Clintas Carbomer® gel and VitA-POS® eye ointment are the formulary preferred choices for the symptomatic relief of dry eye or tear deficiency in NHS D&G. Most multiple use dry preparations contain preservatives many of which cause sensitization. The formulary products have been selected because their preservatives are better tolerated by patients and because they are more cost-effective. Clintas Carbomer contains carbomer 980 0.2%. It should be prescribed by brand. VitA-POS preservative-free ophthalmic ointment contains retinol, liquid paraffin and wool fat. This review aims to move eligible patient onto the formulary choice dry eye preparations.