netFormulary NHS
South Staffordshire Joint Formulary
Cannock Chase Clinical Commissioning Group
East Staffordshire Clinical Commissioning Group
South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group
Stafford and Surrounds Clinical Commissioning Group
 Formulary Chapter 11: Eye - Full Section

Preservative-free (PF) formulations - Preservative intolerance should be diagnosed by an ophthalmologist. If PF formulation is warranted, proprietary preservative-free formulations (often available as unit dose preparations) should be prescribed if at all possible. Manufactured “specials” are unlicensed and almost invariably cost significantly more.  PF formulations are appropriate, for example when a patient wears soft contact lenses or daily disposable contact lenses and wearing glasses instead is not a viable option such as for long courses OR where patient shows signs of preservative toxicity sometimes seen with multiple daily administrations.

Numbers in brackets indicate counts of (Formulary items, Non Formulary items)
11.01 Administration of drugs to the eye (0,0)
11.02 Control of microbial contamination (0,0)
11.03 Anti-infective eye preparations (0,0)
11.03.01 Antibacterials (3,20)
11.03.02 Antifungals (0,3)
11.03.03 Antivirals (1,4)
11.04 Corticosteroids and other anti-inflammatory preparations (0,0)
11.04.01 Corticosteroids (8,11)
Intravitreal corticosteroids (2,0)
11.04.02 Other anti-inflammatory preparations (4,5)
11.05 Mydriatics and cycloplegics (1,0)
11.06 Treatment of glaucoma (0,0)
Beta-blockers (1,7)
Prostaglandin analogues (5,3)
Sympathomimetics (1,2)
Carbonic anhydrase inhibitors and systemic drugs (5,2)
Miotics (1,2)
11.07 Local anaesthetics (0,6)
11.08 Miscellaneous ophthalmic preparations (0,0)
11.08.01 Tear deficiency, ocular lubricants, and astringents (9,56)
11.08.02 Ocular diagnostic and peri-operative preparations and photodynamic treatment (0,0)
Subfoveal choroidal neovascularisation (2,3)
Vitreomacular traction (1,0)
11.09 Contact lenses (0,7) Miscellaneous (0,0)