NHS Pharmacy First Approved List Updated October 2026
Published: 1st October 2026
The approved list of products for the NHS Pharmacy First Scotland Service will be updated on the 1st October 2025.
Changes made in this edition:
Update to advise of the intended next review outcome (1st October 2029)
Update to Section 10.1 Skin – Eczema and Allergy:
Addition of West of Scotland Formulary (applicable to NHS Ayrshire & Arran, NHS Dumfries & Galloway, NHS Forth Valley, NHS Greater Glasgow & Clyde, NHS Lanarkshire)Emollients - creams
Epimax original cream – 100 g, 500 g
Zerobase 11% cream – 50 g, 500 g
Cetraben cream – 50 g, 500 g
QV cream – 100 g, 500 g
Emollients - gels
Epimax isomol gel – 100 g, 500 g
ZeroDouble gel – 100 g, 500 g
Emollients - ointments
1st line – White soft paraffin 50% / Liquid paraffin 50% ointment* - 250 g, 500 g
1st line – Zeroderm ointment – 125 g, 500 g
2nd line – Hydromol ointment – 125 g, 500 g
*Brands reimbursable as per Part 2 of the Scottish Drug Tariff:
Fifty: 50 ointment – 250 g, 500 g
KreaMoint 50:50 ointment – 500 g
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Amended to include West of Scotland Formulary details
Emollients
Removal of Doublebase gel – 100 g, 500 g
Removal of Hydromol ointment – 1 kg
Removal of Zeroveen cream – 100 g, 500 g
Removal of Pure Health Liquid Paraffin 50% in White Soft Paraffin ointment – 500 g
Bath/shower preparations with antimicrobials
Removal of Dermol 500 lotion – 500 ml
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Amended to include West of Scotland Formulary details
Emollients
Removal of ExoCream – 500 ml
Removal of Hydromol ointment – 1 kg
Emollient bath and shower additives
Removal of Emulsifying ointment -500 g
Removal of Hydromol Bath and Shower emollient – 500 ml
Removal of QV Gentle wash – 500 ml
Bath/shower preparations with antimicrobials
Removal of Dermol 200 shower emollient – 200 ml
Removal of Dermol 600 bath emollient – 500 ml
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Amended to include West of Scotland Formulary details
Emollients
Removal of Doublebase gel – 100 g, 500 g
Removal of Cetraben cream – 150 g
Removal of QV 5% skin lotion – 500 ml
Removal of Dermol cream – 100 g, 500 g
Removal of Dermol 500 Lotion (as a soap substitute) – 500 ml
Removal of QV Gentle wash (as soap substitute) – 500 ml
Removal of Pure Health Liquid Paraffin 50% in White Soft Paraffin ointment – 500 g
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Amended to include West of Scotland Formulary details
Lotion
Removal of Cetraben Lotion – 200 ml, 500 ml
Ointment
Removal of Pure Health Liquid Paraffin 50% in White Soft Paraffin ointment – 500 g
Emollient bath and shower additives
Removal of Hydromol bath and shower emollient – 350 ml, 500 ml, 1000 ml
-
Amended to include West of Scotland Formulary details
Emollients
Removal of ExoCream – 500 ml
Removal of Emulsifying ointment – 500 g
Last Thursday we held an Ask Me Anything session on PFS and PFS+, giving contractors and their teams the chance to put questions directly to the CPS team
Congratulations again on your recent qualification, and the start of your career as a registered Pharmacist!
We have run a short series of articles on the NHS PFS Service over recent weeks, focussing on some specific aspects of the service.
Pharmacy First Scotland refresher: join our live AMA on Thursday 20th August, 19:30–21:00 on Microsoft Teams. Bring your questions
This week, CPS Policy and Development Pharmacist Gordon Winter joined BBC Radio Scotland’s Drivetime programme to discuss what the data means for community pharmacy and the wider primary care landscape.
Six years of NHS Pharmacy First Scotland, with more than 1.9 million people using the service and continued expansion of independent prescribing.
Latest update for Community Pharmacy Independent Prescribers and trainees, including training pathways, next steps and upcoming support.
The top question for this week is around the eligibility of patients to receive the service.
Reminders and revisit ahead of the holiday season and upcoming events. NHS Pharmacy First (Scotland) Service – including Community Pharmacy Independent Prescribing
Update to the NHS Pharmacy First Scotland Approved List from 1 June 2026, including changes for oral thrush and allergy treatments.
A new report published by Public Health Scotland show that community pharmacy continue to play an important role in supporting the health and wellbeing of people across Scotland
Summary of the 1st April 2026 updates to the NHS Pharmacy First Scotland Approved List, including changes to oral thrush, allergy/itch and previous cough removals.
A new national PGD for oral candidiasis is being added to NHS Pharmacy First Scotland. Guidance for Health Boards and community pharmacy teams.
Scottish Government circular announcing a new Patient Group Direction for skin inflammation within NHS Pharmacy First Scotland.
Pharmacy teams will start to notice two new UCF modules appearing in their PMRs from next week - one each for the previously-announced Nystatin and Hydrocortisone PGDs.
Understand the top 25 Pharmacy First rejected items, why claims fail, and how to ensure compliance with NHS Scotland requirements.
On behalf of NHS Health Boards, we are collecting suggestions for amendments to the Approved List from our members and their pharmacy teams, which can be for additions to the list, replacements or deletions.
Last Thursday the CPS team held a webinar which covered the recent changes to NHS Pharmacy First Scotland remuneration, and gave attendees the opportunity to ask questions of the team.
The attached document below is a series of key facts, guidance and information relating to the NHS Pharmacy First (Scotland) (PF(S)), the Scottish Community Pharmacy service for the pharmaceutical care of acute common clinical conditions.
CPS updates on rejected item reporting for Pharmacy First claims. Learn common reasons for rejection and how to avoid them.
Community Pharmacy Scotland will be hosting a webinar on Thursday 20 November at 7.00pm via Microsoft Teams, this webinar is for CPS contractor members and their teams.
The Scottish Government has released circular PCA(P)(2025)24 which details changes to the remuneration of all components of the NHS Pharmacy First (Scotland) service.
Updated PGDs for UTIs and impetigo approved for NHS Pharmacy First Scotland. Health Boards to implement locally.
This circular reminds community pharmacy contractors of the key service requirements for NHS Pharmacy First Scotland, highlighting the importance of face-to-face consultations, correct use of NHS branding, and adherence to national service guidelines.
Read Victoria’s incredible real-world story of how a routine consultation through the NHS Pharmacy First Plus service led to the urgent referral of a patient who was later diagnosed with leukaemia.
Check out our Policy & PR Pharmacist, Sarah Scott, speaking to BBC Radio Scotland this morning about how people can manage their hay fever symptoms and access expert support through NHS Pharmacy First Scotland.
The Scottish Government has published its NHS Operational Improvement Plan, which describes how the commitments outlined in the First Minister’s January speech will be delivered. In his speech, First Minister John Swinney announced plans to make it easier for people to see a first point of contact with the NHS, for example a community pharmacist. The Operational Improvement Plan states that the Scottish Government will further expand the NHS Pharmacy First Scotland service, enabling community pharmacists to treat a greater number of clinical conditions.
The approved list of products for the NHS Pharmacy First Scotland Service has been updated from the 1st March 2025.
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Thanks to everyone who made it along to our recent "Ask Me Anything" event on NHS Pharmacy First Scotland, we hope you found it useful!