STEP 1
Salbutamol mdi 100mcg
2 puffs prn
£0.45
STEP 2
400-500mcg
BDP equiv./day
Clenil 100mcg mdi
2 puffs bd
£4.45
STEP 3
STEP 4
LABA
Clenil 200mcg MDI 2 puffs bd £9.70
Formoterol 12mcg DPI 1 puff bd £12.40
Qvar 100mcg Easibreathe 2 puffs bd £10.17
Salmeterol 25mcg MDI 2 puffs bd £29.26
Qvar 100mcg MDI 2 puffs bd £10.33
Salbutamol Accuhaler
200mcg
1 puff prn
£1.50
Qvar 50mcg
Easibreathe
2 puffs bd
£4.64
Salmeterol 50mcg Accuhaler 1 puff bd £29.26
2000mcg BDP
equiv./day
Seretide 500
Accuhaler
(fluticasone 500mcg /
salmeterol 50mcg)
1 puff bd
£40.92
Beclometasone 250mcg MDI 2 puffs bd £9.77
Budesonide 200mcg Turbohaler 2 puffs bd £14.21
Sirdupla 250 MDI
(fluticasone 250mcg /
salmeterol 25mcg) 2
puffs bd £44.61****
ICS/LABA combination
Salbutamol Easibreathe
100mcg
2 puffs prn
£1.89
400-500mcg BDP equiv./day
Flutiform 125/5 MDI (fluticasone / formoterol)
1 puff twice daily £14.00
Qvar 50mcg
2 puffs bd
£4.72
Flutiform 50/5 MDI (fluticasone / formoterol)
2 puffs bd £14.40
Terbutaline Turbohaler
500mcg
1 puff prn
£2.08
STEP 5
Fluticasone 50mcg
Evohaler
2 puffs bd
£5.44
Fostair 100/6 MDI (beclometasone / formoterol) 1
puff bd £14.66
DuoResp Spiromax (budesonide 160mcg /
formoterol 4.5mcg)* 1 puff bd £14.98
Cost based on one dose
per day for 30 days
treatment
Budesonide Turbohaler
100mcg
2 puffs bd
£7.10
Budesonide 400mcg Turbohaler 1 puff bd £16.63
Fluticasone 250mcg MDI 1 puff bd £18.07
Fluticasone 125mcg MDI 2 puffs bd £21.26
Flutiform 250/10 MDI
(fluticasone /
formoterol)
2 puffs bd
£45.56
Seretide 250 evohaler
MDI (fluticasone
250mcg / salmeterol
25mcg)
2 puffs bd
£59.48
Fluticasone 500mcg Accuhaler 1 puff bd £36.14
ICS/LABA combination
Seretide 100 Accuhaler (fluticasone 100mcg /
salmeterol 50mcg) 1 puff bd £18.00
1000mcg BDP equiv./day
Flutiform 250/10 MDI (fluticasone / formoterol) 1 puff
bd £22.78
To be used in conjunction with the Asthma Treatment Algorithm available at: http://www.barnsleyccg.nhs.uk/members-professionals/prescribing-guidelines-list.htm
Budesonide Turbohaler
200mcg
1 puff bd
£7.10
Fluticasone 125mcg
Evohaler
1 puff bd
£10.63
Seretide 50 Evohaler (fluticasone 50mcg /
salmeterol 25mcg) 2 puffs bd £18.00
Sirdupla 125 MDI (fluticasone 125mcg / salmeterol
25mcg) 2 puffs bd £26.25 ***
Symbicort 200/6 Turbohaler (budesonide /
formoterol) 1 puff bd £19.00
Flutiform 125/5 MDI (fluticasone / formoterol) 2 puffs
bd £28.00
Symbicort 100/6 Turbohaler (budesonide /
formoterol) 2 puffs bd £33.00
Fostair 100/6 MDI (beclometasone / formoterol) 2
puffs bd £29.32
Seretide 250 Accuhaler (fluticasone 250mcg /
salmeterol 50mcg) 1 puff bd £35.00
800mcg BDP equiv./day
DuoResp Spiromax (budesonide 160mcg /
formoterol 4.5mcg)* 2 puffs bd £29.97
Seretide 125 Evohaler (fluticasone 125mcg /
salmeterol 25mcg) 2 puffs bd £35.00
DuoResp Spiromax (budesonide 320mcg /
formoterol 9mcg)** 1 puff bd £29.97
Symbicort 200/6 Turbohaler (budesonide /
formoterol) 2 puffs bd £38.00
1600mcg BDP equiv./day
DuoResp Spiromax (budesonide 320mcg /
formoterol 9mcg)** 2 puff bd £59.94
Symbicort 400/12 Turbohaler (budesonide /
formoterol) 1 puff bd £38.00
Costs based on 30 days treatment (Drug Tariff Sept 2015 and eBNF Sept 2015)
Produced by Medicines Management Team, Barnsley CCG. November 2015.
Symbicort 400/12 Turbohaler (budesonide /
formoterol) 2 puffs bd £76.00
*Equivalent to Symbicort 200/6
**Equivalent to Symbicort 400/12
***Equivalent to Seretide 125 Evohaler
****Equivalent to Seretide 250 Evohaler