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ICS/LABA combination inhaler

Beclometasone/formoterol prescribing across the NHS.

England's biggest combination inhaler finally has its own line: since January 2026 the BNF codes beclometasone-formoterol separately from plain beclometasone. It runs at roughly 780,000 items and £23m at list price a month, the workhorse of modern asthma regimens that use one inhaler for both maintenance and relief.

Scorecard, last 12 months
Items
5.5m
dispensed in the last 12 months
Spend
£164.9m
at NIC, last 12 months
Year on year
Not comparable
This line was split out of beclometasone in January 2026. Its earlier volume sits in that page's history, so there is no like-for-like year behind it yet.
Latest month
July 2026
most recent NHSBSA release
Key facts · plain English

The NHS in England dispensed 5,492,088 prescription items of Beclometasone/formoterol in the 12 months to July 2026, across primary care and hospitals.

Spending on Beclometasone/formoterol over those 12 months was £164.9m at net ingredient cost, the list price of what was dispensed before any discounts.

We do not publish a year-on-year change for Beclometasone/formoterol. This line was split out of beclometasone in January 2026. Its earlier volume sits in that page's history, so there is no like-for-like year behind it yet.

97% of Beclometasone/formoterol volume moved through primary care and 3% through hospital pharmacies.

Beclometasone/formoterol is the largest of 12 chemical substances in Corticosteroids (respiratory) (BNF 3.2), by items dispensed.

Among Integrated Care Boards, NHS Cheshire and Merseyside ICB dispensed the highest volume of Beclometasone/formoterol.

Source: NHS Business Services Authority open data (English Prescribing Data and SCMD), OGL v3.0. Items count prescriptions dispensed, not patients treated.

National trend · since 2020
Beclometasone/formoterol, England: monthly items and spend
Items per month (teal) and spend, £ (orange)
items £ 2020-11 2023-09 2026-07 20 Jul 2026 · Parallel import licence granted5 Jun 2026 · Parallel import licence granted5 Mar 2026 · Parallel import licence granted5 Feb 2026 · Parallel import licence granted9 Jan 2026 · Parallel import licence granted1 May 2024 · Hospital framework awarded
Source: NHSBSA English Prescribing Data (OGL v3.0).

Diamond markers show events around this period: NICE decisions, safety alerts, supply notices, Drug Tariff moves and price concessions, new suppliers in dm+d and framework awards. Hover a marker for the date and type. The evidence behind each one, with the source quote and link, sits behind Apply.

MonthItemsSpend (NIC)
July 2026 826,243 £24.5m
June 2026 797,311 £23.7m
May 2026 762,915 £22.9m
April 2026 777,996 £23.4m
March 2026 794,889 £24.0m
February 2026 729,091 £22.0m
January 2026 803,643 £24.4m
December 2025 0 £0
November 2025 0 £0
October 2025 0 £0
September 2025 0 £0
August 2025 0 £0

The same series as the chart, most recent month first. The full monthly history, as CSV, sits behind Apply.

Cost per item · price erosion
Beclometasone/formoterol, England: cost per item
Actual cost per item, primary care (£)
£33.42 £0.00 2020-11 2023-09 2026-07
Source: NHSBSA English Prescribing Data (OGL v3.0).
Market share

35.4% of its class.

Beclometasone/formoterol is the largest of 12 chemical substances in Corticosteroids (respiratory) (BNF 3.2), by items dispensed in July 2026. The full class league, who's gaining, and the month-by-month share movement sit behind Apply.

See the full class picture →

Seasonality
Average items by calendar month, indexed to the year (100 = average)
200 100 0 JFMAMJJASOND

Average items by calendar month across the full history, indexed to the annual mean.

Who supplies it · dm+d register

7 suppliers hold a live beclometasone/formoterol listing, across 15 packs.

