Specials are unlicensed medicines that are specifically manufactured or obtained to meet a patient's individual clinical need. 

Prescribers and pharmacists both have a responsibility to ensure that where specials are prescribed, they are the most appropriate choice and patients are supported to use them effectively. 

Use our guides to help you prescribe and obtain specials appropriately. 

We’ve published:

Prescribing guide

prescribing guide to support all prescribers to prescribe specials appropriately and safely; it includes practical tips and a checklist you can print out and use as a prescribing tool. It’s also endorsed by the Royal College of GPs, the Academy of Medical Royal Colleges and the Royal College of Nursing.

Information on pharmaceutical issues when crushing, opening or splitting oral dosage forms 

Certain types of dosage forms should never be split or crushed and this document aims to highlight these including why they should remain intact, and the possible consequences of splitting or crushing them. 




Procurement guide

procurement guide to support pharmacists to work with prescribers, patients and carers to appropriately obtain and safely supply specials.



Our dedicated Professional Support Service can help