Hi Guys
Can anyone tell me what brands, type of B12 (ie Hydroxocobalamin) and dose they get on prescription please?
Fingers crossed, pigs may fly! I may have found a GP willing to prescribe for me!
I currently use Pascoe, Hydroxocobalamin 1.5mg but that apparently is not available on NHS so I am wondering what’s the closest equivalent.
TIA 🤗🤗🤗
I am prescribed the Gerot Lannach brand on prescription.
Good luck.
The only licensed version of vitamin b12 listed in the drug tariff (i.e. prescribable on the nhs) is hydroxocobalamin 1mg/ml (cyanocobalamin has recently been withdrawn from nhs prescribing).The brand you get depends on what the pharmacy is able to order from the wholesaler. Brands I've had include:Neocytamen
Cobalamin H (but cannot be requested by name as excluded from nhs prescribing and more expensive than the other brands so the pharmacy won't specifically order it)
Gerrot Lannach generic hydroxocobalamin (this is what i usually get)
I have always been prescribed the Gerrot Lannach brand of Hydroxocobalamin. I managed to twist my Drs arm and get 2 monthly injections !
I've had it to inject at home for 5 yesrs now.It's often gets opposed.
Also pharmacy kicks it off thd system when you go to get your repeat prescription as usually goes to the surgery abd 'noone ' hax more than 3 monthly!!!
I'm back to paper prescriptions with a note. So G.p to physically sign it to get it otherwise I.t keeps kicking off and you go round in circles.
I get 15 ampoules on prescription about every 7 months .
I got it changed early on as such a rigmarole otherwise .
Good . I'm glad more G.ps are seeing the sense with this .
My current prescription contains a cocktail of Gerot Lannach, Amdipharm and Accord. Good luck!
I get Neo cytamen
Cobbalamin H
Gerot abd lannoch +
Accord
On prescription over thd last 6 years .
All 1ml/mg hydroxcobalamin
*Gerot and lannoch are in bigger vials so need a longer needle to extract .
I've had Accord, Neocytamen and Gerot Lannach to my knowledge, but just get given what the surgery has - no prescription. All hydroxo. Best of luck.
Yrs it's prescribed for you but goes to the surgery for the nurse to administer.That's where it got so confused for me.
Some have the crazy regime of having to go to the pharmacy for their prescription and taking the ampoule to the surgery.
I collect my prescription to inject at home .
I also have what thd surgery have in for me .
Wd all seem to be getting the same brands alternating with supplies available and at what cost.
That's interesting, thank you. For the first three of the loading doses I was given a prescription (one at a time) so bought a prepayment cert. as I am not eligible for free prescriptions. Collected ampule, took it to surgery, as you say. But since then, they have just been given at the surgery with no explanation and no prescription seen or paid for. Cert has run out, I only got three months as had no idea how long they would give me jabs or how often. Even though hospital consultant has suggested frequency (weekly) I can't imagine that means no charge applies. Perhaps they are making up for 15 years of having me on a raft of the wrong meds, making me worse and nearly bankrupting me........
Most surgeries will keep a stock of hydroxocobalamin in house rather than prescribing for you to collect and then administer.Once it has been administered to you, a prescription will be generated with the "personal administration" box ticked which allows the surgery to claim a fee for giving the injection and also claim back the cost of the ampoule. All the prescriptions will be gathered together and sent to the "prescription pricing authority" at the end of the month.
This is why you never see the prescription yourself, but they can still administer the injection at the surgery.
Hi, yes I remember the PPA, Mum was a pharmacist and I used to help out. Still don't follow why no charge to me. It wasn't really the lack of prescription that surprised me but the lack of charge. I thought the NHS was broke.
The system around medicines is bizarre at times. Irrespective of what you get, if it's administered in a healthcare environment, you don't have to pay (unless you have to supply your own). There is a small list of medicines for which your gp surgery can claim the personally administered fee, but to claim this they have to supply the medicine. Prescription charges are only collected by pharmacies (or the dispensary of a dispensing gp practice).I guess it's similar to getting medicines as an inpatient in hospital or receiving a routine vaccine (i.e. one you were eligible to have on the NHS). In neither of those situations would you expect to pay in the UK.
Thank you, that makes sense, I can cope with that! Weird anomaly but now I won't fret about diddling the besieged NHS. Cheers x
I think its totally wrong paying for one at a time on prescription as so expensive. That was my argument at the time .
Hence asking for 15 on a paid prescription!
If given at the surgery there should be no charge.
I just noticed on my notes the prescription was there when I had ond at the surgery.
Also reason given when my repeat prescription wouldn't work.
Was told all go to the surgery .
Pharmacy IT set up for 3 monthly only and sent yo G.ps
When you are uo and running ask for z good few in each paid prescription as you are saving thd NHS money anyhow not needing a nurse.
I buy my own needles as wernt prescribed???
Apparently difficult to do ?
Left that as no bother getting needles and syringes.
You can always find the makes that are licensed by checking the MHRA:
products.mhra.gov.uk/search...
That finds Patient Information Leaflets (sometimes more than one per product if in multiple packaging options). It does spill over into other products - only the first few are relevant.
The PILs include full list of excipients. If you wish, you can flip over from PILs to SPCs or even PARs.
The dm+d database lists all products (I've selected 1mg/1ml)
Suppliers for Hydroxocobalamin 1mg/1ml solution for injection ampoules
dmd-browser.nhsbsa.nhs.uk/v...
But this is actually suppliers - rather than products. It isn't always clear which suppliers are distributors, which importers, which manufacturers.
Putting these sources together is helpful - but tedious. I've done it for thyroid medicines but have no intention of increasing my coverage! Too much extra work.
My NHS loading doses were Accord hydroxo 1mg in 1ml xx
b12
b12 injections 
