High Cost Drugs

Please click the link below to download the latest edition of the High Cost Drugs Manual. Please note the manual is updated regularly and pages and content will be updated, added or deleted as appropriate. If you have any questions or queries, please contact the Medicines Optimisation Team to direct your enquire appropriately.

 HCD Manual May 2025 - ICB commissioned Drugs

 NHS England high cost drugs commissioning list

  • On Formulary Preferred
  • On Formulary Second Line
  • On Formulary Third Line
  • Specialist Initiation
  • Secondary Care Only
  • Not Approved for Formulary