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 Aug 2026 - ICB commissioned Drugs
NHS England high cost drugs commissioning list
SERMOG-02 Overarching Policy on Licensed Doses or Dosing Schedules of High-Cost Drugs not Considered in NICE Technology Appraisal (TA) Guidance
- On Formulary Preferred
- On Formulary Second Line
- On Formulary Third Line
- Specialist Initiation
- Secondary Care Only
- Not Approved for Formulary