Chiesi Ltd, Cipla EU Ltd, CST Pharma Ltd, Genus Pharmaceuticals Ltd, Lupin Healthcare (UK) Ltd, Necessity Supplies Ltd, Pilsco Ltd. In the last twelve months 0 packs were listed and 2 discontinued. Every pack, its GTIN and published list price, and each week's changes are in the full report.

A listing in the NHS Dictionary of Medicines and Devices means a product may be supplied. It says nothing about sales or market share, and the list price is the reimbursement price, not what any buyer pays. Contains information from dm+d 10.1.0, published by the NHS Business Services Authority under the Open Government Licence v3.0.

Where it's prescribed · England

Beclometasone/formoterol across all 36 ICBs.

Every Integrated Care Board in England, shaded by how much beclometasone/formoterol its GPs dispense per head of population. Hover an ICB to name it. The ranked figures for all 36 ICBs, and the drill-down to practice level, are in the full report.

NHS Cheshire and Merseyside ICBNHS Staffordshire and Stoke-on-Trent ICBNHS Shropshire, Telford and Wrekin ICBNHS Lincolnshire ICBNHS Leicester, Leicestershire and Rutland ICBNHS Coventry and Warwickshire ICBNHS Herefordshire and Worcestershire ICBNHS North East London ICBNHS South East London ICBNHS South West London ICBNHS Kent and Medway ICBNHS Cornwall and the Isles of Scilly ICBNHS Devon ICBNHS Somerset ICBNHS Bristol, North Somerset and South Gloucestershire ICBNHS Bath and North East Somerset, Swindon and Wiltshire ICBNHS Dorset ICBNHS Gloucestershire ICBNHS Lancashire and South Cumbria ICBNHS North East and North Cumbria ICBNHS Humber and North Yorkshire ICBNHS West Yorkshire ICBNHS Birmingham and Solihull ICBNHS Greater Manchester ICBNHS Derby and Derbyshire ICBNHS Northamptonshire ICBNHS Nottingham and Nottinghamshire ICBNHS South Yorkshire ICBNHS Black Country ICBNHS Central East ICBNHS Essex ICBNHS Hampshire and Isle of Wight ICBNHS Norfolk and Suffolk ICBNHS Surrey and Sussex ICBNHS Thames Valley ICBNHS West and North London ICB
Items per 1,000 registered patients, 12 months
FewerMore

Darker shading marks where Beclometasone/formoterol is dispensed most per head of population. Exact figures for every ICB, and the drill-down to practice level, are in the full report.

Data: NHSBSA English Prescribing Data (OGL v3.0). Boundaries: ONS Open Geography portal, ICBs April 2026, contains OS data © Crown copyright and database right 2026.

Zoomed out to the 7 NHS regions.

The same 12 months rolled up to NHS England's seven regions, ranked by intensity.

North WestMidlandsMidlandsMidlandsMidlandsMidlandsMidlandsLondonLondonLondonSouth EastSouth WestSouth WestSouth WestSouth WestSouth WestSouth WestSouth WestNorth WestNorth East and YorkshireNorth East and YorkshireNorth East and YorkshireMidlandsNorth WestMidlandsMidlandsMidlandsNorth East and YorkshireMidlandsEast of EnglandEast of EnglandSouth EastEast of EnglandSouth EastSouth EastLondon
Items per 1,000 registered patients, 12 months
North West
Midlands
North East and Yorkshire
East of England
South West
South East
London
Data: NHSBSA English Prescribing Data (OGL v3.0). Regions: ONS Open Geography portal, NHS England regions April 2026. Contains OS data © Crown copyright and database right 2026.
Top 3 previews

The teaser view.

Three rows each. The full 36-ICB view, every prescribing organisation, every strength and the hospital picture sit below the fold, behind Apply.

