NHS Pharmacy First Approved List Update – 1st June 2026
Published: 5th June 2026
This update sets out the changes made to the NHS Pharmacy First Scotland Approved List as of 1st June 2026. It details new additions for oral thrush and allergy/itch and highlights earlier changes that still matter to pharmacy teams.
Changes Made In This Edition:
Update to Section 2.3 Nasal congestion:
Removal of Manadol 0.9% nasal drops (M&A Pharmachem Ltd) x 10ml – item discontinued
Removal of Sodium chloride 0.9% nasal drops (RX Farma) x 10ml – item discontinued
Update to Section 6.1 Cystitis:
Addition of nitrofurantoin as 2nd line treatment for cystitis (UTI PGDs) in NHS Shetland
Changes Made In Previous Editions To Be Aware Of
In the 1 June 2024 Edition, a change was made to Section 2.2 Cough to remove Simple linctus paediatric sugar free and Simple Linctus sugar free, all pack sizes.
This removal was following advice from Area Drugs and Therapeutics Committees Collaborative (ADTCC). Lack of clinical evidence of effectiveness means they cannot support the continued inclusion of these products as treatments available on the NHS, in line with prescribing guidance across the country.
Patients presenting with symptoms of a cough can obtain background information on coughs and their clinical management at NHS Inform here If the patient subsequently requires further support, they can still access NHS Pharmacy First Scotland consultations for advice and/or referral where appropriate.
Frequently Asked Questions (FAQs)
-
It is a summary of changes made to the Approved List from 1 June 2026, including new additions and previously introduced updates that remain relevant to community pharmacy teams in Scotland.
-
The update includes new additions for the treatment of oral thrush and allergy/itch within the NHS Pharmacy First Scotland service.
-
Yes. In addition to new additions, the update highlights earlier changes that continue to apply and should still be considered by pharmacy teams.
-
Because it reflects the most recent changes in place from 1st June 2026, including both new additions and existing updates that remain relevant to the NHS Pharmacy First Scotland service.
Update to the NHS Pharmacy First Scotland Approved List from 1 June 2026, including changes for oral thrush and allergy treatments.