Prompted by an earlier post on BNF in relation to patients with neurological symptoms I decided to do a general search for items on hydroxocobalamin.
Was really shocked to see that the BNF quotes the net cost of an ampoule as £2.41.
Anyone got any ideas how they are working that one out? It costs me around 70p to purchase - the price quoted is about 3.5 times that. Doubt it is including nursing time administering as that would push it up even more. So is this just purchasing inefficiencies or is someone making a shed load of money at the expense of tax-payers?
Also have to say that the formulary leaves a lot to be desired in terms of treating B12 deficiency - that on going confusion with macrocytosis - which we all know isn't among the first symptoms in around 30% of cases.
Sometimes I really worry about the NHS. Who am I kidding - I always worry about the NHS