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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 14 - Immunological products and vaccines 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing
14.04 Vaccines and antisera
14.04 Anthrax vaccine
14.04 BCG vaccines
14.04 Botulism antitoxin
14.04 Cholera vaccine
14.04 Diphtheria vaccines

Adsorbed Diphtheria [low dose], Tetanus and Inactivated Poliomyelitis (Revaxis®)
(Injection)

GREEN
Formulary
For children over 10 years and adults

In primary care as part of the routine national UK immunisation schedule
BNF BNFc SPC

Diphtheria, Tetanus, Pertussis (acellular component) Vaccine (adsorbed, reduced antigen(s) content) (ADACEL, suspension for injection in pre-filled syringe.)

RED
Restricted Drug Restricted

MATERNITY USE ONLY for vaccination in line with the national immunisation programme.

ADACEL is preferentially given over Boostrix-IPV and Repevax in the maternal vaccination programme, except where an individual has a history of severe allergy to latex, such as anaphylaxis (see Chapter 6 of the Green Book) or ADACEL is not locally available at the time of vaccination.

BNF BNFc SPC

Diphtheria, tetanus, pertussis (acellular) and poliomyelitis (inactivated) (Boostrix-IPV®)
(Injection)

GREEN
Formulary

For boosters in children aged 3 years and over and adults.

BNF BNFc SPC

Diphtheria, Tetanus, Pertussis (acellular) and Poliomyelitis (inactivated) (Infanrix IPV®)

GREEN
Formulary

For booster vaccination according to the national UK immunisation schedule .

BNF BNFc SPC

Diphtheria, Tetanus, Pertussis (acellular) and Poliomyelitis (inactivated) (Repevax®)

GREEN
Formulary

For booster vaccination according to the national UK immunisation schedule .

BNF BNFc SPC

Diphtheria, tetanus, pertussis (acellular), hep B, poliomyelitis (inactivated) and Hib (Infanrix hexa®)
(Injection)

GREEN
Formulary

For primary vaccination according to the national UK immunisation schedule 

BNF BNFc SPC
Non formulary items

Diphtheria, Tetanus, Pertussis (Acellular, Component), Poliomyelitis (Inactivated) and Haemophilus Type b Conjugate Vaccine (Infanrix-IPV+Hib®) (Injection)

DNP
Non Formulary

For primary immunisation of children. Replaced by Infanrix Hexa on Vaccination Schedule

BNF BNFc SPC

Diphtheria, Tetanus, Pertussis (Acellular, Component), Poliomyelitis (inactivated) and Haemophilus Type b Conjugate Vaccine (adsorbed) (Pediacel®) (Injection)

 
Non Formulary

No longer recommended as part of the routine national UK immunisation schedule

BNF BNFc SPC
14.04 Haemophilus influenzae type B vaccine
14.04 Hepatitis A vaccine
14.04 Hepatitis B vaccine
14.04 Human papilloma virus vaccine
14.04 Influenza vaccine
14.04 Measles vaccine
14.04 Measles, Mumps and Rubella (MMR) vaccine
14.04 Meningococcal vaccines
14.04 Mumps vaccine
14.04 Pertussis vaccine
14.04 Pneumococcal vaccines
14.04 Poliomyelitis vaccines
14.04 Rabies vaccine
14.04 Rotavirus vaccine
14.04 Rubella vaccine
14.04 Smallpox vaccine
14.04 Tetanus vaccines
14.04 Tick-borne encephalitis vaccine
14.04 Typhoid vaccines
14.04 Varicella-zoster vaccine
14.04 Yellow fever vaccine
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.