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 Formulary Chapter 6: Endocrine system - Full Chapter
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06.01  Expand sub section  Drugs used in diabetes
06.01.01  Expand sub section  Insulins
06.01.01.01  Expand sub section  Short-acting insulins
Insulin
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Formulary
Green
  • Actrapid
  • Humulin S
  • Insuman Rapid
 
 
Insulin  (Humulin R 500 units in 1mL®)
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Formulary
Red
 
 
Insulin Aspart
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Formulary

Green

  • Fiasp
  • Fiasp FlexTouch
  • Fiasp Penfill
  • NovoRapid
  • NovoRapid FlexPen
  • NovoRapid FlexTouch
  • NovoRapid Penfill
  • Trurapi

Amber Recommended 

  • NovoRapid PumpCart
 
 
Insulin Glulisine
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Formulary
Green

BRANDS

  • Apidra
  • Apidra SoloStar
 
Link  For your patients with diabetes who are currently prescribed Apidra®: A guide on how to use Apidra®.
 
06.01.01.01  Expand sub section  Soluble Insulin
06.01.01.01  Expand sub section  Rapid Acting Insulin Analogues to top
06.01.01.01  Expand sub section  Ultra-Rapid acting insulin analogues
06.01.01.01  Expand sub section  Short-acting human insulin analogues
Insulin lispro
View adult BNF View SPC online View childrens BNF
Formulary
Amber Initiation

BRANDS

  • Humalog Junior KwikPen
 
 
06.01.01.02  Expand sub section  Intermediate- and long-acting insulins
Insulin glargine (Semglee®)
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First Choice
Green

First line insulin for new patients initiated on insulin glargine 100units/ml and existing patients on Lantus

 
Insulin Detemir
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Formulary
Green
  • Levemir FlexPen
  • Levemir InnoLet
  • Levemir Penfill
 
 
INSULIN GLARGINE
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Formulary
Green

 

  • Abasaglar KwikPen
  • Lantus
  • Toujeo
  • Toujeo DoubleStar
 
Link  NICE NG17: Type 1 diabetes in adults: diagnosis and management
Link  For your patients who are currently prescribed Lantus®: A guide on how to use Lantus®.
Link  For your patients with diabetes who are currently prescribed Lantus ®: A step-by-step guide on how to use Lantus® SoloStar.
Link  For your patients with diabetes who are currently prescribed Toujeo® DoubleStar: A guide on how to use Toujeo® DoubleStar.
Link  For your patients with diabetes who are currently prescribed Toujeo® SoloStar: A guide on how to use Toujeo ® SoloStar.
 
Insulin Degludec (Tresiba Flextouch ®)
(200units/ml)
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Formulary

 

  • Tresiba FlexTouch 200units/ml

 Green Type I Diabetes

Amber Recommended Type II Diabetes

 
 
Insulin Degludec (Tresiba®)
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Formulary
Amber Initiation

 

  • Tresiba FlexTouch 100units/ml
  • Tresiba Penfill 100units/ml
 
 
Insulin degludec/liraglutide
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Formulary
Amber Initiation
 
 
Isophane Insulin
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Formulary
Green

 

  • Humulin I
  • Humulin I KwikPen
  • Insulatard
  • Insulatard InnoLet
  • Insulatard Penfill
  • Insuman Basal
  • Insuman Basal SoloStar

 

 

 
Link  For your patients with diabetes who are currently prescribed Insuman® Basal: A step-by-step guide on how to use Insuman® Basal SoloStar.
 
06.01.01.02  Expand sub section  Biphasic insulins
Biphasic Insulin Aspart
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Formulary
Green

BRANDS

  • NovoMix 30 FlexPen
  • NovoMix 30 Penfill
 
 
Biphasic Insulin Lispro
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Formulary
Green

BRANDS

  • Humalog Mix25
  • Humalog Mix25 KwikPen
  • Humalog Mix50
  • Humalog Mix50 KwikPen
 
 
Biphasic Isophane Insulin
View adult BNF View SPC online View childrens BNF
Formulary
Green

BRANDS

  • Humulin M3
  • Humulin M3 KwikPen
 
 
Biphasic Isophane Insulin (Insuman Comb® )
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Formulary
Green

Insuman comb 25

Insuman comb 50

 

 

 
 
Insulin Lispro
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Formulary
Green
  • Admelog
  • Humalog 100units/ml
  • Humalog KwikPen
  • Lyumjev
  • Lyumjev KwikPen
  • Lyumjev Junior KwikPen
 
 
06.01.01.02  Expand sub section  Intermediate Acting Insulin to top
06.01.01.02  Expand sub section  Long Acting Insulin Analogues
06.01.01.03  Expand sub section  Hypodermic equipment
Insulin Pen Needles (Microdot MAX safety pen needles 5mm/30g ®)
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Formulary
Green

There are used primarily to protect any individuals administering insulin as a third party

 

 

 
 
Injection Devices
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Formulary
Amber Recommended
  • AllStar Pro hypodermic insulin injection pen reusable for 3ml cartridge 1 unit dial up / range 1-80 units
  • Autopen
  • Autopen 24 hypodermic insulin injection pen reusable for 3ml cartridge 1 unit dial up / range 1-21 units
  • Autopen 24 hypodermic insulin injection pen reusable for 3ml cartridge 2 unit dial up / range 2-42 units
  • Autopen Classic hypodermic insulin injection pen reusable for 3ml cartridge 1 unit dial up / range 1-21 units
  • Autopen Classic hypodermic insulin injection pen reusable for 3ml cartridge 2 unit dial up / range 2-42 units
  • HumaPen Ergo
  • HumaPen Luxura
  • HumaPen Luxura HD hypodermic insulin injection pen reusable for 3ml cartridge 0.5 unit dial up / range 1-30 units
  • HumaPen Savvio hypodermic insulin injection pen reusable for 3ml cartridge 1 unit dial up / range 1-60 units
  • JuniorSTAR hypodermic insulin injection pen reusable for 3ml cartridge 0.5 unit dial up / range 1-30 units
  • NovoPen
  • NovoPen 5 hypodermic insulin injection pen reusable for 3ml cartridge 1 unit dial up / range 1-60 units
  • NovoPen Echo hypodermic insulin injection pen reusable for 3ml cartridge 0.5 unit dial up / range 0.5-30 units
  • OptiPen Pro 1
  • mhi-500
 
 
06.01.01.03  Expand sub section  Needles
Insulin Pen Needles (BD Viva 4mm/32g pen needles )
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Formulary
Green

 

 

 
 
Insulin Pen Needles (BD Viva 5mm/31g pen needles )
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Formulary
Amber Recommended

 

 

 
 
Insulin Pen Needles (GlucoRx Carepoint 5mm/31g pen needles )
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

 

 

 
 
Insulin Pen Needles (Insupen 4mm/32g pen needles )
View adult BNF View SPC online View childrens BNF
Formulary
Green

 

 

 
 
Insulin Pen Needles (Insupen 5mm/31g pen needles )
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

 

 

 
 
Needle free administration device
View adult BNF View SPC online View childrens BNF
Formulary
Red

BRANDS

  • Injex 10ml vial adaptor pack
  • Injex 4 monthly refill pack
  • Injex ampoule pack
  • Injex starter set
  • InsuJet 10ml vial adaptor pack 5 pieces
  • InsuJet 3ml cartridge adaptor pack 5 pieces
  • InsuJet nozzle pack 5 pieces
  • InsuJet starter set
 
 
Omnican fine
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Formulary
Red
 
 
Penfine classic
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Formulary
Red
 
 
06.01.01.03  Expand sub section  Lancets
06.01.02  Expand sub section  Antidiabetic drugs to top
06.01.02.01  Expand sub section  Sulphonyureas
Gliclazide
(Oral presentations)
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Formulary
Green
  • Tablets
  • Modified Release Tablets

Check OptimiseRx for most cost effective brand

 
Link  NG28 :Type 2 diabetes in adults: management
 
Tolbutamide
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Formulary
Amber Recommended
 
 
Glimepiride
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Formulary
Green
 
 
06.01.02.02  Expand sub section  Biguanides
Metformin
(Powder)
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Second Choice
Green

Patients with swallowing difficulties

 
Link  NICE NG28: Type 2 diabetes in adults: management
 
Metformin
(Oral Solution SF)
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Second Choice
Green
High Cost Medicine

For patients with swallowing difficulties only.