Top ICBs by volume
  1. 1 NHS Cheshire and Merseyside ICB 307k
  2. 2 NHS North East and North Cumbria ICB 301k
  3. 3 NHS Greater Manchester ICB 290k
  4. – + 33 more. See the full 36-ICB table. See all →
Fastest-growing ICBs

Not shown for beclometasone/formoterol. This line was split out of beclometasone in January 2026. Its earlier volume sits in that page's history, so there is no like-for-like year behind it yet. Every ICB is measured against that same broken year, so a growth ranking would rank the recoding rather than the prescribing. Volume, in the list beside this one, is unaffected.

Top formulations
  1. 1 Fostair 100micrograms/dose / 6micrograms/dose inhaler 32%
  2. 2 Fostair NEXThaler 100microg/dose / 6microg/dose dry pdr inh 23%
  3. 3 Luforbec 100micrograms/dose / 6micrograms/dose inhaler 18%
  4. – + 3 more. See every strength and pack. See all →
Primary vs secondary care
Primary 97% Hospital 3%

Split of items across NHSBSA primary care and SCMD hospital dispensing.

Deprivation · IMD 2019

Prescribing by deprivation.

Items per 1,000 registered patients by IMD decile: 1 = most deprived, 10 = least
39.6 0 12345678910

Items per 1,000 registered patients by deprivation decile (1 = most deprived), practice deprivation weighted by where each practice's patients live. Read the shape rather than the absolute level: the most and least deprived deciles cover far fewer practices, and age structure drives much of the gradient.

Beyond England

The devolved nations.

NationItems · 12 monthsData to
England 5.5m July 2026
Scotland 438k June 2026
Northern Ireland 25k May 2026
Wales 356 April 2026

Each nation publishes its own community prescribing data, with different coding and list rules, so read these per-nation rather than as an exact UK total. Sources: NHSBSA (England), Public Health Scotland, NHS Wales Shared Services Partnership, OpenDataNI. Used under the Open Government Licence v3.0.

Honesty strip

What open data won't tell you about beclometasone/formoterol.

The trend here starts in January 2026; earlier volume sits inside the beclometasone line's history. The devolved datasets have not all caught up with the recoding, so the nation panels under-count this line for now.

Read exactly what the data covers →

Common questions

Asked and answered.

Is beclometasone/formoterol prescribing rising or falling in the NHS?

We cannot answer that honestly for beclometasone/formoterol yet. This line was split out of beclometasone in January 2026. Its earlier volume sits in that page's history, so there is no like-for-like year behind it yet. England dispensed 5,492,088 items in the 12 months to July 2026, and the monthly run-rate on this page is the figure to read instead.

How much does the NHS spend on beclometasone/formoterol?

£164.9m at net ingredient cost in the 12 months to July 2026. Net ingredient cost is the list price of the medicine before discounts and rebates; the NHS's final bill, especially for hospital medicines, is usually lower.

Where in England is beclometasone/formoterol prescribed most?

By raw volume, NHS Cheshire and Merseyside ICB dispensed the most beclometasone/formoterol in the last 12 months. Raw volume favours the biggest populations; the map on this page shades every ICB by items per head to correct for that.

How up to date is this data?

This page runs to July 2026, the most recent NHSBSA release. Prescribing data publishes roughly six to eight weeks in arrears, and DoseTrend refreshes within 48 hours of each monthly release.

Locked · Applicants only

The full breakdown.

Every ICB, every prescribing organisation, every strength, the hospital view with what trusts paid and who holds each framework line, Signals with their sources, and the monthly briefing PDF. The rows below are placeholders; the real tables sit behind the application.

Locked · Applicants only

See the full picture for Beclometasone/formoterol.

All 36 ICBs, prescribing organisations, formulation splits, Signals, and the hospital view with what trusts paid. Plus who won the NHS contract: 8 beclometasone/formoterol framework lines, 3 suppliers. £1,500 a month per molecule, price published, applications reviewed by a human within one working day.

No card details to apply. About one applicant in ten gets told the open data can't answer their question, before paying anything.

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