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Independent analysis of NHS open data
PharmaInsight

Powder 4:1 formula (0913181)

Nutrition and Blood Oral nutrition BNF 0913181L0
Data updated April 2026 Download CSV

Powder 4:1 formula (0913181) was ranked 1175th of 1,792 medicines by items in April 2026, with 151 items, down 5.0% on a year earlier.

151items -5%

Dispensed in April 2026

1,822items

Rolling 12 months

£34,179

Net ingredient cost · April 2026

Figure 1. Powder 4:1 formula (0913181): national items dispensed by month

0 134 268 Jan 2023 Jul 2023 Jan 2024 Jul 2024 Jan 2025 Jul 2025 Apr 2026 151 Jan 2023: 155 Feb 2023: 158 Mar 2023: 184 Apr 2023: 155 May 2023: 176 Jun 2023: 184 Jul 2023: 160 Aug 2023: 178 Sep 2023: 190 Oct 2023: 159 Nov 2023: 162 Dec 2023: 156 Jan 2024: 166 Feb 2024: 158 Mar 2024: 135 Apr 2024: 147 May 2024: 195 Jun 2024: 152 Jul 2024: 189 Aug 2024: 171 Sep 2024: 140 Oct 2024: 162 Nov 2024: 171 Dec 2024: 180 Jan 2025: 154 Feb 2025: 110 Mar 2025: 176 Apr 2025: 159 May 2025: 179 Jun 2025: 116 Jul 2025: 268 Aug 2025: 146 Sep 2025: 168 Oct 2025: 188 Nov 2025: 145 Dec 2025: 161 Jan 2026: 172 Feb 2026: 155 Mar 2026: 152 Apr 2026: 151

Source: NHSBSA Prescription Cost Analysis, to April 2026

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At a glance

  • Therapeutic class Oral nutrition
  • Presentations 2 shown
  • Average cost / item £226.35
  • Year on year Down 5.0% on a year earlier
What this is
Net ingredient cost is the list price before discounts and dispensing fees, not what the NHS finally pays.

Top presentations, April 2026

The individual products dispensed under Powder 4:1 formula (0913181) this month.

Presentations of Powder 4:1 formula (0913181), April 2026
Presentation BNF code Items Net ingredient cost
KetoCal 4:1 powder unflavoured 0913181L0BBAAAA 93 £25,419
KetoCal 4:1 powder vanilla 0913181L0BBABAA 58 £8,760

Source: NHSBSA Prescription Cost Analysis · to April 2026 OGL v3.0

Where Powder 4:1 formula (0913181) is dispensed

The regions and dispensing practices with the highest Powder 4:1 formula (0913181) volumes.

Regional volumes from NHSBSA Prescription Cost Analysis; practice volumes from NHS dispensing data.

Compare Powder 4:1 formula (0913181) with

Other medicines in the same BNF section, by prescribing volume.