Tablets more cost effective.

 
Link  NICE NG28: Type 2 diabetes in adults: management
 
Metformin
(Tablets)
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Formulary
Green
 
Link  NICE NG28: Type 2 diabetes in adults: management
 
Metformin
(M/R tablets)
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Formulary
Green

Check Optimise Rx for most cost effective brand 

 
Link  NICE NG28: Type 2 diabetes in adults: management
 
06.01.02.03  Expand sub section  Other antidiabetic drugs
Alogliptin with Metformin (Vipdomet®)
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Formulary
Green

A variety of combinations tablets (dual therapies) of oral diabetes medication can be prescribed and are available in the Drug Tariff.   

Overall, they may improve compliance in patients, however some combinations would then not allow the flexibility in dosing that is required for diabetes management and in some cases increase the tablet burden. There are specific sick-day rules related to stopping certain medication which would be further complicated where they are not prescribed in their separate formulations.

Furthermore, for the overall health economy not all combination therapies are cost-effective and this will be increasingly so as the patents expire over the near future.

There are some combination therapies that are not recommended in the oral guidance and clinicians are guided to review and discuss these with patients as part of shared -care decision making. 

There are complexities also around the lack of licensing of dual therapies in specific cohorts of patients, related to prescribing for the indication of heart failure or renal disease, making this a complex area for prescribing in primary care. 

 
 
Canagliflozin/Metformin (Vokanamet®)
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Formulary
Green
 
 
Dapagliflozin / Metformin (Xigduo®)
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Formulary
Green
 
 
Empagliflozin / Metformin  (Synjardy ®)
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Formulary
Green
 
 
Linagliptin/ Metformin (Jentadueto ®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

A variety of combinations tablets (dual therapies)
of oral diabetes medication can be prescribed and
are available in the Drug Tariff.


Overall, they may improve compliance in patients,
however some combinations would then not allow
the flexibility in dosing that is required for diabetes
management and in some cases increase the
tablet burden. There are specific sick-day rules
related to stopping certain medication which
would be further complicated where they are not
prescribed in their separate formulations.


Furthermore, for the overall health economy not
all combination therapies are cost-effective and
this will be increasingly so as the patents expire
over the near future. There are some combination
therapies that are not recommended in the oral
guidance and clinicians are guided to review and
discuss these with patients as part of shared -care
decision making.


There are complexities also around the lack of
licensing of dual therapies in specific cohorts of
patients, related to prescribing for the indication of
heart failure or renal disease, making this a
complex area for prescribing in primary care

 
 
Sitagliptin and Metformin
View adult BNF View SPC online View childrens BNF
Formulary
Green

A variety of combinations tablets (dual therapies)
of oral diabetes medication can be prescribed and
are available in the Drug Tariff.


Overall, they may improve compliance in patients,
however some combinations would then not allow
the flexibility in dosing that is required for diabetes
management and in some cases increase the
tablet burden. There are specific sick-day rules
related to stopping certain medication which
would be further complicated where they are not
prescribed in their separate formulations.


Furthermore, for the overall health economy not
all combination therapies are cost-effective and
this will be increasingly so as the patents expire
over the near future. There are some combination
therapies that are not recommended in the oral
guidance and clinicians are guided to review and
discuss these with patients as part of shared -care
decision making.


There are complexities also around the lack of
licensing of dual therapies in specific cohorts of
patients, related to prescribing for the indication of
heart failure or renal disease, making this a
complex area for prescribing in primary care

 
 
06.01.02.03  Expand sub section  DPP-4 inhibitors
06.01.02.03  Expand sub section  Alpha glucosidase inhibitors to top
06.01.02.03  Expand sub section  GLP-1 mimetics
06.01.02.03  Expand sub section  DPP4 inhibitors (gliptins)
Sitagliptin
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First Choice
Green

To be used in line with NICE

First line treatment option where a DPP-4 inhibitor is indicated.


No significant clinical benefit when used in combination with Insulin – avoid using together

 
Alogliptin (Vipidia®)
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Formulary
Green

In line with NICE No significant clinical benefit when used in combination with Insulin – avoid using together 

 
Link  MHRA: Dipeptidylpeptidase-4 inhibitors: risk of acute pancreatitis
 
Linagliptin
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Formulary
Green

In line with NICE
Linagliptin has no significant clinical benefit or renoprotective effect in patients with CKD.

Sitagliptin should be used first line at the appropriate renal dose
where a DPP4 inhibitor is indicated


No significant clinical benefit when used in combination
with Insulin – avoid using together

 
Link  MHRA: Dipeptidylpeptidase-4 inhibitors: risk of acute pancreatitis
 
06.01.02.03  Expand sub section  SGLT2 inhibitors
06.01.02.03  Expand sub section  GLP1 agonists
Dulaglutide (Trulicity®)
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Formulary
Green

PLEASE PRESCRIBE BY BRAND NICE Guidance on prescribing

 

 
Link  How to use Trulicity Pen - Video
Link  NICE NG28: Type 2 diabetes in adults: management (Dec 2015)
 
Exenatide
( prolonged-release suspension for injection)
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Formulary
Green
  •  prolonged-release suspension for injection
 
Link  NICE NG28: Type 2 diabetes in adults: management (Dec 2015)
 
Liraglutide (Saxenda®)
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Formulary
Red

PLEASE PRESCRIBE BY BRAND - NICE Guidance on prescribing

• Injection
• For weight loss/ obesity
• Use according to NICE guidance

The use of Liraglutide for this indication is restricted to prescribing in secondary care by a specialist multidisciplinary Tier 3 weight management service with a commercial agreement in place.

Prescribe by brand (Saxenda ®) to avoid patients inadvertently receiving a different product licensed for type 2 diabetes

 

 
Link  NICE TA664: Liraglutide for managing overweight and obesity
Link  NICE NG28: Type 2 diabetes in adults: management
 
Liraglutide (Victoza®)
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Formulary
Green

PLEASE PRESCRIBE BY BRAND - NICE Guidance on prescribing

Use according to NICE guidance

For the treatment of type 2 diabetes ONLY

THIS IS FOR DIABETES ONLY.  Prescribe by brand (Victoza®) to avoid patients inadvertently receiving a different product licensed for obesity.

