Dumfries & Galloway Health Board
Prescribing Support Team

Peer Approved Clinical System (PACS) Tier Two Request Form and Decision Record

Posted: 9 Aug 18
ADTC Forms


This form is only to be used to request access to a licensed medicine that; is a medicine for an indication that has been considered and not recommended for use in NHS Scotland by the Scottish Medicines Consortium (SMC); or is a medicine accepted for restricted use by SMC but the intended use is out with SMC restrictions; or is a medicine which has been submitted and is awaiting/undergoing evaluation by the SMC.