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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
14.05.01 Normal immunoglobulin

Normal immunoglobulin for Intravenous use

RED
Restricted Drug Restricted

High cost drug excluded to tariff. Commissioned by NHSE only in line with Clinical Commissioning Policy for the use of therapeutic immunoglobulin (Ig) England.

All patients MUST be registered on the Immunoglobulin Database.

  • Immunoglobulin brands are in limited supply so please speak to pharmacy first.
  • Brands available at BHFT are: IVIg - Gamunex 10%, Gamten 10%, Intratect 10%, Octagam 5%
  • From April 2025 all new adult patients will be started on Gamunex 10%
  • For support please contact Medicines Use Team on bhn-tr.high-cost-drugs@nhs.net or bhn-tr.medicinesinformation.formulary@nhs.net 
  • See below for link to E-referral website for all new patients.
BNF BNFc SPC
BHFT CP10T: Immunoglobulin Policy Gamten 10% Prescription Chart for Adults Gamunex 10% Prescription Chart for Adults Gamunex 10% Prescription Chart for Paediatrics and Neonates Immunoglobulin Database E-referral Intratect 10% Prescription Chart for Paediatrics and Neonates NHSE Clinical Commissioning Policy Immunoglobulin (2025) Octagam 5% Prescription Chart for Adults
Non formulary items

Normal immunoglobulin for Intramuscular use

 
Non Formulary
BNF BNFc SPC

Normal immunoglobulin for Subcutaneous use

 
Non Formulary
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.