 
Link  NICE TA664: Liraglutide for managing overweight and obesity
Link  How to use Victoza Pen - Video
Link  NICE NG28: Type 2 diabetes in adults: management (Dec 2015)
 
Lixisenatide
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Formulary
Green
 
 
Semaglutide (Rybelsus®▼)
(Oral Tablets)
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Formulary

PLEASE PRESCRIBE BY BRAND - NICE Guidance on prescribing

 

Rybelsus is a tablet for once-daily oral use but has special administration directions:

    • It must be taken on an empty stomach at any time of the day.
    • Patients are required to wait at least 30 minutes before eating/drinking or taking other oral medicinal products. Waiting less than 30 minutes decreases absorption.
    • It should be swallowed whole with a sip of water (up to half a glass of water equivalent to 120 ml).

 

 
 
Semaglutide (Wegovy ®)
View adult BNF View SPC online View childrens BNF
Formulary
Red

PLEASE PRESCRIBE BY BRAND NICE Guidance on prescribing

Semaglutide is a biological medicine. Biological medicines must be prescribed and dispensed by brand name, see Biological medicines and Biosimilar medicines, under Guidance on Prescribing; manufacturer advises to record the brand name and batch number after each administration.

 

The use of semaglutide for this indication is restricted to prescribing by commissioned clinics in secondary care by a consultant led specialist multidisciplinary Tier 3 weight management service with a commercial agreement in place.

Prescribe by brand (Wegovy®) to avoid patients inadvertently receiving a different product licensed for type 2 diabetes.

 

 
 
06.01.02.03  Expand sub section  Meglitinides to top
Repaglinide
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Formulary
Amber Recommended
 
 
06.01.02.03  Expand sub section  SGL2 inhibitors
Canagliflozin
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Formulary
Green

For treating Type 2 diabetes  in line with NICE, and chronic kidney disease.

Do not use SGLT2-inhibitors in patients with T1DM, regardless of CKD and/or heart failure status due to risk of DKA (diabetic ketoacidosis) 

 
Link  MHRA Alert: SGLT2 inhibitors: monitor ketones in blood during treatment interruption for surgical procedures or acute serious medical illness
Link  MHRA Alert: SGLT2 inhibitors: reports of Fournier’s gangrene (necrotising fasciitis of the genitalia or perineum) (Feb 2019)
Link  MHRA: Canagliflozin (Invokana, Vokanamet): signal of increased risk of lower extremity amputations observed in trial in high cardiovascular risk patients
Link  MHRA: SGLT2 inhibitors (canagliflozin, dapagliflozin, empagliflozin): risk of diabetic ketoacidosis
Link  NICE TA315: Canagliflozin in combination therapy for treating type 2 diabetes
Link  NICE TA390: Canagliflozin, dapagliflozin and empagliflozin as monotherapies for treating type 2 diabetes
 
Dapagliflozin
View adult BNF View SPC online View childrens BNF
Formulary

 

  for treating Type 2 diabetes and chronic kidney disease in line with NICE 

Do not use SGLT2-inhibitors in patients with T1DM, regardless of CKD and/or heart failure status due to risk of DKA (diabetic ketoacidosis)

Amber Recommended Treatment of all grades of symptomatic heart failure 

 

SGLT2 inhibitors: updated advice on the risk of diabetic ketoacidosis

MHRA: SGLT2 inhibitors: updated advice on increased risk of lower-limb amputation (mainly toes)

 
Link  MHRA Alert: SGLT2 inhibitors: monitor ketones in blood during treatment interruption for surgical procedures or acute serious medical illness
Link  NICE TA775: Dapagliflozin for treating chronic kidney disease
Link  NICE TA679: Dapagliflozin for treating chronic heart failure with reduced ejection fraction
Link  MHRA Alert: SGLT2 inhibitors: reports of Fournier’s gangrene (necrotising fasciitis of the genitalia or perineum) (Feb 2019)
Link  NICE TA288: Dapagliflozin in combination therapy for treating type 2 diabetes
Link  NICE TA390: Canagliflozin, dapagliflozin and empagliflozin as monotherapies for treating type 2 diabetes
Link  NICE TA418: Dapagliflozin in triple therapy for treating type 2 diabetes
 
Empagliflozin
View adult BNF View SPC online View childrens BNF
Formulary

 Green For treating type 2 diabetes
Do not use SGLT2-inhibitors in patients with T1DM, regardless of CKD and/or heart failure status due to risk of DKA (diabetic ketoacidosis)

Amber Recommended treatment of all grades of symptomatic heart failure

SGLT2 inhibitors: updated advice on the risk of diabetic ketoacidosis

MHRA: SGLT2 inhibitors: updated advice on increased risk of lower-limb amputation (mainly toes)

 
Link  MHRA Alert: SGLT2 inhibitors: monitor ketones in blood during treatment interruption for surgical procedures or acute serious medical illness
Link  MHRA Alert: SGLT2 inhibitors: reports of Fournier’s gangrene (necrotising fasciitis of the genitalia or perineum) (Feb 2019)
Link  MHRA: SGLT2 inhibitors (canagliflozin, dapagliflozin, empagliflozin): risk of diabetic ketoacidosis
Link  NICE TA773: Empagliflozin for treating chronic heart failure with reduced ejection fraction
Link  NICE TA336: Empagliflozin in combination therapy for treating type 2 diabetes
Link  NICE TA390: Canagliflozin, dapagliflozin and empagliflozin as monotherapies for treating type 2 diabetes
 
Empagliflozin/Linagliptin
View adult BNF View SPC online View childrens BNF
Formulary
Green

 

 

 

 
 
ErtugliflozinBlack Triangle
View adult BNF View SPC online View childrens BNF
Formulary
Green

In line with NICE


Do not use SGLT2-inhibitors in patients with T1DM,
regardless of CKD and/or heart failure status due to risk
of DKA (diabetic ketoacidosis)

 

 
Link  MHRA Alert: SGLT2 inhibitors: monitor ketones in blood during treatment interruption for surgical procedures or acute serious medical illness
Link  NICE TA583: Ertugliflozin with metformin and a dipeptidyl peptidase-4 inhibitor for treating type 2 diabetes
Link  MHRA Alert: SGLT2 inhibitors: reports of Fournier’s gangrene (necrotising fasciitis of the genitalia or perineum) (Feb 2019)
Link  NICE TA572: Ertugliflozin as monotherapy or with metformin for treating type 2 diabetes
 
06.01.02.03  Expand sub section  Other
Capsaicin
View adult BNF View SPC online View childrens BNF
Formulary

Green 

  • Axsain
  • Zacin

Red

  • Qutenza - PAIN TEAM ONLY
 
 
Duloxetine
View adult BNF View SPC online View childrens BNF
Formulary
Green

Prescribe generically as 30mg & 60mg.

