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 Healthcare orders can be placed either by: – Via PMR system – Telephone to Alliance Healthcare (details below) – Via Alliance Healthcare Customer Portal For standard orders, enquiries and general support please contact Customer Services on 0330 100 0448 or by email to customerservice@alliance-healthcare.co.uk |
| Epclusa ® | Sofosbuvir/Velpatasvir | Alcura |
| Harvoni ® | Ledipasvir/Sofosbuvir | Alcura |
| Vosevi ® | Sofosbuvir/Velpatasvir | Alcura |
| Copegus & Pegasys ® | Ribavirin & Peginterferon alfa-2a | Alliance Healthcare Where the mainline wholesaler Alliance Healthcare are unable to complete an order, we would recommend one of the following specialist suppliers: – HNS Pharma https://hnspharma.co.uk/ – Hambleton https://hambletonuk.com/ – Smartway https://www.smartwaypharma.co.uk/ – Prime Pharmacare https://www.primepharmacare.com/ |
| Maviret ® | Glecaprevir/Pibrentasvir | Polar Speed If ordering Maviret Sachets, please manually add this to the form. |
Responsible Person: Mani Narwan
Last Updated: 12/06/25