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Items identified as low value for prescribing in NHS Wales

The aim of these documents is to minimise the prescribing of medicines that offer a limited clinical benefit to patients and where more cost effective treatments may be available.

These resources underwent an assessment for review in September 2025. At that time, members of the All Wales Prescribing Advisory Group (AWPAG) agreed that the contents required revision. ‘Items identified as low value for prescribing in NHS Wales’ has been flagged for review, with publication of an updated version of the resource expected in 2026.

If you would like to be involved in the consultation process for an updated version of this resource, please get in touch at awttc@nhs.wales.uk.

 

Paper 1

Five medicines/medicine groups have been identified for the purposes of this document: co-proxamol, lidocaine plasters, tadalafil once daily preparations, liothyronine and doxazosin modified release tablets.

⇩ Medicines identified as Low Priority for Funding in NHS Wales — Paper 1 674KB (PDF)

(Published October 2017 [Section on 'liothyronine' updated and addendum added in November 2019])

Paper 2

Four medicines/medicine groups have been identified for the purposes of this document: omega-3 fatty acid compounds, oxycodone and naloxone combination product, paracetamol and tramadol combination product and perindopril arginine.

⇩ Medicines identified as Low Priority for Funding in NHS Wales — Paper 2 504KB (PDF)

(Published December 2018 [Section on 'omega-3 fatty acid compounds' updated in September 2022])

Paper 3

This is the third paper in the ongoing initiative, previously entitled Medicines Identified as Low Priority for Funding in NHS Wales.

This Low Value for Prescribing document has been developed to provide healthcare professionals with information to minimise the prescribing of medicines that offer a limited clinical benefit to patients and where more cost-effective treatments may be available.  Nine items/item groups have been identified for the purposes of this document.  These are:

  • Items of low clinical effectiveness:
    • chloral hydrate (cloral betaine)
    • minocycline
    • probiotics
    • rubefacients
    • silk garments
    • vitamins and minerals.
  • Items where more cost-effective alternatives are available:
    • alimemazine
    • aliskiren
    • blood glucose testing strips.
⇩ Items Identified as Low Value for Prescribing in NHS Wales — Paper 3 307KB (PDF)

(Published February 2020 [Updated March 2022])

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