90 and 120mg not cost-effective

 
 
Irbesartan
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Losartan Potassium
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
06.01.02.03  Expand sub section  Thiazolidinediones
Pioglitazone
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
Link  MHRA: Insulin combined with pioglitazone: risk of cardiac failure
Link  MHRA: Pioglitazone: risk of bladder cancer
Link  NICE NG28: Type 2 diabetes in adults: management
 
06.01.02.05  Expand sub section  Glucagon-like peptide-1 receptor agonists - once weekly
06.01.02.07  Expand sub section  Other antidiabetic drugs to top
06.01.03  Expand sub section  Diabetic ketoacidosis
06.01.04  Expand sub section  Treatment of hypoglycaemia
Glucagon (GlucaGen® HypoKit)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
GlucoGel®
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Glucose
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Glucose
(oral gel)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Green

  • Dextrogel 

 

 
 
Glucose
(Solution for infusion)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
 
06.01.04  Expand sub section  Chronic hypoglycaemia
06.01.05  Expand sub section  Treatment of diabetic nephropathy and neuropathy
06.01.05  Expand sub section  Diabetic nephropathy to top
06.01.05  Expand sub section  Diabetic neuropathy
Lisinopril
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
06.01.06  Expand sub section  Diagnostic and monitoring agents for diabetes mellitus
Continuous Glucose Monitoring (Dexcom One Sensor ®)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

In line with NHSE criteria, see annex A in the following link: https://www.blackcountryformulary.nhs.uk/docs/files/National-arrangements-for-funding-of-relevant-diabetes-patients-June-2020-Updated-final.pdf

 

 
Link  Flash Glucose Monitoring: National Arrangements for Funding of Relevant Diabetes Patients
 
Glucose interstitial fluid detection sensors (FreeStyle Libre 2 Sensor ® )
View adult BNF View SPC online View childrens BNF
Formulary

Green in Type I Diabetes

Amber Recommendedin Type II Diabetes in line with RMOC criteria

 
 
Ketones Test Strips (FreeStyle Optium beta-ketone testing strips®)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
  • FreeStyle Optium beta-ketone testing strips
 
 
Ketones Test Strips (Glucofix Tech beta-ketone Sensor testing strips ®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Ketones Test Strips (KetoSens testing strips ®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
  • KetoSens testing strips
 
 
Urinalysis Glucose strips Medi-Test Glucose®
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Urinalysis test strips Diastix®
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Urine Protein strips  (Albustix®)
View adult BNF View SPC online View childrens BNF
Formulary

Black in Primary Care

Secondary care to discuss with Pathology

 
 
Urine Protein strips Medi Test Protein 2®
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
06.01.06  Expand sub section  Blood glucose monitoring
Test strips
View adult BNF View SPC online View childrens BNF
Formulary
Green

  BRANDS-Use in line with local guidance

  • CareSens PRO testing strips
  • Contour Next testing strips
  • Contour Plus testing strips
  • Instant testing strips
  • TEE2 testing strips
  • WaveSense JAZZ Duo testing strips
  • WaveSense JAZZ testing strips
 
 
Test strips
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

   BRANDS

  • Aviva testing strips
  • FreeStyle Optium testing strips
  • On Call Extra testing strips
 
 
06.01.06  Expand sub section  Urinalysis
06.01.06  Expand sub section  Oral glucose tolerance test to top
06.01.06  Expand sub section  Blood glucose meters for adults with type 2 diabetes
06.01.06  Expand sub section  Blood glucose meters for children and adults with type 1 diabetes
06.01.06  Expand sub section  Blood glucose meters for patients on continuous insulin infusion pump
06.01.06  Expand sub section  Blood glucose meters for patients with dexterity problems
06.01.06  Expand sub section  Talking blood glucose meters to top
06.02  Expand sub section  Thyroid and Antithyroid drugs
Propranolol
(oral solution)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Initiation

For Paediatric use 

 
 
Propranolol
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
06.02.01  Expand sub section  Thyroid hormones
Levothyroxine
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Liothyronine
(capsules )
View adult BNF View SPC online View childrens BNF
Formulary
Amber Initiation
 
Link  Items which should not be routinely prescribed in primary care: Guidance for ICB
Link  Patient Information: Changes to liothyronine prescribing
 
Liothyronine
(powder for solution for injection)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
Link  Items which should not be routinely prescribed in primary care: Guidance for ICB
Link  Patient Information: Changes to liothyronine prescribing
 
Metoprolol Tartrate
View adult BNF View SPC online View childrens BNF
Formulary
Green
  • BETALOC
 
 
06.02.02  Expand sub section  Antithyroid drugs
Carbimazole
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended


Counselling: warn patient to tell doctor immediately if sore throat, mouth ulcers, bruising, fever, malaise or non-specific illness develops

 
 
Propylthiouracil
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
 
Iodine and Iodide
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
 
Potassium iodate
(85mg)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
 
Potassium iodide
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
 
Aqueous iodine
(oral solution)
View adult BNF View SPC online View childrens BNF
Formulary
Red

Hospital use only.

 
 
06.03  Expand sub section  Corticosteroids
Prednisolone
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
06.03.01  Expand sub section  Replacement therapy to top
Fludrocortisone Acetate
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
Link  UKMI Q&A: Are adults taking corticosteroids for adrenal insufficiency at risk of osteoporosis?
 
06.03.02  Expand sub section  Glucocorticoid therapy
Betamethasone
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Dexamethasone
View adult BNF View SPC online View childrens BNF
Formulary
Green

 

 

 
 
DEXAMETHASONE PHOSPHATE INJECTION
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
 
Hydrocortisone
View adult BNF View SPC online View childrens BNF
Formulary
Red

 

  • SODIUM SUCCINATE
  • SODIUM PHOSPHATE

 

 
 
Hydrocortisone
(Oral presentations)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

 

 
 
06.03.02  Expand sub section  Disadvantages of corticosteroids
06.03.02  Expand sub section  Use of corticosteroids
06.03.02  Expand sub section  Pregnancy and breastfeeding
06.03.02  Expand sub section  Administration to top
06.03.02  Expand sub section  Withdrawal of corticosteroids
06.04  Expand sub section  Sex hormones
Estradiol/Medroxyprogesterone
View adult BNF View SPC online View childrens BNF
Second Choice
Green
 
 
Estradiol/Norethisterone
(Oral presentations)
View adult BNF View SPC online View childrens BNF
Second Choice
Green

 

2nd line to patches 

https://pcwhf.co.uk/wp-content/uploads/2021/02/Prescribing-HRT-3.pdf 

 
 
Femoston Conti ®
View adult BNF View SPC online View childrens BNF
Second Choice
Green
 
 
Femoston Sequential ®
View adult BNF View SPC online View childrens BNF
Second Choice
Green
 
 
Clonidine Hydrochloride
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Estradiol 10mg (Vagifem®, Vagirux®)
(Pessary)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Pessary 

  • Vagifem
  • Vagirux
 
 
Estradiol 1mg /2mg
(Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Estradiol hemihydrate (lenzetto 153 mg/spray ®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

 

 

 
 
Estradiol/dydrogesterone
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
ESTRIOL 0.01% Cream
( 0.01% Cream)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
EVOREL SEQUI PATCH
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
NORETHISTERONE
(5mg Tabs)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Progynova TS patch
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Sandrena gel
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Tibolone (Livial®)
(Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Trisequens ®
(Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Oestrogel®
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
06.04.01  Expand sub section  Female sex hormones and their modulators
06.04.01.01  Expand sub section  Oestrogens and HRT
Evorel Conti®
(Patch)
View adult BNF View SPC online View childrens BNF
First Choice
Green
 
Evorel Sequi®
(Patch)
View adult BNF View SPC online View childrens BNF
First Choice
Green
 
Evorel®
(Patch)
View adult BNF View SPC online View childrens BNF
First Choice
Green
 
Femseven Conti®
(Patch)
View adult BNF View SPC online View childrens BNF
Second Choice
Green
 
 
Femseven Sequi®
(Patch)
View adult BNF View SPC online View childrens BNF
Second Choice
Green

 

 2nd line to Evorel Sequi®

 
 
COMBINED CYCLICAL HRT
View adult BNF View SPC online View childrens BNF
Formulary
Green

