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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 16 - Miscellaneous 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing
16.01 Medical Devices and other products

Cerament G 5mL, 10mL (3rd Generation)
(Bone Void Filler)

RED
Restricted Drug Restricted

Bone void filler containing gentamicin.

Restricted to prescribing (or advised) by Trauma and Orthopedic Consultants for managing patients with chronic osteomyelitis who also require debridement.

BNF BNFc SPC

Cerament V 10mL
(Bone Void Filler)

RED
Restricted Drug Restricted

Bone void filler containing vancomycin.

Restricted to prescribing (or advised) Trauma and Orthopedic Consultants for managing patients with chronic osteomyelitis who also require debridement.

BNF BNFc SPC

Electrical stimulating wound device (Geko®)

RED
Formulary

TVN use only.

 

Entry reviewed: December 2025

BNF BNFc SPC

Hidrawear®

RED
Formulary

Restricted to TVN or specialist use only.

 

Entry reviewed: July 2023

BNF BNFc SPC

Indocyanine green (Verdye®)
(25mg vial)

RED
Formulary

For use by the Colorectal surgeons

BNF BNFc SPC

Inspiratory muscle training devices (Powerbreathe Medic, Threshold IMT, Ultrabreathe)

RED
Formulary

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Jaw rehabilitation device (Therabite)

RED
Formulary

 

Recommended for patients following head and neck radiotherapy or head and neck surgery.

 

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Oscillating Positive Expiratory Pressure (OPEP) device
(Device)

RED
Formulary

PARI O-PEP®, Aerobika®, Acapella Choice®, Flutter®; LungFlute®; RC-Cornet®

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Plantar pressure offloading device

 
Formulary

Red The true off-loading devices are supplied podiatry.

 Amber SPA Shoes used for leg ulcers are prescribed – not available on NHS supplies.

 

 

BeneFoot® Medical Shoe 

Cellona® Shoe 

Kerraped® All Purpose Boot 

Kerraped® Plantar Ulcer Shoe System 

Kerraped® Plus All Purpose Boot 

Liqua Care®  Diabetic Flowgel 

Liqua Care Orthotics® 

VACOcast® Diabetic 

 

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Rectal irrigation devices

Amber SPIS
Formulary

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Refobacin Revision Cement (40g and 80g sachet)
(Bone cement)

RED
Formulary

Optipac 40g 

Optipac 80g

BNF BNFc SPC

Sharps Bin (Sharpsafe® or Sharpsguard®)

GREEN
Formulary

Medical sharps (sharps) include any device used for a healthcare activity to puncture or lacerate the skin and include:

  • needles, and anything attached to them such as syringes
  • scalpels and scissors
  • lancets
  • broken glass items, such as ampoules or vials

A sharps bin should be provided to allow the safe disposal of the above items

Full bins are collected by the local council (links below)

 

BNF BNFc SPC
Bedford council -Arrange collection of sharps bin Guide to prescribing the correct lid colour Luton Council - Arrange collection of sharps bin NHS - How should I dispose of used needles or sharps?

Vacuum pumps
(For erectile dysfunction)

RED
Formulary

To be provided in secondary care. GP not to prescribe.

 

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Vaginal dilators or trainers (Femmax®, Amielle Care®, and Amieille Comfort®)

Amber SPA
Formulary

Recommended for women following vaginal reconstruction surgery or following pelvic radiotherapy when recommended by an appropriate Secondary Care Specialist. (Local supply recommendation – GP to prescribe on recommendation of the Specialist).

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Viscose garments for atopic eczema (CliniFast®, Comfifast Easywrap®)

Amber SPA
Formulary

Used for chronic widespread eczema and lichenified skin where intense topical treatment is needed and/or protection from trauma due to scratching, where bandaging of other types is not appropriate. Not suitable for use on infected eczema.

Improvement in skin condition and ongoing need for garments should be regularly reviewed by the specialist.

Preferred brands: CliniFast®, Comfifast Easywrap®

Garments can be machine washed up to 30 times

NB: Skinnies Viscose® and Tubifast 2-way stretch are non-formulary (higher cost) unless the required garment is not available in the preferred brand ranges. 

Entry reviewed: November 2023

BNF BNFc SPC
Non formulary items

Belladonna adhesive plaster

DNP
Non Formulary

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Catheter shower / swim protection pouches

DNP
Non Formulary

Independence easy access / Wound protection / collection pouch / Activity Pouch Codes: EA1, EA2, VAP1, VAP2, VAP3. 

LINC Shower catheter dressing

CathDry

Renal and peritoneal dialysis patients to seek advice from specialist teams on care of line insertion site.

See BLMK ICB Position Statement on Prescribing Shower and Swim Protection Pouches

Entry reviewed: September 2025

BNF BNFc SPC

Cycloidal vibration accessories (Vibro-pulse® accessories)

DNP
Non Formulary

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Electrical stimulating wound device (Accel-Heal®)

DNP
Non Formulary

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Insert for female stress incontinence (Efemia, Diveen, Contiform, Contrelle Activgard)

DNP
Non Formulary

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: August 2024

BNF BNFc SPC

Lymphoedema garments

 
Non Formulary

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Nasal Douches (Sterimar, Aqua Maris)

DNP
Non Formulary

 

Available to be purchased over the counter

 

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Needle free insulin delivery system (Injex® and InsuJet®. )

 
Non Formulary

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Ostomy support belt (for parastomal hernia)

 
Non Formulary

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Ostomy underwear

 
Non Formulary

Patients to purchase

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Pelvic toning devices (Kegel8, Aquaflex, Pelvic toner)

DNP
Non Formulary

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Pulsed electromagnetic stimulator (Actipatch)

 
Non Formulary

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

RESPeRATE®

DNP
Non Formulary

 

Entry reviewed: July 2023

BNF BNFc SPC

Safety needles and lancets

 
Non Formulary

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Silk Garments (DermaSilk®, DreamSkin®, SkinniesTM silk and Skintoskin®)

DNP
Non Formulary

See BLMK ICB Recommendations for medical devices guidance

 In line with NHS England » Items which should not routinely be prescribed in primary care: policy guidance

Entry checked: July 2025

BNF BNFc SPC

Stoma deodrants

 
Non Formulary

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: September 2023

BNF BNFc SPC

Waterproof limb covers (Limbo, Seal-Tight, buddy)

DNP
Non Formulary

 Red For PICC line protection

See BLMK ICB Recommendations for medical devices guidance

 

Entry reviewed: August 2024

BNF BNFc SPC
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.