Supporting Information
- NHSGG&C Community Pharmacy Guidance
- Stock Balance Log
- Patient Treatment Notification Form
- Electronic Claiming Workbook for Additional Payment
- National Clinical Guidelines
Order Forms
| BRAND NAME | GENERIC NAME | APPROVED SUPPLIER |
| Zepatier ® | Elbasvir/Grazoprevir | Alliance HealthcareOrders can be placed either by:Via PMR systemTelephone to Alliance Healthcare (details below)Via Alliance Healthcare Customer PortalFor standard orders, enquiries and general support, please contact Customer Services.Telephone: 0330 100 0448Email: customerservice@alliance-healthcare.co.uk |
| Epclusa ® | Sofosbuvir/Velpatasvir | Alcura |
| Harvoni ® | Ledipasvir/Sofosbuvir | Alcura |
| Vosevi ® | Sofosbuvir/Velpatasvir | Alcura |
| Copegus & Pegasys ® | Ribavarin & Peginterferon alfa-2a | Alliance Healthcare |
| Maviret ® | Glecaprevir/Pibrentasvir | Polar Speed If ordering Maviret Sachets, please manually add this to the form. |
Responsible Person: Mani Narwan
Last Updated: 14/03/25