BRANDS

  • Elleste-Duet
  • Prempak-C
 
 
Elleste Solo
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Elleste-Duet Conti®
(Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Clinorette®
(Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Estraderm MX®
(Patches)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Estradot®
(Patches)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Estriol® 0.01%
(Cream)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Femseven ®
(Patch)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Kliofem®
(Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Kliovance®
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Lubion®
(Injection)
View adult BNF View SPC online View childrens BNF
Formulary
Red

Fertility use only

 
 
Novofem®
(Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Ovestin ®
(Cream)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Premarin®
(Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Premique® low dose
(Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Tridestra®
(Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Zumenon®
(Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Indivina®
(Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Premique® modified release
(Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Progynova®
View adult BNF View SPC online View childrens BNF
Formulary
Green

Progynova® 1mg and 2mg tablets

 
 
Climanor®
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
06.04.01.01  Expand sub section  Hormone replacement therapy to top
06.04.01.01  Expand sub section  Ethinylestradiol
Ethinylestradiol
(Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
 
06.04.01.01  Expand sub section  Raloxifene
Raloxifene
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
Link  NICE TA 160 Raloxifene for the primary prevention of osteoporotic fragility fractures in postmenopausal women
 
06.04.01.01  Expand sub section  Oestrogen only tablets
06.04.01.01  Expand sub section  Oestrogens and progestogen sequential combined therapy
06.04.01.01  Expand sub section  Continuous combined therapy to top
06.04.01.01  Expand sub section  Gonadomimetic
06.04.01.01  Expand sub section  Selective oestrogen modulator
06.04.01.02  Expand sub section  Progestogens
Medroxyprogesterone Acetate (Climanor®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Medroxyprogesterone Acetate (Depo -Provera®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Medroxyprogesterone Acetate (Provera®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Medroxyprogesterone Acetate (Sayana press®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Suitable for self injection in patients who have had appropriate tranining

 
 
Progesterone
(Pessary)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Initiation

    BRANDS

  • Cyclogest pessary 
  • Lutigest pessary 
 
 
Progesterone (micronised) (Utrogestan ®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
06.04.02  Expand sub section  Male sex hormones and antagonists
Testosterone  (Sustanon 250®)
(Injection)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
 
Testosterone gel
View adult BNF View SPC online View childrens BNF
Formulary
Amber Initiation
 
 
Testosterone Propionate
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
 
Testosterone undecanoate (Nebido®)
(Injection)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
 
06.04.02  Expand sub section  Anti-androgens to top
Finasteride
(5mg Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
Dutasteride (Avodart®)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
 
Cyproterone acetate
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

BRANDS

  • Androcur

 

 

 
 
06.04.02  Expand sub section  Dutasteride and finasteride
06.04.03  Expand sub section  Anabolic steroids
06.04.04  Expand sub section  Gender dysphoria
06.05  Expand sub section  Hypothalamic and pituitary hormones and anti-oestrogens
Choriogonadotropin Alfa (Ovitrelle®)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
 
Clomifene citrate
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
 
Demeclocycline
(Capsules)
View adult BNF View SPC online View childrens BNF
Formulary
Red

Treatment of hyponatraemia resulting from inappropriate secretion of antidiuretic hormone, if fluid restriction alone does not restore sodium concentration or is not tolerable

 
 
Desmopressin
(oral lyophilisate)
View adult BNF View SPC online View childrens BNF
Formulary

Amber Recommended Paediatric Nocturnal enuresis

Amber Initiation Diabetes Insipidus

 
 
Desmopressin
(nasal spray)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Initiation

Diabetes Insipidus

 
 
Desmopressin
(solution for Injection)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
 
Desmopressin (Desmotabs®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Primary Nocturnal enureis -Paediatrics

 
 
GONADORELIN
View adult BNF View SPC online View childrens BNF
Formulary
Red

HRF - Red

Powder For - Red

 
 
Human Chorionic Gonadotrophin
View adult BNF View SPC online View childrens BNF
Formulary
Red

HUMAN MENOPAUSAL GONADOTROPHINS - Red

HUMAN MENOPAUSAL GONADOTROPHINS / Menogon - Red

 
 
OCTREOTIDE
View adult BNF View SPC online View childrens BNF
Formulary
Red

Olatuton - Red

Sandostatin - Red

Sandostatin LAR - Red

 
 
TERLIPRESSIN
View adult BNF View SPC online View childrens BNF
Formulary
Red

Glypressin - Red

 
 
TETRACOSACTIDE
View adult BNF View SPC online View childrens BNF
Formulary
Red

   BRANDS

  • Synacthen
  • Synacthen Depot
 
 
THYROTROPIN ALFA (Thyrogen®)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
 
VASOPRESSIN
View adult BNF View SPC online View childrens BNF
Formulary
Red

Argipressin - Red

Pitressin - Red

 
 
06.05.01  Expand sub section  Hypothalamic and anterior pituitary hormones and anti-oestrogens to top
06.05.01  Expand sub section  Anti-oestrogens
06.05.01  Expand sub section  Anterior pituitary hormones
Somatropin
(injection)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

 

Genotropin GoQuick powder/solvent for
Genotropin MiniQuick powder/solvent for injection
Genotropin powder/solvent for injection
Humatrope powder/solvent for injection
Norditropin FlexPro
Norditropin NordiFlex
Norditropin SimpleXx
NutropinAq
Omnitrope
Omnitrope SurePal
Saizen
Saizen powder/solvent for injection
Zomacton powder/solvent for injection
 
Link  NICE TA188: Human growth hormone (somatropin) for the treatment of growth failure in children (review)
Link  NICE TA64: Growth hormone deficiency (adults) - human growth hormone
 
06.05.01  Expand sub section  Gonadotrophins
06.05.01  Expand sub section  Growth Hormone
06.05.01  Expand sub section  Growth hormone receptor antagonists to top
06.05.01  Expand sub section  Thyrotropin
06.05.01  Expand sub section  Hypothalmic hormones
06.05.02  Expand sub section  Posterior pituitary hormones and antagonists
06.05.02  Expand sub section  Posterior pituitary hormones
06.05.02  Expand sub section  Antidiuretic hormone antagonists to top
Tolvaptan (Jinarc® )
View adult BNF View SPC online View childrens BNF
Formulary
Red

  

 
Link  NICE TA358:Tolvaptan for treating autosomal dominant polycystic kidney disease
 
Tolvaptan (Samsca®)
View adult BNF View SPC online View childrens BNF
Formulary
Red

 

 
 
06.06  Expand sub section  Drugs affecting bone metabolism
Calcitriol
View adult BNF View SPC online View childrens BNF
Second Choice
Amber Initiation
 
 
Disodium Pamidronate
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
Link  MHRA: Bisphosphonates: atypical femoral fractures
 
Alendronic Acid
View adult BNF View SPC online View childrens BNF
Formulary
Green



 
Link  MHRA: Bisphosphonates: atypical femoral fractures
Link  NICE TA464: Bisphosphonates for treating osteoporosis
Link  TA160: Alendronate, etidronate, risedronate, raloxifene and strontium ranelate for the primary prevention of osteoporotic fragility fractures in postmenopausal women (amended)
Link  TA161: Alendronate, etidronate, risedronate, raloxifene, strontium ranelate and teriparatide for the secondary prevention of osteoporotic fragility fractures in postmenopausal women (amended)
 
