

For renal patients only.

Renacet: 

475mg: each tablet contains 475 mg calcium acetate (anhydrous) equivalent to 120.25 mg calcium.

950mg: each tablet contains 950 mg calcium acetate (anhydrous) equivalent to 240.50 mg calcium.

Phosex has been discontinued. Discontinuation of Phosex (calcium acetate) 1000mg tablets – SPS - Specialist Pharmacy Service – The first stop for professional medicines advice 

Entry reviewed April 2025

Lanthanum (Fosrenol ®)
(Powder sachets for oral suspension)

SCG
Restricted Drug Restricted

For patients with swallowing difficulties.

SCG for use for patients under the care of East & North Herts Trust only.

 

Entry reviewed: June 2024

Lanthanum (Fosrenol ®)
(Chewable tablets)

SCG
Restricted Drug Restricted

SCG for use for patients under the care of East & North Herts Trust only.

 

Entry reviewed: June 2024

Sevelamer Carbonate
(Tablets)

SCG
Restricted Drug Restricted

SCG for use for patients under the care of East & North Herts Trust only.

 

 

Entry reviewed: June 2024

Sevelamer Carbonate
(Powder sachets for oral suspension)

SCG
Restricted Drug Restricted

SCG for use for patients under the care of East & North Herts Trust only.

For patients with swallowing difficulties.

 

Entry reviewed: June 2024

Sevelamer Hydrochloride (Renagel®)
(Tablets)

SCG
Restricted Drug Restricted

SCG for use for patients under the care of East & North Herts Trust only.

 

Entry reviewed: June 2024

Sucroferric oxyhydroxide 500mg chewable tablets (Velphoro®)

SCG
Formulary

For hyperphosphataemia in adult patients with end stage renal failure requiring renal replacement therapy.

SCG for use for patients under the care of East & North Herts Trust only.

 

Entry reviewed: June 2024

Non formulary items

Aluminium Hydroxide (Alu-Cap®)

 
Non Formulary

Calcium acetate (PhosLo®)

 
Non Formulary

PhosLo ® capsules contain calcium acetate (anhydrous) 667 mg (equivalent to calcium 169 mg or Ca2+ 4.2 mmol)

Calcium Carbonate (Calcichew®)

 
Non Formulary

Calcium Salts

 
Non Formulary

Calcium Salts (Calcium-500®)

 
Non Formulary

Calcium Salts (Everose®)

 
Non Formulary

Calcium Salts (Osvaren®)

 
Non Formulary

Discontinued on 28.10.2024

 

Entry reviewed May 2025

 

Colestilan (BindRen®)

 
Non Formulary

Ferric citrate coordination complex (Fexeric®)

 
Non Formulary
Classifications
May be initiated in any care setting
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to 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).
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.