NHS NEL Formulary


	NHS NEL Demonstration Formulary

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Formulary Chapter 6: Endocrine system - Full Chapter

Notes:

Chapter Links...

NICE NG28: Type 2 diabetes in adults: management

DVLA guidance

NICE Guidance on prescribing

Details...

06.01.01

Insulins

NICE CG 28 Type 2 diabetes in adults: management NICE guideline

NICE NG18: Diabetes (type 1 and type 2) in children and young people: diagnosis and management

NICE NG19: Diabetic foot problems: prevention and management

NICE NG3: Diabetes in pregnancy: management from preconception to the postnatal period

NICE NG17: Type 1 diabetes in adults: diagnosis and management

NICE TA151: Insulin pumps

06.01.01.01

Short-acting insulins

Insulin

Formulary

Actrapid
Humulin S
Insuman Rapid

Insulin (Humulin R 500 units in 1mL^®)

Formulary

Insulin Aspart

Formulary

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

NovoRapid PumpCart

Insulin Glulisine

Formulary

BRANDS

Apidra
Apidra SoloStar

For your patients with diabetes who are currently prescribed Apidra®: A guide on how to use Apidra®.

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Soluble Insulin

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Rapid Acting Insulin Analogues

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Ultra-Rapid acting insulin analogues

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Short-acting human insulin analogues

Insulin lispro

Formulary

BRANDS

Humalog Junior KwikPen

06.01.01.02

Intermediate- and long-acting insulins

Insulin glargine (Semglee^®)

First Choice

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

NICE NG17: Type 1 diabetes in adults: diagnosis and management

Insulin Detemir

Formulary

Levemir FlexPen
Levemir InnoLet
Levemir Penfill

INSULIN GLARGINE

Formulary

Abasaglar KwikPen
Lantus
Toujeo
Toujeo DoubleStar

NICE NG17: Type 1 diabetes in adults: diagnosis and management

For your patients who are currently prescribed Lantus®: A guide on how to use Lantus®.

For your patients with diabetes who are currently prescribed Lantus ®: A step-by-step guide on how to use Lantus® SoloStar.

For your patients with diabetes who are currently prescribed Toujeo® DoubleStar: A guide on how to use Toujeo® DoubleStar.

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)

Formulary

Tresiba FlexTouch 200units/ml

Green Type I Diabetes

Amber Recommended Type II Diabetes

Insulin Degludec (Tresiba^®)

Formulary

Tresiba FlexTouch 100units/ml
Tresiba Penfill 100units/ml

Insulin degludec/liraglutide

Formulary

Isophane Insulin

Formulary

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

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

Biphasic insulins

Biphasic Insulin Aspart

Formulary

BRANDS

NovoMix 30 FlexPen
NovoMix 30 Penfill

Biphasic Insulin Lispro

Formulary

BRANDS

Humalog Mix25
Humalog Mix25 KwikPen
Humalog Mix50
Humalog Mix50 KwikPen

Biphasic Isophane Insulin

Formulary

BRANDS

Humulin M3
Humulin M3 KwikPen

Biphasic Isophane Insulin (Insuman Comb^® )

Formulary

Insuman comb 25

Insuman comb 50

Insulin Lispro

Formulary

Admelog
Humalog 100units/ml
Humalog KwikPen
Lyumjev
Lyumjev KwikPen
Lyumjev Junior KwikPen

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Intermediate Acting Insulin

06.01.01.02

Long Acting Insulin Analogues

06.01.01.03

Hypodermic equipment

Insulin Pen Needles (Microdot MAX safety pen needles 5mm/30g ^®)

Formulary

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

Injection Devices

Formulary

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

Needles

Insulin Pen Needles (BD Viva 4mm/32g pen needles )

Formulary

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

Formulary

Insulin Pen Needles (GlucoRx Carepoint 5mm/31g pen needles )

Formulary

Insulin Pen Needles (Insupen 4mm/32g pen needles )

Formulary

Insulin Pen Needles (Insupen 5mm/31g pen needles )

Formulary

Needle free administration device

Formulary

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

Formulary

Penfine classic

Formulary

06.01.01.03

Lancets

....

Non Formulary Items

Biphasic Isophane Insulin (Hypurin Porcine 30/70 Mix^®)

Non Formulary

Biphasic Isophane Insulin (Mixtard^® 30)

Non Formulary

Insulin

Non Formulary

Hypurin Porcine Neutral
Insuman Infusat

Insulin (Exubera^®)

Non Formulary

Insulin (Pork Actrapid^®)

Non Formulary

Insulin (Velosulin^®)

Non Formulary

Insulin bovine (Hypurin^® Bovine Neutral)

Non Formulary

For existing patients only

Discontinued July 2017

Insulin degludec with insulin aspart (DegludecPlus)

Non Formulary

Insulin glargine 100units/ml (Abasaglar ^®)

Non Formulary

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

NICE NG17: Type 1 diabetes in adults: diagnosis and management

Insulin Pen Needles (TRICARE^®)

Non Formulary

Insulin porcine (Hypurin Porcine Neutral^®)

Non Formulary

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

Insulin Zinc suspension (Hypurin^®Bovine Lente)

Non Formulary

For existing patients only

Discontinued July 2017

Isophane Insulin (Hypurin Bovine Isophane^®)

Non Formulary

Isophane Insulin (Hypurin Porcine Isophane^®)

Non Formulary

For existing patients only

Isophane Insulin (Pork Insulatard^®)

Non Formulary

Protamine Zinc Insulin (Hypurin^® Bovine Protamine Zinc)

Non Formulary

For existing patients only

Discontinued July 2017

Key

	Restricted Drug
	Unlicensed
	Link to adult BNF
	Link to children's BNF
	Link to SPCs
	Cytotoxic Drug
	Controlled Drug

	High Cost Medicine
	Cancer Drugs Fund
	NHS England
	Homecare
	ICB
	Low carbon footprint
	Medium carbon footprint
	High carbon footprint

Status	Description
	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 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 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 Specialist Recommendation: Initiation and maintenance of prescribing in Primary Care following recommendation from a specialist.
	Medicines for initiation and maintenance prescribing by Specialists (hospital or GPs with Special Interest) only
	Positive NICE TA and /or awaiting local clarification on place in therapy; Please contact your Medicines Optimisation team for more information.
	Non-formulary Medicines which APC/Trust DTC has actively reviewed and do not recommend for use.
	Check Notes as varies across the area