CALCITONIN
View adult BNF View SPC online View childrens BNF
Formulary
Red

CALCITONIN (SALMON)/SALCATONIN - Red

CALCITONIN SALMON/ CALCITONIN - Red

 
 
Ibandronic acid
(50mg tabs)
View adult BNF View SPC online View childrens BNF
Formulary

Dudley

Black 

Sandwell

Amber SC

ESCA Sandwell only

Walsall

 Green

Wolverhampton 

Red

 

 
Link  ESCA: Ibandronic acid 50mg-Sandwell only
Link  MHRA: Bisphosphonates: atypical femoral fractures
 
Ibandronic acid
(Injection)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
Link  MHRA: Bisphosphonates: atypical femoral fractures
 
Ibandronic acid
(150mg tabs )
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
Link  MHRA: Bisphosphonates: atypical femoral fractures
 
PAMIDRONATE DISODIUM
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
 
RISEDRONATE SODIUM 30mg
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
 
ROMOSOZUMAB
View adult BNF View SPC online View childrens BNF
Formulary
Red

Evenity - Red

 
Link  NICE TA 791: Romosozumab for treating severe osteoporosis
 
Sodium Clodronate (Calsteon®, Loron 520® )
View adult BNF View SPC online View childrens BNF
Formulary

 

Dudley 

Black

Sandwell

Amber SC

ESCA- Sandwell

Walsall

 Black

Wolverhampton

Red


 

 
Link  ESCA: Sodium clodronate-Sandwell only
Link  MHRA: Bisphosphonates: atypical femoral fractures
 
Teriparatide
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine

Red - Forsteo

Red - Movymia

Red - Terrosa

 
Link  NICE TA161: Osteoporosis - secondary prevention (including Teriparatide)
 
Zoledronic acid
View adult BNF View SPC online View childrens BNF
Formulary
Red

Red - Aclasta

Red - Zometa

 
Link  MHRA: Bisphosphonates: atypical femoral fractures
Link  NICE TA464: Bisphosphonates for treating osteoporosis
 
06.06  Expand sub section  Osteoporosis
06.06.01  Expand sub section  Calcitonin and parathyroid hormone
Calcitonin (salmon) / Salcatonin
View adult BNF View SPC online View childrens BNF
Formulary
Red

Injection

Nasal spray

For hospital use only

 
Link  NICE TA161: Osteoporosis - secondary prevention (including strontium ranelate)
 
06.06.02  Expand sub section  Bisphosphonates and other drugs affecting bone metabolism
06.06.02  Expand sub section  Bisphosphonates to top
Alendronic acid (Binosto®)
(effervescent tablets)
View adult BNF View SPC online View childrens BNF
Third Choice
Green
High Cost Medicine
 
Link  MHRA: Bisphosphonates: atypical femoral fractures
Link  NICE TA464:Bisphosphonates for treating osteoporosis
 
Etidronate disodium
(tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Green

In line with NICE

 
Link  MHRA; Bisphosphonates: atypical femoral fractures
Link  NICE TA160: Alendronate, etidronate, risedronate, raloxifene and strontium ranelate for the primary prevention of osteoporotic fragility fractures in postmenopausal women
Link  NICE TA161: Alendronate, etidronate, risedronate, raloxifene, strontium ranelate and teriparatide for the secondary prevention of osteoporotic fragility fractures in postmenopausal women
 
06.06.02  Expand sub section  Denosumab
Denosumab (Prolia®)
View adult BNF View SPC online View childrens BNF
Formulary

 

Dudley 

Amber Initiation

Sandwell

Amber SC

ESCA-Denosumab-Sandwell only

Walsall

Red

Wolverhampton 

Amber Recommended with RiCaD 

Wolverhampton only

 
Link  ESCA: Denosumab (Prolia)-Sandwell only
Link  NICE TA204: Denosumab for the prevention of osteoporotic fractures in postmenopausal women
 
Denosumab (Xgeva®)
View adult BNF View SPC online View childrens BNF
Formulary
Red
For specialist use only in line with NICE TA265
 
Link  NICE TA265: Bone metastases from solid tumours - denosumab: guidance (TA265 )
 
06.06.02  Expand sub section  Strontium renelate
Strontium ranelate
View adult BNF View SPC online View childrens BNF
Formulary
Amber Initiation
 
 
06.07  Expand sub section  Other endocrine drugs
Bromocriptine
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
 
Cabergoline
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

Amber Recommended - Cabaser

Amber Recommended - Dostinex

 
Link  MHRA cabergoline
 
Danazol
View adult BNF View SPC online View childrens BNF
Formulary
Red

Off label use for hereditary angiodema

 
 
Ketoconazole
(Oral)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
 
LEUPRORELIN ACETATE
View adult BNF View SPC online View childrens BNF
Formulary
Amber Initiation

Amber Initiation - Prostap 3 DCS

Amber Initiation - Prostap SR DCS

 
 
Metyrapone (Metopirone®)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
 
Quinagolide (Norprolac®)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Initiation
 
 
RELUGOLIX/ ESTRADIOL/ NORETHISTERONE ACETATE
View adult BNF View SPC online View childrens BNF
Formulary
Grey
 
 
TAMOXIFEN
(Oral presentations)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended

 

  • TABLETS
  • ORAL SOLUTION
 
 
TRIPTORELIN
(Salvacyl)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
 
TRIPTORELIN
(Decapeptyl SR)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Initiation
 
 
06.07.01  Expand sub section  Bromocriptine and other dopaminergic drugs
06.07.02  Expand sub section  Drugs affecting gonadotrophins to top
06.07.02  Expand sub section  Gonadorelin analogues
Goserelin
View adult BNF View SPC online View childrens BNF
Formulary
Amber Initiation

 

  BRANDS

  •  Zodalex 
  •  Zodalex LA
 
Link  CKS guideline: Management of confirmed endometriosis- Secondary Care treatments
 
Leuprorelin (Prostap 3 DCS®)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Initiation
 
Link  CKS guideline: Management of confirmed endometriosis - Secondary Care treatments
 
Leuprorelin (Prostap SR DCS®)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Initiation
 
Link  CKS guideline: Management of confirmed endometriosis - Secondary Care treatments
 
Triptorelin (Decapeptyl SR®)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Initiation
 
Link  CKS guideline: management of confirmed endometriosis - Secondary Care treatements
 
Triptorelin (Salvacyl®)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
Link  CKS guideline: management of confirmed endometriosis - Secondary Care treatements
 
06.07.02  Expand sub section  Breast pain (mastalgia)
06.07.03  Expand sub section  Metyrapone
06.07.04  Expand sub section  Somatomedins
 ....
 Non Formulary Items
Acarbose
(tablets)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Acarbose  (Glucobay®)
(tablets)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

For existing patients ONLY

Alendronic Acid
(Oral solution)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Removed from formulary in Decemeber 2016, replaced by effervescent tablets

ALENDRONIC ACID

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

ALENDRONIC ACID / Fosamax Once Week - Black 

ALENDRONIC ACID/COLECALCIFEROL - Black 

ALENDRONIC ACID/COLECALCIFEROL / Bentexo - Black

ALENDRONIC ACID/COLECALCIFEROL / Fosavance - Black

Alendronic Acid  (Fosamax®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Alendronic Acid  (Fosamax® Once Weekly)

View adult BNF View SPC online View childrens BNF
Non Formulary
Alendronic Acid with colecalciferol  (Fosavance®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Armour thyroid

