Fosfomycin

Metadata

Coding system
Dictionary of Medicines and Devices
Coding system release
2026 5.1.0
Latest compatible release
2026 5.3.0 (2026-05-25)
Organisation
Pharmacy First project
Codelist ID
pharmacy-first-project/fosfomycin
Version ID
494591a2
Number of codes included
18

About

Description

Fosfomycin

Methodology

Context

Pharmacy First

Inclusion/exclusion criteria

Fosfomycin 3g granules for oral solution sachets (VMP)

Borderline cases

We excluded injectables and 500 mg Fosfomycin .These exclusions were made to ensure the codelist reflects real-world community prescribing practice and avoids inclusion of hospital-oriented or atypical dosing formulations.

Sensitivity vs specificity

The codelist was designed to prioritise specificity for community oral fosfomycin prescribing, focusing on the standard 3 g oral sachet formulation used in UK primary care, while excluding alternative or non-standard formulations that are not routinely used in Pharmacy First pathways.

Additional information

Fosfomycin use in UK primary care is predominantly limited to a single-dose 3 g oral sachet regimen. Inclusion of this formulation ensures accurate capture of prescribing for uncomplicated urinary tract infection management within community settings.

References

Signed off by

  • Arnaud Iradukunda, (May 18, 2026)
  • Tony Avery, (May 23, 2026)

Codelists are developed by a broad community of users for individual study purposes, which may or may not meet the needs of other studies. They should not be thought of as universal definitions of a particular condition.

We don't offer any guarantees about what they do or don't identify. Users should carefully check that any codelist meets their needs, and seek clinical input where appropriate.

* dm+d codelists can be downloaded with codes mapped to changed VMPs included - this is the default for an OpenSAFELY project. See the documentation on keeping codelists up to date for more details.

code term
18162111000001102 Fosfomycin 3g granules for oral solution sachets (VMP)
18162811000001109 Monurol 3g granules for oral solution sachets (Imported (United States)) (AMP)
21393311000001105 Fosfomycin 3g granules for oral solution sachets (Special Order) (AMP)
29744711000001107 Monuril 3g granules sachets (Lexon (UK) Ltd) (AMP)
29934011000001102 Fosfomycin 3g granules for oral solution sachets (A A H Pharmaceuticals Ltd) (AMP)
30779111000001106 Fosfomycin 3g granules for oral solution sachets (Lexon (UK) Ltd) (AMP)
32746111000001105 Fosfomycin 3g granules for oral solution sachets (Advanz Pharma) (AMP)
32982711000001106 Monuril 3g granules for oral solution sachets (Zambon UK Ltd) (AMP)
38773011000001105 Monuril 3g granules for oral solution sachets (Pilsco Ltd) (AMP)
39790611000001100 Alexi 3g granules for oral solution sachets (Nordic Pharma Ltd) (AMP)
39834211000001100 Monuril 3g granules for oral solution sachets (CST Pharma Ltd) (AMP)
39834411000001101 Fosfomycin 3g granules for oral solution sachets (CST Pharma Ltd) (AMP)
40463411000001101 Monuril 3g granules for oral solution sachets (DE Pharmaceuticals) (AMP)
40560111000001109 Fosfomycin 3g granules for oral solution sachets (Consilient Health Ltd) (AMP)
40666711000001102 Fosfomycin 3g granules for oral solution sachets (Alliance Healthcare (Distribution) Ltd) (AMP)
42831811000001106 Fosfomycin 3g granules for oral solution sachets (Drugsrus Ltd) (AMP)
42858811000001101 Monuril 3g granules for oral solution sachets (Necessity Supplies Ltd) (AMP)
776041001 Fosfomycin (VTM)

* Note that this is the full list of explicitly included dm+d codes for this codelist. An OpenSAFELY project will by default also include previous or subsequent codes for any included VMPs that may have changed code. See the documentation on keeping codelists up to date for more details.

This page shows the search terms that were used to build the codelist. Concepts that match the search terms, but which were excluded, are in faint grey.

Fosfomycin

Included 18 out of 32 matching concepts.

Show matching concepts
  • Alexi 3g granules for oral solution sachets (Nordic Pharma Ltd) (AMP) (39790611000001100)
  • Fomicyt 2g powder for solution for infusion vials (InfectoPharm Ltd) (AMP) (24998011000001102)
  • Fomicyt 4g powder for solution for infusion vials (InfectoPharm Ltd) (AMP) (28095611000001109)
  • Fosfocina 250mg/5ml oral suspension (Imported (Spain)) (AMP) (25196111000001106)
  • Fosfocina 500mg capsules (Imported (Spain)) (AMP) (21259011000001106)
  • Fosfomycin (VTM) (776041001)
  • Fosfomycin 1g powder and solvent for solution for infusion vials (VMP) (22491111000001100)
  • Fosfomycin 250mg/5ml oral suspension (VMP) (25194411000001109)
  • Fosfomycin 2g powder for solution for infusion vials (VMP) (24997511000001106)
  • Fosfomycin 3g granules for oral solution sachets (A A H Pharmaceuticals Ltd) (AMP) (29934011000001102)
  • Fosfomycin 3g granules for oral solution sachets (Advanz Pharma) (AMP) (32746111000001105)
  • Fosfomycin 3g granules for oral solution sachets (Alliance Healthcare (Distribution) Ltd) (AMP) (40666711000001102)
  • Fosfomycin 3g granules for oral solution sachets (CST Pharma Ltd) (AMP) (39834411000001101)
  • Fosfomycin 3g granules for oral solution sachets (Consilient Health Ltd) (AMP) (40560111000001109)
  • Fosfomycin 3g granules for oral solution sachets (Drugsrus Ltd) (AMP) (42831811000001106)
  • Fosfomycin 3g granules for oral solution sachets (Lexon (UK) Ltd) (AMP) (30779111000001106)
  • Fosfomycin 3g granules for oral solution sachets (Special Order) (AMP) (21393311000001105)
  • Fosfomycin 3g granules for oral solution sachets (VMP) (18162111000001102)
  • Fosfomycin 4g powder for solution for infusion vials (VMP) (22491511000001109)
  • Fosfomycin 500mg capsules (Special Order) (AMP) (28691111000001109)
  • Fosfomycin 500mg capsules (VMP) (21258811000001107)
  • Fosfomycin 5g powder for solution for infusion vials (VMP) (36809911000001109)
  • Fosfoscina Intravenosa 1g powder and solvent for solution for infusion vials (Imported (Spain)) (AMP) (22491311000001103)
  • Fosfoscina Intravenosa 4g powder for solution for infusion vials (Imported (Spain)) (AMP) (22491711000001104)
  • Infectofos 5g powder for solution for infusion vials (Imported (Germany)) (AMP) (36810111000001103)
  • Monuril 3g granules for oral solution sachets (CST Pharma Ltd) (AMP) (39834211000001100)
  • Monuril 3g granules for oral solution sachets (DE Pharmaceuticals) (AMP) (40463411000001101)
  • Monuril 3g granules for oral solution sachets (Necessity Supplies Ltd) (AMP) (42858811000001101)
  • Monuril 3g granules for oral solution sachets (Pilsco Ltd) (AMP) (38773011000001105)
  • Monuril 3g granules for oral solution sachets (Zambon UK Ltd) (AMP) (32982711000001106)
  • Monuril 3g granules sachets (Lexon (UK) Ltd) (AMP) (29744711000001107)
  • Monurol 3g granules for oral solution sachets (Imported (United States)) (AMP) (18162811000001109)