MTW Drug Request Forms & Procedures

MTW Drug Request Forms

Please send completed request forms to amanda.lepage@nhs.net

Request form for the Addition of a New Drug or Drug Use to the Interface Formulary                    Use this form if request is for a new addition to formulary for a group of patients, for either a licensed or unlicensed drug or use.

Request form for the One-off Use of a Non-Formulary Drug                                                                           Use this form if request is a one-off use for a single patient only, for either a licensed or unlicensed non-formulary drug.

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

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 2025/26

DTMMC Terms of Reference

Terms Of Reference DTMMC March 2025