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Link  Patient Information: Changes to liothyronine prescribing
Link  UKMI Q&A: What clinical evidence is there to support the use of desiccated thyroid extract products?
Bazedoxifene/Conjugated Oestrogens  (Duavive®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Link  BMS- guidance on HRT prescribing
Biphasic Isophane Insulin  (Hypurin Porcine 30/70 Mix®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Biphasic Isophane Insulin  (Mixtard® 30)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Buserelin

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Black - Suprecur

Black - Suprefact

Black - Nasal Spray 

Link  NICE CG156: Fertility problems: assessment and treatment
CALCITRIOL  (Rocaltrol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Captopril

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
  • Noyada
Carbamazepine

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

    Diabetic neuropathy

Cetrorelix  (Cetrotide®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Chlorpropamide

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
CHLORTALIDONE

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Hylaton - Black 

Climagest

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Climaval®

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Clonidine
(Oral Solution)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Combination test strips

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Corifollitropin Alfa  (Elonva®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Cortisone Acetate

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Non Formulary
Black
Cyclo-Progynova®

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Non Formulary
Black
Deflazacort  (Calcort®)

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Non Formulary
Black
Demeclocycline
(tablets)

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Non Formulary
Black
DESMOPRESSIN

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

 

  • Nasal Drops
  • Noqdirna oral lyophilisate 
Dexamethasone  (Glensoludex®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Link  Primary care summary - Dexamethasone in the treatment of COVID-19
Diazoxide

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Dienogest

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

  BRANDS

  • Zalkya
Disodium Eitdronate  (Didronel PMO®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Disodium Etidronate  (Didronel®)

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Non Formulary
Black
Duloxetine

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Non Formulary
Black
  • Cymbalta
  • Depalta
  • Duciltia
  • Yentreve
Dydrogesterone  (Duphaston®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Dysrogesterone  (Duphaston® HRT)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Estradiol with progesterone continuous tablets for HRT  (Angeliq®)

View adult BNF View SPC online View childrens BNF
Non Formulary
ESTRADIOL/PROGESTERONE  (Bijuve®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
FINASTERIDE
(1mg Tablet)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

 

BNF states - Finasteride is not prescribable in NHS primary care for the treatment of androgenetic alopecia in men.

Follitropin Beta  (Puregon®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Follitropin Alfa

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Bemfola - Black

Gonal-F - Black

Ovaleap - Black

Puregon - Black

 

 

FOLLITROPIN ALFA / LUTROPIN ALFA

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Pergovis Powder/Solvent - Black

FOLLITROPIN DELTA

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Rekovelle - Black

Ganorelix  (Orgalutran®)

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Non Formulary
Gestrinone  (Demetriose®)

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Non Formulary
Glipizide

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Gliquidone  (Glurenorm®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Glucose

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
  • Clinistix
  • Clinitest
  • Diabur-Test 5000
  • Diastix
  • Diastix testing strips
  • Element testing strips blood glucose testing strips
  • Finetest Lite testing strips blood glucose testing strips
  • Medi-Test Glucose testing strips urine glucose testing strips
  • MediSense SoftSense testing strips blood glucose testing strips
  • MediTouch 2 testing strips blood glucose testing strips
  • MediTouch testing strips blood glucose testing strips
  • Mendor Discreet testing strips blood glucose testing strips
Hormonin®

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Human Menopausal Gonadotrophins  (Menogon®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Hydrocortisone

View adult BNF View SPC online View SMC online View childrens BNF
Non Formulary
Black
  • Modified Release
  • Plenadren
Insulin

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
  • Hypurin Porcine Neutral
  • Insuman Infusat
Insulin  (Exubera®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Insulin  (Pork Actrapid®)

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Non Formulary
Insulin  (Velosulin®)

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Non Formulary
Insulin bovine  (Hypurin® Bovine Neutral)

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Non Formulary
Black

For existing patients only

Discontinued July 2017

Insulin degludec with insulin aspart  (DegludecPlus)

View adult BNF View SPC online View childrens BNF
Non Formulary
Insulin glargine 100units/ml  (Abasaglar ®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Cost price is more than originator April 2023 DM+d
and DT Abasaglar (£35.28); Lantus (£34.75)

Link  NICE NG17: Type 1 diabetes in adults: diagnosis and management
INSULIN GLARGINE/LIXISENATIDE

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
  • Suliqua
Insulin Pen Needles  (TRICARE®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Insulin porcine  (Hypurin Porcine Neutral®)

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Non Formulary
Black

Black from 28/11/23 -Continue in historic patients

Insulin Zinc suspension  (Hypurin®Bovine Lente)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

For existing patients only

Discontinued July 2017

Irbesartan

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
  • Aprovel
  • Ifirmasta
Isophane Insulin  (Hypurin Bovine Isophane®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Isophane Insulin  (Hypurin Porcine Isophane®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

For existing patients only

Isophane Insulin  (Pork Insulatard®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Ketones test strips

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
  • 4SURE beta-ketone testing strips
  • Fora Advanced pro GD40 Ketone testing strips
  • FreeStyle Optium H beta-ketone testing strips
  • FreeStyle Precision Pro beta-ketone testing strips
  • GlucoMen areo Ketone Sensor testing strips
  • GlucoRx HCT Ketone testing strips
  • Ketur Test
  • StatStrip beta-ketone testing strips
  • Xceed Precision Pro beta-ketone testing strips
LEUPRORELIN ACETATE
(Staladex)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Levothyroxine

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
  • Eltroxin
  • Capsule
  • Oral solution
Lisinopril  (Zestril®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Losartan Potassium  (Cozaar® )

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Lucozade

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Lutropin Alfa

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Luveris - Black

Luveris Powder/Solvent - Black

Mecasermin  (Increlex®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
NHS England
MENOTROPHIN

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

    BRANDS

  • Menopur powder/solvent
  • Meriofert powder/solvent 
Mesterolone  (Pro-Viron®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Methylprednisolone

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

 

ACETATE INJECTION

SODIUM SUCCINATE INJECTION

  • Depo-Medrone
  • Medrone
  • Solu-Medrone
  • Depo-Medrone
  • Solu-Medrone
Methylprednisolone
(Oral presentations)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Nadolol

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Nafarelin

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Synarel

Nateglinide  (Starlix®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

For existing patients ONLY

Norethisterone  (Micronor®HRT)

View adult BNF View SPC online View childrens BNF
Non Formulary
NORISTERAT INJECTION

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Nuvelle Continous tablets

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
OESTROGENS FOR HRT  (Bedol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

https://thebms.org.uk/publications/tools-for-clinicians/

 

OSILODROSTAT

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
OXANDROLONE 2.5 MG

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
PARATHYROID HORMONE

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Preotact - BLACK 

Pasireotide  (Signifor®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Pegvisomant

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Somavert - Black

Somavert Powder/Solvent - Black

Pioglitazone  (Actos®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Pioglitazone should not be used in people who have heart failure or who are at higher risk of fracture. Continue Pioglitazone therapy only if there is a reduction of ≥0.5 percentage points in HbA1c in 6 months. Monitor for liver toxicity. There is risk of bladder cancer with pioglitazone. Do not use in active bladder cancer or a past history of bladder cancer, or in those who have uninvestigated macroscopic haematuria. Assess risks for bladder cancer after 3-6months of starting pioglitazone. Refer to current BNF for full contraindications and interactions.

