Formulary Application Forms

Formulary Committee (FC) accepts application forms from prescribers and pharmacists, to consider medicines for approval of prescribing in NHS Lothian.

FORMULARY APPLICATION FORM 1 (FAF1)

FINANCE SPREADSHEET FOR FAFs

GUIDANCE FOR COMPLETION OF FAF1

This form is for medicines that have been considered and approved by the Scottish Medicines Consortium (SMC.)

This form is completed to allow the medicine to be approved for local use.  It can also be used to indicate that the medicine should not be routinely used in Lothian, as there are suitable medicines available that are preferred for use by local clinicians.

FORMULARY APPLICATION FORM 2 (FAF2)

FINANCE SPREADSHEET FOR FAFs

GUIDANCE FOR COMPLETION OF FAF2 or FAF3

This form is for medicines that have not been assessed by the SMC, as they have been available for that indication prior to SMC being formed or where SMC have indicated that it is outwith their remit.

FORMULARY APPLICATON FORM 3 (FAF3)

FINANCE SPREADSHEET FOR FAFs

GUIDANCE FOR COMPLETION OF FAF2 or FAF3

This form is for medicines that are being used in an 'off-label' indication or for unlicensed medicines.  A FAF3 forms should be submitted to the appropriate Drugs and Therapeutics Committee, for support prior to being submitted to FC.

The ADTC 'NHS Lothian Policy and Procedures for the Use of Unlicensed Medicines' should be referred to for completion of FAF3s.

To request an amendment to the Lothian Joint Formulary a Formulary Amendment Request Form should be completed (see appendix 1 of the Adult Formulary for more information).