MTW Drug Request Forms & Procedures
K&M Formulary - key application forms
Please see here for the latest formulary request forms for K&M
- New Medicine Application Form
- NICE TA Governance Form
- Formulary Amendment Request Form
- SBAR form
- Single Patient Request Form (one-off non-formulary request)
Separate guidance for the completion of each can be found alongside each form
MTW staff: Please send all completed request forms to amanda.lepage@nhs.net
MTW - other application Forms
Request form for a new Ready-to-Use product (Hospital Only). Use this form for requesting a new ready to use product at MTW for a drug that is already listed on the formulary.
Request Summary form for an Oncology Compassionate use/Early Access to Medicine (EAM) Scheme Drug
Change Control Request Form for MTW Guideline Additions or Amendments on electronic formulary
Please send completed request forms to amanda.lepage@nhs.net
MTW Drug Request Procedures
Please note these processes are under review and will be updated in due course. Please direct any queries to your formulary pharmacist.
Procedure for the Addition of a New Drug or Drug Use to the Interface Formulary (includes EAM drug request process)
Procedure for requesting the one-off use of a non-formulary drug
Procedure for making amendments to the electronic formulary
Upcoming DTMMC Meeting Dates & Submission Deadlines 2026
|
Submission Deadline for Formulary applications |
Submission Deadline for Guidelines* | Meeting Date |
| 8th December 2025 | 9th January 2026 | 19th January 2026 |
| 16th February 2026 | 6th March 2026 | 16th March 2026 |
| 13th April 2026 | 1st May 2026 | 11th May 2026 |
| 22nd June 2026 | 10th July 2026 | 20th July 2026 |
| 24th August 2026 | 14th August 2026 | 21st September 2026 |
| 19th October 2026 | 6th November 2026 | 16th November 2026 |
* Must have local relevant speciality input and any relevant local dept governance approval, including a pharmacist check, prior to submission
DTMMC Terms of Reference
Terms Of Reference DTMMC March 2025
- On Formulary Preferred
- On Formulary Second Line
- On Formulary Third Line
- Specialist Initiation
- Secondary Care Only
- Not Approved for Formulary