Link  MHRA: Insulin combined with pioglitazone: risk of cardiac failure
Link  MHRA: Pioglitazone: risk of bladder cancer
Link  TA63: Glitazones in the treatment of type 2 diabetes (Review of TA9 and TA21)
Pioglitazone and Metfomin

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Prednisolone M/R

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Primolut N®

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
PROGESTERONE

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

   BRANDS

  • Crinone vaginal gel 
Progesterone Injection  (Gestone®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Protamine Zinc Insulin  (Hypurin® Bovine Protamine Zinc)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

For existing patients only

Discontinued July 2017

Protein test strips  (Medi-Test Protein 2 ®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Black in Primary care,

Secondary care to discuss with pathology

RISEDRONATE 5MG

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Risedronate Sodium  (Actonel®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Actonel - Black

RISEDRONATE/CALCIUM CARBONATE/COLECALCIFEROL - Black

RISEDRONATE/CALCIUM CARBONATE/COLECALCIFEROL / Actonel Combi - Black

 

Link  UKMI Q&A: Can oral bisphosphonates be given to people with renal impairment to treat osteoporosis?
Link  MHRA: Bisphosphonates: atypical femoral fractures
Link  NICE TA464: Bisphosphonates for treating osteoporosis
Link  TA 161: Alendronate, etidronate, risedronate, raloxifene, strontium ranelate and teriparatide for the secondary prevention of osteoporotic fragility fractures in postmenopausal women (amended)
Link  TA160: Alendronate, etidronate, risedronate, raloxifene and strontium ranelate for the primary prevention of osteoporotic fragility fractures in postmenopausal women (amended)
Rosglitazone  (Avandia®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Rosiglitazone and Metformin  (Avandamet)

View adult BNF View SPC online View childrens BNF
Non Formulary
Saxagliptin

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Saxagliptin and Dapagliflozin

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Saxagliptin and Metformin

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Sermorelin  (Geref 50®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Sitagliptin  (Januvia®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Link  MHRA: Dipeptidylpeptidase-4 inhibitors: risk of acute pancreatitis
Test Strips

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

    BRANDS

  • 4SURE testing strips
  • Accu-Chek Inform II testing strips
  • Active testing strips
  • Advocate Redi-Code+ testing strips
  • AutoSense testing strips
  • BGStar testing strips
  • Betachek C50 cassette
  • Betachek G5 testing strips
  • Betachek Visual testing strips
  • Breeze 2 testing discs
  • CareSens N testing strips
  • Contour TS testing strips
  • Contour testing strips
  • Dario Lite testing strips
  • Dario testing strips
  • Element testing strips
  • Finetest Lite testing strips
  • Fora Advanced pro GD40 testing strips
  • FreeStyle Lite testing strips
  • FreeStyle Optium H testing strips
  • FreeStyle Optium Neo H testing strips
  • FreeStyle Precision Pro testing strips
  • FreeStyle testing strips
  • GluNEO testing strips
  • GlucoDock testing strips
  • GlucoLab testing strips
  • GlucoRx GO Professional testing strips
  • GlucoRx GO testing strips
  • GlucoRx HCT Glucose testing strips
  • GlucoRx Nexus testing strips
  • GlucoRx Q testing strips
  • GlucoRx Vivid testing strips
  • GlucoZen.auto testing strips
  • Glucofix Tech Sensor testing strips
  • Glucoflex-R testing strips
  • Guide testing strips
  • Kinetik Wellbeing testing strips
  • MODZ testing strips
  • MediSense SoftSense testing strips
  • MediTouch 2 testing strips
  • MediTouch testing strips
  • Mendor Discreet testing strips
  • Microdot Max testing strips
  • Microdot+ testing strips
  • Myglucohealth testing strips
  • Mylife Aveo testing strips
  • Mylife Pura testing strips
  • Mylife Unio testing strips
  • OKmeter Core testing strips
  • Oh'Care Lite testing strips
  • On Call Sure testing strips
  • On-Call Advanced testing strips
  • OneTouch Select Plus testing strips
  • OneTouch Verio testing strips
  • Performa testing strips
  • SD CodeFree testing strips
  • SURESIGN Resure testing strips
  • Sensocard testing strips
  • StatStrip testing strips
  • TRUEyou testing strips
  • True Metrix testing strips
  • VivaChek Ino testing strips
  • Xceed Precision Pro testing strips
  • palmdoc iCare Advanced Solo testing strips
  • palmdoc iCare Advanced testing strips
  • palmdoc testing strips
TESTOSTERONE ENANTATE

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
TESTOSTERONE IMPLANTS

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Tiludronic Acid  (Skelid®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Triamcinolone

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

TRIAMCINOLONE ACETONIDE

  • Adcortyl Intra-articular / Intradermal
  • Kenalog
  • Nasacort
Trilostane  (Modrenal®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
TRIPTORELIN
(Gonapeptyl Depot)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
TRISEQUENS S

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
ULIPRISTAL ACETATE

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Ulipristal acetate  (Esmya®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

MHRA March 2020 Esmya (ulipristal acetate): suspension of the licence due to risk of serious liver injury

July 2018 - Traffic light status amended to RED in light of EMA update

Esmya: new measures to minimise risk of rare but serious liver injury

The only indication approved for use by the APC is
pre-operative treatment of moderate to severe symptoms of uterine fibroids (1 course).

Link  EMA June 2018: Esmya: new measures to minimise risk of rare but serious liver injury
Link  MHRA February 2018: Esmya (ulipristal acetate) for uterine fibroids: do not initiate or re-start treatment; monitor liver function in current and recent users
Urinalysis  (Clinitest®)

View adult BNF View SPC online View childrens BNF
Non Formulary

BlackBlack in Primary care

Secondary care to discuss with pathology

Urinalysis test strips glucose Mission Glucose®

View adult BNF View SPC online View childrens BNF
Non Formulary
Urine Ketone Testing strips

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

   BRANDS

Black in Primary Care, secondary care to discuss with pathology

  • GlucoRx KetoRx Sticks 2GK testing strips
  • Ketostix testing strips
Urine Protein Testing Strips

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

 Black in Primary Care, secondary care to discuss with pathology

Urofollitropin

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Fostimon powder/solvent - Black

Utrogestan® Vaginal Capsules

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Vildagliptin

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
Vildagliptin/ Metformin

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
  
Key
Restricted Drug Restricted Drug
Unlicensed Drug Unlicensed
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
ICB
ICB
Green Low Carbon

Low carbon footprint

Amber Medium Carbon

Medium carbon footprint

Red High carbon footprint

High carbon footprint

Status Description

Green

Medicines which are suitable for initiation and maintenance prescribing by primary and secondary care clinicians. These medicines should be initiated and prescribed within their licensed indications  

Amber Initiation

Amber Specialist Initiation: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate. This may be supported by a RICaD, annotated within the formulary entry.  

Amber SC

Amber Shared Care: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing, in accordance with an ESCA, annotated within the formulary entry.  

Amber Recommended

Amber Specialist Recommendation: Initiation and maintenance of prescribing in Primary Care following recommendation from a specialist.  

Red

Medicines for initiation and maintenance prescribing by Specialists (hospital or GPs with Special Interest) only  

Grey

Positive NICE TA and /or awaiting local clarification on place in therapy; Please contact your Medicines Optimisation team for more information.  

Black

Non-formulary Medicines which APC/Trust DTC has actively reviewed and do not recommend for use.  

Multiple

Check Notes as varies across the area  

netFormulary